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A Patient-Driven Approach to Manage Mealtime Insulin Titration: Tools From the AUTONOMY Study
Allison Camacho1, Jennal Johnson2, Jeffrey S Bonner2
1Dallas Diabetes and Endocrine Center, Dallas, Texas, USA (Ms Camacho)
Purpose:
Patient-centric methods to support diabetes management are important to overcome barriers associated with initiating mealtime insulin. This article describes the subject-driven titration tools implemented in the AUTONOMY trial to initiate and adjust mealtime insulin dose and the methods used to apply these tools in clinical practice.
Conclusions:
The methods used to initiate and escalate mealtime insulin in the AUTONOMY trial proved to be safe and effective, and the patient-friendly guide to self-adjusting mealtime insulin dose may mitigate the complexities associated with treatment intensification while empowering patients to reach their glycemic goals.
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