Primary Care Diabetes
Volume 4, Supplement 1 , Pages S43-S56, April 2010

Practical guidance to insulin management

  • Luigi Meneghini

      Affiliations

    • University of Miami Miller School of Medicine, Miami, Florida, USA
    • Corresponding Author InformationCorresponding author. Luigi Meneghini. Division of Endocrinology & Diabetes, University of Miami School of Medicine, Diabetes Research Institute, 1450 NW 10th Avenue, Miami, Florida 33136, USA. Tel.: +1 305-243-5366; fax: +1 305-243-1200
  • ,
  • Sara Artola

      Affiliations

    • Centro de Salud Hereza I de Madrid, Madrid, Spain
  • ,
  • Salvatore Caputo

      Affiliations

    • Policlinico Gemelli, Università Cattolica, Rome, Italy
  • ,
  • Taner Damci

      Affiliations

    • Istanbul University Cerrahpasa Medical School, Istanbul, Turkey
  • ,
  • Grzegorz Dzida

      Affiliations

    • Medical University of Lublin, Lublin, Poland
  • ,
  • Marcel Kaiser

      Affiliations

    • Private Practice, Frankfurt, Germany
  • ,
  • Kamlesh Khunti

      Affiliations

    • University of Leicester, Leicester, UK
  • ,
  • Andreas Liebl

      Affiliations

    • Diabeteszentrum Fachklinik Bad Heilbrunn, Bad Heilbrunn, Germany
  • ,
  • Robert Ligthelm

      Affiliations

    • EHM Clinic Hoofddorp, Rotterdam, The Netherlands
  • ,
  • Alberto Maran

      Affiliations

    • Università di Padova, Padua, Italy
  • ,
  • Domingo Orozco-Beltran

      Affiliations

    • University Miguel Hernández, Sant Joan d'Alacant, Spain
  • ,
  • Stuart Ross

      Affiliations

    • University of Calgary, Calgary, Canada
  • ,
  • Jean-François Yale

      Affiliations

    • McGill Nutrition Centre, McGill University, Montreal, Canada

Abstract 

The practical guidance to insulin management is a simple tool for health care providers, particularly primary care physicians (PCPs). Developed by experts in diabetes care at an international meeting, it aims to help physicians make key decisions to optimize insulin management and decrease long-term morbidity risk. With a growing role for PCPs in type 2 diabetes, the practical guidance focuses on confident, appropriate and timely insulin initiation. Using the acronym ‘TIME’ (Targets, Insulin, Managing weight, Encouragement and support) the practical guidance aims, in a visually appealing format, to help physicians address the challenges of insulin management with their patients, from diagnosis through insulin initiation to follow-up.

Keywords:  Insulin initiation , Insulin management , Metabolic control , Weight management , Depression screening

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PII: S1751-9918(10)60008-3

doi:10.1016/S1751-9918(10)60008-3

Primary Care Diabetes
Volume 4, Supplement 1 , Pages S43-S56, April 2010