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Updated: Dec 12, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Initiation of basal bolus insulin therapy
Gagan Priya1, Sanjay Kalra2, Silver Bahendeka3
1Department of Endocrinology, Fortis Hospital, Mohali, India.
Abstract:
Most practice guidelines recommend the use of longacting or pre-mixed insulin at the initiation of insulin therapy in type 2 diabetes, especially in patients not achieving glycaemic goals. Nonetheless, there are some specific indications where basal bolus insulin is the preferred regimen for insulin initiation. These include the "5S" situations - 'Severe' hyperglycaemia, 'Symptomatic' diabetes, 'Sick' diabetes (acute or chronic comorbidity), 'Special' situations (pregnancy, childhood, adolescence) and 'Secondary' diabetes (pancreatic, drug-induced, endocrine disorders). This review describes a practical approach to initiation and follow up of basal bolus insulin regimens.
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