Who should be treated with insulin?

In addition to type 1 diabetes, which must be treated with insulin, insulin therapy should be used in the following situations:

For patients with diabetes mellitus who have acute complications of diabetes such as ketoacidosis, insulin therapy is preferred; For patients with newly diagnosed diabetes mellitus who have acute complications of diabetes such as ketoacidosis, and the blood glucose is well controlled and the symptoms are significantly improved, the follow-up treatment plan is determined according to the condition.

Insulin therapy may be preferred in patients with newly diagnosed diabetes who are difficult to classify and distinguish from T1DM. After the blood glucose is well controlled, the symptoms are significantly improved, and the classification is determined, the follow-up treatment plan is formulated according to the classification and specific condition.

Patients with T2DM can be started on combination therapy with oral hypoglycemic drugs and insulin if their blood glucose control goals are not met in addition to lifestyle and oral antihyperglycemic therapy. Initiation of insulin therapy may usually be considered when HbA1c remains≥7.0% after 3 months of adequate oral antihyperglycemic therapy.

Insulin therapy should be used as soon as possible when there is significant weight loss without apparent cause during the course of diabetes, including newly diagnosed T2DM.

Value-added retinopathy with substandard glycemic control in patients with T2DM; Severe infection, trauma, surgery, myocardial infarction, cerebral japonica and other stressful conditions, as well as serious complications such as diabetic foot, hyperplasia retinopathy, etc.; Severe hepatic and renal insufficiency; patients with diabetes mellitus during pregnancy and lactation.

The information is from the Internet and is for reference only.