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Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
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Insulin Formulations: Types and Delivery

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Type II Diabetes I: Introduction

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Diabetes Mellitus: Type 2 and Gestational

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Updated: Jun 12, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Insulin pump use in type 2 diabetes.

Bruce W Bode1

  • 1Atlanta Diabetes Associates, 77 Collier Road, Atlanta, GA 30309, USA. bbode001@aol.com

Diabetes Technology & Therapeutics
|June 3, 2010
PubMed
Summary

Continuous subcutaneous insulin infusion (CSII) offers potential for type 2 diabetes mellitus (T2DM), but evidence is mixed. CSII may be best for patients whose multiple daily injections (MDI) therapy has not succeeded.

Area of Science:

  • Endocrinology
  • Metabolic Diseases
  • Pharmacological Interventions

Background:

  • Continuous subcutaneous insulin infusion (CSII) is an emerging treatment for type 2 diabetes mellitus (T2DM).
  • Clinical evidence regarding CSII efficacy in T2DM remains inconsistent, with varying conclusions from different study sizes.
  • Investigating simpler CSII regimens is crucial for potentially enhancing patient outcomes.

Purpose of the Study:

  • To evaluate the current evidence for CSII in T2DM management.
  • To compare CSII with multiple daily injections (MDI) in T2DM patients.
  • To identify potential future research directions for CSII in T2DM.

Main Methods:

  • Review of existing randomized controlled trials (RCTs) comparing CSII and MDI for T2DM.

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Improving IV Insulin Administration in a Community Hospital
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  • Analysis of smaller trials suggesting CSII superiority versus larger trials indicating equivalence.
  • Exploration of research into simplified CSII regimens and concentrated insulins (U-500).
  • Main Results:

    • Large RCTs found CSII to be equivalent to MDI for T2DM.
    • Smaller studies indicated CSII superiority over MDI.
    • Simpler CSII regimens and U-500 insulin are under investigation but not yet clinically implemented.

    Conclusions:

    • CSII may be a viable option for select T2DM patients.
    • CSII is particularly relevant for individuals who have not achieved success with MDI therapy.
    • Further research is needed to optimize CSII delivery and insulin formulations for T2DM.