When are the different types of insulin indicated for the treatment of type 1 diabetes mellitus (DM) in patients with restricted food intake prior to medical procedures?

Updated: Jul 28, 2020
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
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Answer

The same principles of providing a constant source of insulin and carbohydrate apply to patients with type 1 DM who must also take nothing by mouth for medical reasons. Patients should receive a basal insulin (eg, glargine or detemir insulin) with additional correction doses of regular insulin or a rapid-acting insulin. In many localities, regular insulin has been replaced by rapid-acting insulin (eg, lispro, aspart, or glulisine)


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