Official reprint from UpToDate®
www.uptodate.com ©2016 UpToDate®

Cases illustrating problems with insulin therapy for diabetes mellitus

David K McCulloch, MD
Section Editor
David M Nathan, MD
Deputy Editor
Jean E Mulder, MD


The following cases illustrate some of the common problems that may arise during intensive insulin therapy in patients with type 1 diabetes mellitus. (See "Management of blood glucose in adults with type 1 diabetes mellitus".)


A 57-year-old hospital administrator who has had type 1 diabetes for 15 years is trying very hard to maintain strict glycemic control. She keeps fit with exercise, and adjusts not only her insulin dose but also her food intake and exercise pattern in response to her blood glucose concentrations.

Her usual insulin doses are:

Before breakfast – 6 units regular insulin and 26 units NPH insulin

Before lunch – 4 units regular insulin


Subscribers log in here

To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:
Literature review current through: Sep 2016. | This topic last updated: Jun 10, 2015.
The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2016 UpToDate, Inc.