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Type 2 Diabetes Management Guidelines

Basal insulin

  • Clear instructions for patients on how to administer and self-titrate basal insulin
  • Essential particularly if concerns over cognitive impairment (medication oversight may be required)
  • Encourage development of a routine with their insulin (e.g. take with dinner or before bed every night)
  • Use BD fine 4 or 5 mm needles as associated with better absorption and less pain/trauma
  • Encourage rotation of injection sites
  • Explain that doses may need to be reduced on the night before and on days of strenuous exercise