title: Insulin initiation: bringing objectivity to choice.
abstract: The choice of initial insulin is often dictated by subjective criteria: the "severity" of diabetes, the ability of the person with diabetes to self inject, at specific times of the day, and the physician's personal experience. No objective criteria have been evolved by any expert body so far to help guide clinicians make an appropriate, and accurate, choice of initiating insulin. Neither have large studies been able to shed light on the preferred type of insulin regime for a particular individual. This communication suggests various objective parameters which may be used to inform this decision.
authors: Bharti Hospital, Kunjpura Road, Karnal, 132001 Haryana India.
authors: Sanjay
authors: S
authors: Kalra
authors: Department of Medicine, Government Medical College and Hospital, Sector 32, Chandigarh, 160030 India.
authors: Yashdeep
authors: Y
authors: Gupta
keywords: Basal insulin; Basal-bolus insulin; Diabetes; Insulin; Intensive insulin; Prandial insulin; Premixed insulin