Recommendations: Insulin Therapy for Type 1 Diabetes (2)
Recommendations for insulin therapy for type 1 diabetes1 are shown on two slides Slide 2 of 2 Most people with type 1 diabetes should use insulin analogs to reduce hypoglycemia risk (A) Consider screening those with type 1 diabetes for other autoimmune diseases (thyroid, vitamin B12 deficiency, celiac) as appropriate (B) Since the time of the DCCT, a number of rapid-acting and long-acting insulin analogs have been developed; these analogs are associated with less hypoglycemia with equal A1C lowering in type 1 diabetes2,349Reference American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S21. DeWitt DE, Hirsch IB. Outpatient insulin therapy in type 1 and type 2 diabetes mellitus: scientific review. JAMA 2003;289:2254-2264. Rosenstock J, Dailey G, Massi-Benedetti M, Fritsche A, Lin Z, Salzman A. Reduced hypoglycemia risk with insulin glargine: a meta-analysis comparing insulin glargine with human NPH insulin in type 2 diabetes. Diabetes Care 2005;28:950-955.