What type of insulin delivery device would you recommend

Reference no: EM133706641

Case Conference

It has been 6 months since MW's last DEC visit.

He has been taking 3 medications for his diabetes, at full dose as prescribed.

metformin 1000mg BID
gliclazide 80 mg 2 tabs bid
empagliflozin 25mg daily

He has a prescription for basal insulin (10units glargine 100 u/mL) but has not started to take this. His weight has decreased 10 lbs and MW's recent bloodwork shows an improvement of his A1C to 7.9%. He has occasional mild/moderate hypoglycemia which he treats appropriately. He does express concern that his fasting capillary blood glucose readings are often 9-10mmol/l. This is frustrating as he states, "I am eating less, walking 5 days a week and taking all those medications. What is the point?! I also have diarrhea since starting all these medications."

What type of insulin delivery device would you recommend and what length of needle tip? What options are available to him? What about a pump?

Reference no: EM133706641

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