ANCHOR LEAD: WHAT IS THE BEST STRATEGY FOR USING INSULIN TO MANAGE DIABETES? ELIZABETH TRACEY REPORTS
Managing blood sugar carefully has been shown to reduce much of the impact of diabetes, helping people largely avoid nerve, eye, and kidney problems. But now a new analysis from the federal Agency for Healthcare Research and Quality concludes that different times of day require different insulins. Sherita Golden, a diabetes expert at Johns Hopkins, concurs.
GOLDEN: You’re really dealing with different types of insulin management. You’ve got your glucose after meals plus your fasting glucose and they actually require different insulin management. For many patients doing multiple daily injections is very tedious, so that’s why we’ll try to use the premixed analogs, but if you use a premixed analog at night you actually got more hypoglycemia. It may be that the multiple daily injections is really the way to go if we need to target all of those different components. :27
Golden acknowledges that such careful management is challenging but may result in the best outcome. I’m Elizabeth Tracey reporting.