A patient centred approach to basal insulin choice for the management of type 2 diabetes mellitus

Basal insulins are first line injectable therapy by all international guidelines. basal insulins can be used alone,in combination with metformin,dual or triple oral therapy,glucagon-like peptide receptor agonists,or prandial insulin. however,all basal insulins are not similar. this article proposes objective parameters,and suggests a simple checklist,using history,physical examination,and investigations,to help choose the appropriate preparation,viz degludec,detemir,glargine or nph insulin,for persons requiring basal insulin. © 2016,university of economics - prague. all reserved.