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Insulin Therapy

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The last time I had a hemoglobin A_1c (A1C) less than 8% was June 1998, 4 years ago. The lab result then showed an A1C of 7.7%.

I remember reading the note on the printed lab sheet that stated, "The American Diabetes Association recommends the goal of therapy to be A1C results less than 7.0% and re-evaluation of therapeutic regimens if results are consistently greater than 8.0%."

Well, by the time I read the classified ad seeking qualified participants with type 2 diabetes for a study adding insulin to the existing treatment with two oral medications, I had almost 3 years of readings higher than 8.0%. In February of this year, I had an A1C of 9.7% and felt sicker than when I was first diagnosed 14 years earlier.

I was the one to broach the subject of being put on insulin 3 . . . [Full Text of this Article]

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				D. Thomas-Dobersen Case Study: A 64-Year-Old Man With a 9-Year History of Type 2 Diabetes in Whom Insulin Therapy Led to Improved Control But No Weight Gain After 6 Months Clin. Diabetes, October 1, 2003; 21(4): 190 - 192. [Full Text] [PDF]

				J. Friesen Case Study: Symptoms in a Diabetes Client: Type 1, Type 2, or Type 1.5? Clin. Diabetes, April 1, 2003; 21(2): 93 - 94. [Full Text] [PDF]