title: Management of progressive type 2 diabetes: role of insulin therapy.
abstract: Insulin is an effective treatment for achieving tight glycemic control and improving clinical outcomes in patients with diabetes. While insulin therapy is required from the onset of diagnosis in type 1 disease, its role in type 2 diabetes requires consideration as to when to initiate and advance therapy. In this article, we review a case study that unfolds over 5 years and discuss the therapeutic decision points, initiation and advancement of insulin regimens, and analyze new data regarding the advantages and disadvantages of tight management of glucose levels.
authors: Texas Tech University Health Science Center, 701 West 5th Street, Odessa, TX 79763, USA. craig.spellman@ttuhsc.edu.
authors: Ramachandra Rahul V
authors: RR
authors: Chemitiganti
authors: Craig W
authors: CW
authors: Spellman