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Question: What is a good formula for initiating insulin therapy in a newly diagnosed type 1 diabetic?

Answer originally posted May 27, 2008
Authors: Anuj Bhargava, MD, MBA, CDE, FACP, FACE

Patients with type 1 diabetes have absolute insulin deficiency and are very sensitive to insulin. The preferred treatment choice for patients with type 1 diabetes is an intensive insulin regimen consisting of a long-acting basal insulin given once a day (eg, Lantus® or Levemir®) along with rapid-acting insulin (Novolog®, Humalog®, or Apidra®) given at each meal.

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I hear about the basal-bolus concept of insulin therapy all the time. What is this concept, and why should my patients use it?

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