Patient history and presentation

Patient history and presentation

• Patient history and presentation

• 68 years old, retired, regimented lifestyle

• Type 2 diabetes for 10 years

• A1C = 8.2%

• Weight = 90 kg

• Maxed out on oral agents

• You have been discussing insulin, but he has been resistant to the idea of injections

Basal

• Basal

• Basal plus bolus

• Pre-mixed twice daily

Regimented/fixed lifestyle

• Regimented/fixed lifestyle

• Fixed meal plan, i.e., 3 meals per day, at the same time each day

• Consistent physical activity regimen

• Blood glucose elevations throughout the day, not just in the fasting state

• For those who dislike multiple injections (basal + bolus regimen)