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Interesting (and not much discussed) aspects relevant for the choice of basal insulin


Authors: Peter Novodvorský 1,2,3
Authors‘ workplace: metabolické centrum s. r. o., Trenčín 1;  Centrum diabetologie IKEM, Praha 2;  Department of Oncology and Metabolism, Medical School, University of Sheffield, United Kingdom 3
Published in: Diab Obez 2021; 21(42): 90-94
Category:

Overview

Several basal insulins are currently available on the market. This makes the task of choosing the optimal basal insulin for a particular patient a more complex one. Several aspects, not so important in the past, have now become more relevant in this process. In this paper I discuss the differences of basal insulin analogues in relation to their effect on body weight, the possible effect of hypoalbuminaemia on the risk of hypoglycaemia that might be linked with differences in pharmacokinetics of individual basal insulin analogues and I also discuss the flexibility in dosing time of basal insulin analogues of 2nd generation.

Keywords:

Body weight – basal insulin – glargine 300 U/ml – hypoglycaemia – albuminaemia – flexibility in dosing time of basal insulin – type 2 diabetes (2TD)


Sources

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Diabetology Obesitology
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