Practical Aspects of Insulin Therapy

For millions of individuals with type 1 diabetes mellitus (T1DM) and those with type 2 (T2DM) who require insulin as a treatment option, coping with the complexities of insulin therapy is often challenging. The number of newer insulin formulations, combination insulin therapies, insulin delivery devices, and blood glucose monitoring systems have made this process increasingly complex. However, a holistic management approach aimed at improving glycemic control and ensuring a good quality of life should not focus solely on the “right” insulin formulation and regimen but must also make provisions to empower individuals to self-manage their own insulin therapy via formal education on the practical aspects of insulin use. This chapter will discuss the practical aspects and common complications associated with insulin use and briefly summarize insulin therapies in special groups, including older patients, pregnant women, and patients with chronic kidney disease (CKD), as well as provide advice for insulin management during exercise, fasting, travel, and driving.