In article <[log in to unmask]>, Joe Gallagher
<[log in to unmask]> writes
>75 year old Diabetic woman with secondary failure. On max therapy and
>diet but for the past few months sugars vary from 15 to 25. I referred
>her to local hospital to put her on Insulin. They diddered and sent her
>to the dietician. Since they have reneged I will take the decision and
>start her on Insulin. ( lives with son who would administer).
>I seem to remember this type of patient does well on a single dose of
>Actrapid. Is this so? What dose and is there a consensus.
>One time I used to look in a book but I now take the lazy option and ask
>my highly intelligent and erudite colleagues. Oh yes I also ask the
>GP-UK list. :-)
I thought it was a single dose of Mixtard 70/30 with a proper
breakfast, starting at (say) 6 units. However I thought the idea was
also to get the pt off Sulphonylureas gradually.. leaving them on
Metformin if LFT's OK.
--
Chris Pearson
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