▸ Rapid-acting insulin analogs are a better alternative to “regular human insulin.” Similarly, long-acting synthetic analogs glargine and insulin detemir yield better reproducibility and consistency as basal insulins than does NPH, which is not recommended.
Also included is a one-page summary of the major risks and benefits of each of the classes of drugs, described further in an appendix.
Dr. Rodbard has received consultant honoraria, speakers honoraria, and research grant support from several pharmaceutical companies. Dr. Jellinger has received consultant and speaker honoraria from several pharmaceutical companies. Dr. Nathan has received a research grant and support for educational programs from two pharmaceutical companies.
The diabetes care algorithm can be accessed at www.aace.com/pub/pdf/GlycemicControlAlgorithmPPT.pdf
'This is an authoritative, up-to-date, practical, and simple algorithm.'
Source DR. RODBARD
'Their more complex algorithm … doesn't help the busy clinician make the best choices.'
Source DR. NATHAN