Join expert faculty for a comprehensive, case-based discussion on insulin therapy. This interactive activity will examine insulin initiation, available and emerging insulin options, ways to overcome barriers to insulin, how and when to advance therapy, and practical tips to prevent and treat hypoglycemia.
In this Expert Perspective, Dr. Vanita Aroda answers important questions about the benefits and use of ultra-long-acting insulins as well as ways to overcome the therapeutic inertia associated with initiating and intensifying insulin therapy.
In this talk, the speaker will discuss goals of treatment as it relates to microvascular complication risk reduction and reasons for using insulin in specific populations, focusing on type 2 diabetes. Additionally, learners will review currently available short- and long-acting insulins on the U.S. market and associated risks and benefits of use. Finally, the speaker will expand on the practical use of insulin (i.e., when to start, how to titrate, etc.).
This case discusses treatment intensification with the combination of a GLP-1 RA and basal insulin in a patient with uncontrolled T2DM. Treatment decisions will include individualized HbA1c guideline recommendations, patient preference, cardiovascular risk, and other comorbidities such as visual impairment.
This case follows treatment intensification in a patient with T2DM that remains uncontrolled on oral therapy. Participants will consider ways to overcome barriers to injectable therapy, advance to combination injectable therapy, and determine the best fixed-ratio GLP-1 RA/basal insulin formulation based on the patient’s blood glucose readings.
This case examines the management of a patient experiencing episodes of nocturnal hypoglycemia on premixed and prandial insulin. Areas of concentration include switching to ultra-long-acting basal insulin (including dose conversions), hypoglycemia self-management, depression and anxiety in patients with diabetes, and lipodystrophy.
Through real-time interaction with faculty, learners will evaluate the differences between conventional and newer basal insulins and review the clinical impact of hypoglycemia, as well as the strategies for detecting, preventing, and managing hypoglycemia.
This patient case highlights the role of the newer, long-acting basal insulins in managing T2DM. It will include a practical discussion on initiating long-acting insulin and mitigating the side effects of hypoglycemia and lipodystrophy.
In this Expert Perspective Dr. Vanita Aroda explains the advantages of a physiologic approach to T2DM treatment. She will specifically highlight the benefits of combining a GLP-1 receptor agonist with basal insulin and discuss fixed-ratio coformulations of these therapies.
In this case presentation, Dr. Mathioudakis shares strategies for treatment intensification while minimizing the risk of hypoglycemia and highlights the differences between conventional and newer basal insulin products. He also describes how to appropriately initiate and dose newer basal insulin products in patients with type 2 diabetes.
The landscape of diabetes treatment has shifted from a “one-size-fits-all” paradigm to one involving individualized care accounting for patient factors, preferences, and comorbidities. Participate in this 90-minute expert panel discussion to learn about the safety and efficacy of newer non-insulin therapies for type 2 diabetes, such as SGLT2 inhibitors, GLP-1 receptor agonists, DPP-4 inhibitors, and their combinations. Faculty experts will answer crucial participant questions, explain considerations for selecting therapies based on guideline recommendations, and distill the latest clinical data for non-insulin T2DM management into concepts relevant to primary care.
When patients with T2DM have difficulty controlling their glucose with standard approaches, or are newly diagnosed but severely hyperglycemic, insulin is commonly used to help control their metabolism. Using long acting, once a day agents is a standard of care but in the last 15 years, the costs of insulin has skyrocketed. During this episode we will review a study examining the effects of using Neutral Protamine Hagedorn Insulin (NPH) rather than once a day insulin on A1c control and risk for hypoglycemia and discuss their findings, which suggest NPH can be used with equivalent glycemic control and with no additional risk.