When is premixed insulin indicated in the treatment of type 2 diabetes mellitus (DM)?

Updated: Oct 23, 2019
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
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Answer

The author limits the use of premixed insulin to patients who may have trouble mixing their insulins. The author prefers premixes containing regular insulin if the premix is administered to maintain better midday coverage. Premixes with rapid-acting medications can be used if the midday meal is small. A systematic review found that glycemic control with premixed insulin analogues (ie, mixtures of rapid-acting and intermediate-acting insulin analogues) is similar to that with premixed human insulin. [239]


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