%0 Journal Article
%T Management of progressive type 2 diabetes: role of insulin therapy
%A Chemitiganti Ramachandra
%A Spellman Craig W
%J Osteopathic Medicine and Primary Care
%D 2009
%I 
%R 10.1186/1750-4732-3-5
%X Insulin is an effective treatment for achieving tight glycemic control and improving clinical outcomes in patients with diabetes. While insulin therapy is required from the onset of diagnosis in type 1 disease, its role in type 2 diabetes requires consideration as to when to initiate and advance therapy. In this article, we review a case study that unfolds over 5 years and discuss the therapeutic decision points, initiation and advancement of insulin regimens, and analyze new data regarding the advantages and disadvantages of tight management of glucose levels.
%U http://www.om-pc.com/content/3/1/5