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Insulin initiation in Type II DM

Level A evidence in treating Type II DM insulin

-Insulin analogues reduce hypoglycemic risk


-A1c<7% decreases need for photocoagulation in DR but increases risk of hypoglycemia

Best practice guidelines for DM II and insulin

-no tight control in older pts, moderate control is better (AGA)


-no sliding scales in nursing homes (nursing home directors)