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A Practical Guide to Initiating Insulin Therapy 💉
Caption:
Your diabetic patient is on maximum oral hypoglycemic agents (OHAs), but their HbA1c is still uncontrolled. This is a classic case of OHA failure.
In this video, Dr. Siddharth Chaturvedi explains the standard protocol for transitioning to insulin:
1️⃣ Start with Basal Insulin: Begin with a long-acting insulin like Glargine, administered at bedtime.
2️⃣ Calculate the Dose: A simple starting point is Weight (kg) ÷ 10 units.
3️⃣ Titrate to Target: Adjust the dose every 3 days to achieve a fasting sugar of 110-120 mg/dL.
4️⃣ Know When to Escalate: If the fasting sugar remains high despite 25-30 units, it's time to switch to a Basal-Bolus regimen.
Mastering this is key to effective diabetes management. Follow for more high-yield clinical knowledge!
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