Insulin Journal Homepage

Highlights

Mazen Alsahli, MD, and John E. Gerich, MD, on behalf of CADRE

This month's "Diabetes Tactics" case discusses what to do when a patient is on maximal doses of metformin and a sulfonylurea and still has unsatisfactory glycemic control.

Physicians' Corner - The Ever-Expanding Universe

Charles F. Shaefer, Jr., MD, FACP, FCCP

I've just finished reading a wonderful book titled, "A Short History of Nearly Everything." It's an engaging walk through science and theories relating to our universe, from "the very beginning" to the current time.

Use of U-500 Insulin in the Treatment of Severe Insulin Resistance

Elaine Cochran, MSN, CRNP, and Phillip Gorden, MD

Glycemic control is essential in the management of diabetes. However, many patients with diabetes are not achieving therapeutic targets, partly because they are receiving insufficient doses of insulin. This article presents an updated algorithm for the administration and dosing of U-500 insulin based on clinical experience with severe forms of insulin resistance. Guidelines are provided for dose escalation of U-500 insulin.

Featured Supplements

67th American Diabetes Association Annual Scientific Session Updates

This supplement will strive to educate physicians and diabetes educators as to the importance of avoiding hyperglycemia in hospitalized patients as well as the role of postprandial hyperglycemia in increasing the risk of cardiovascular disease.

Volume 2 Supplement B

This Continuing Medical Education supplement offers key clinical insights to health care providers on the many issues surrounding the initiation of insulin therapy.

Volume 2 Supplement A

This supplement is a valuable reference for all practitioners. The poster and presentation summaries present new insights into the wide world of insulin and incretin mimetic therapy. The content is an excellent overview of where we are in insulin therapy today.

Featured Patient Handouts - Available in English and Spanish

Losing Weight with Diabetes

Provided by Learning About Diabetes, Inc.

If you need to lose weight, your goal is to burn more calories than you eat-every day. Here are some simple ways to help you do this.

Managing Type 1 Diabetes for Pregnancy

Steven V. Edelman, MD

If you have type 1 diabetes and are thinking about becoming pregnant, there are important steps you should take now to make sure you will have a healthy baby. Even if you have good control of your blood glucose when you become pregnant, pregnancy is a high-risk situation for both you and your baby.

Carbohydrate Counting Basics

Jacqueline Gomes, RD, MBA

Keeping your blood glucose levels in the recommended target range can help to prevent or delay the long-term complications of diabetes.

Lifestyle Factors Affect Insulin Requirements

Susan Renda, MS, CRNP, CDE

The goal of insulin therapy is to imitate what would normally happen in your body if you did not have diabetes. Many factors can influence how much insulin your body needs to keep your glucose levels in control.

Featured Case Studies

October 2008

Jack L. Leahy, MD

A 50-year-old man with a 4-year history of type 2 diabetes mellitus (DM), which had previously been controlled with lifestyle changes and combination glyburide/metformin therapy, now complains of worsening blood glucose values.