Why are doctors not moving to second-generation basal insulins?

Second-generation basal insulins are particularly beneficial to diabetes patients with marked variability in glucose levels, frequent all-day and/or nocturnal hypoglycaemia despite optimisation of current insulin analogue regimen
Learning objectives
- To establish the importance of glucose control over time to reduce microvascular and macrovascular complications
- To encourage the use of continuous glucose monitoring (CGM), even for briefer periods of time (3/4 days) to assess time-in-range and glucose variability more accurately in an individual patient
- To ensure that both T2DM and T1DM patients receive the best basal insulin with comprehensive 24-hour coverage and a reduced incidence of hypoglycaemia, particularly at night.
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