If you have type 2 diabetes, it's important to understand that taking insulin doesn't guarantee perfect blood sugar. You may need to tighten your blood sugar control even more, and there are many ways to do it. For example, you can talk to your healthcare provider about testing more frequently, using a premixed product (which contains a short-acting and a long acting insulin), or even using a pump.
Looking to Tighten Up?
So you've already made the bold (and somewhat scary) step of starting insulin as part of your type 2 diabetes treatment. But what if you still have trouble keeping your blood sugar under control? We've rounded up some of the possible options to discuss with your doctor. Whether you've been on insulin for years or if you only recently started, these options may be just the ticket for tightening up your blood sugar control.
Switch to a Newer Long-Acting Insulin
If you are still taking one of the older NPH insulins (Novolin® N or Humulin® N), switching to one of the newer long-acting insulins might help you in your quest to tighten up your blood sugar control. These products don't necessarily lower blood sugar more effectively, but they might help you lower it more safely.
These newer options, such as Lantus® (insulin glargine) or Levemir® (insulin detemir), are designed to produce a steadier, more consistent effect without the large peak seen with NPH. This might make aiming for a lower blood sugar level safer due to less chance of dangerously low blood sugar.
Rosenstock J, Dailey G, Massi-Benedetti M, Fritsche A, Lin Z, Salzman A. Reduced hypoglycemia risk with insulin glargine: a meta-analysis comparing insulin glargine with human NPH insulin in type 2 diabetes. Diabetes Care. 2005 Apr;28(4):950-5.
Hermansen K, Davies M, Derezinski T, Martinez Ravn G, Clauson P, Home P. A 26-week, randomized, parallel, treat-to-target trial comparing insulin detemir with NPH insulin as add-on therapy to oral glucose-lowering drugs in insulin-naive people with type 2 diabetes. Diabetes Care. 2006 Jun;29(6):1269-74.
Ohkubo Y, Kishikawa H, Araki E, et al. Intensive insulin therapy prevents the progression of diabetic microvascular complications in Japanese patients with non-insulin-dependent diabetes mellitus: a randomized prospective 6-year study. Diabetes Res Clin Pract. 1995;28(2):103-17.
Nathan DM, Buse JB, Davidson MB, et al. Diabetes.Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2009;32(1):193-203.
eMedTV serves only as an informational resource. This site does not dispense medical advice or advice of any kind.
Site users seeking medical advice about their specific situation should consult with their own physician. Click