The changing model of insulin use in type 2 diabetes. Techniques, tactics for getting to goal

Type 2 diabetes is by far the predominant type of diabetes in the United States. Lifestyle changes can be effective in controlling blood glucose levels in many patients with early type 2 diabetes. However, as the disease evolves and slowly progresses, its successful treatment can move beyond diet and exercise to oral antidiabetic agents and later to the addition of insulin to oral therapy. Both physicians and patients may be hesitant to start insulin treatment, which can be complex and need ongoing adjustment. Here, Dr Cooppan describes the indications for insulin use in type 2 diabetes, outlines the insulin analogue therapies available, and explains the latest in best management strategies for using insulin and getting to goal.