Transcription of Insulin Insights - unmc.edu
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Insulin Insights - unmc.edu
10/3/19. Insulin Insights Vijay Shivaswamy, MBBS. Associate Professor Division of Diabetes, Endocrinology, and Metabolism University of Nebraska Medical Center/ Nebraska Medicine VA Nebraska-Western Iowa Health Care System Objectives u Evaluate diabetes treatment options available for intensifying therapy beyond oral anti-hyperglycemic agents u Identify patient and disease characteristics to establish appropriate individual glycemic targets u Identify current barriers to the use of Insulin therapy and provide strategies to overcome those barriers u Develop skills for calculating patients' initial Insulin dosage and titrating Insulin dosages based on individualized glycemic targets 1. 10/3/19. Case Study Mrs. K. u 50 yo Caucasian woman u T2DM 6y u BMI 31. u A1c , FPG 170, 2h PPG 202. u Metformin, Dulaglutide, empagliflozin u Healthy diet/exercise Question ADA recommends individualizing glycemic goals.
10/3/19 5 Therapeutic inertia -insulin therapy uMisconceptions of insulin therapy uLack of experience with managing insulin regimens uCost uLack of time/ resources to optimize insulin use Overcoming therapeutic inertia Insulin pens u Great satisfaction u Increases likelihood of taking insulin u Great portability u Less reported pain u Social acceptability u Better accuracy
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