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Tightening Your Blood Sugar Control

Try Premixed

In most cases, doctors start insulin therapy for type 2 diabetes with an easy, safe regimen of NPH, Lantus, or Levemir, using one or two shots a day (depending on which one is used). This may work for some people, but many need something more to account for the rise in blood sugar due to meals.
 
If you can't control your blood sugar well with NPH, Lantus, or Levemir alone, a premixed insulin might be something to try. These insulins contain a mixture of an intermediate-acting insulin and a short- or rapid-acting insulin to control mealtime blood sugar. They are typically taken twice a day.
 
Premixed insulins include the following:
   

Get Flexible

Ready to get really serious about controlling your blood sugar with insulin? Flexible intensive insulin therapy may be the answer. This approach is most commonly used in people with type 1 diabetes but can also be useful for type 2 diabetes. It combines one of the newer long-acting insulins (Lantus or Levemir) with doses of rapid-acting mealtime insulin (like Humalog, NovoLog, or Apidra®).
 
This approach more closely mimics the body's natural blood sugar control. It also involves more frequent monitoring of your blood sugar. Sound like a lot of work? It is, but the benefits for preventing diabetes complications are real, and many people enjoy the almost endless flexibility these regimens offer.
 

Try a Pump

Pumps aren't just for people with type 1 diabetes. Insulin pumps can be a great option for people with type 2 diabetes who require several shots of insulin a day. Pumps deliver a continuous low dose of insulin in place of your long-acting insulin, plus "bolus" doses when needed for meals in place of your mealtime insulin. Because you'll use just one type of insulin in your pump, this can help simplify complicated treatment regimens.
 
Healthy Eating for People With Diabetes

Information on Type 2 Diabetes

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