Insulin therapy in diabetes type 2.

摘要

The indication for insulin treatment increases with increasing duration the diabetes. As type 2 diabetes most frequently appears at the age of 55-65 years and insulin treatment is usually required after the disease has been present for 10 years, insulin treatment is predominantly indicated in older individuals. Insulin treatment, an essential component of antidiabetic therapy in patients with type 2 diabetes, rapidly improves metabolic disorders. Caloric restriction, more physical activity and weight management are concomitant measures that are always needed. In the majority of diabetics insulin treatment should be initiated with Basal Insulin And Oral Antidiabetic Treatments (BOT) as standard therapy. A combination of BOT and additional insulin injections is only recommended in patients in whom the standard therapy fails.