Indications for Starting Insulin Absolute Indications All patients with type 1 diabetes Ketoacidosis or severe hyperglycemia (blood sugars over 500) Presence of serious infection (for example, pneumonia) Concurrent illness (such as heart attack) During and after major surgery During pregnancy Failure to achieve ideal glycemic control with two or three oral agents A1c over 10% A1c over 7.5 % plus fasting glucose over 250 Relative Indications Patients who are underweight or losing weight without dieting Patients who have symptoms from blood sugars over 200 Any patient who is hospitalized Patients requiring steroids (such as prednisone) for other disorders Onset of diabetes prior to age thirty, or a duration over fifteen years Complications such as painful diabetic neuropathy
Posted on: Fri, 26 Jul 2013 13:15:18 +0000
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