inConversation Spotlight On – Initiating analogue insulin therapy in an insulin-naive individual (Held 28 August 2025)

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The decision may be made to initiate insulin therapy in an individual who has never used insulin. Prof Joel Dave and Dr Marli Conradie-Smit explains when to initiate insulin therapy and how to start insulin in people with diabetes who are insulin-naïve.

Learning objectives:

You will learn

  • To understand “treatment inertia” and its causes and effects
  • To know when to consider initiating insulin therapy
  • To be able to calculate the initial dose of a basal and rapid-acting insulin analogue
  • To be able to titrate the doses of an insulin analogue
  • To understand which oral hypoglycaemic medications should be continued when insulin is initiated.

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