How should I start insulin therapy in a 70‑kg adult with type 1 diabetes (T1DM) or type 2 diabetes (T2DM) not adequately controlled with lifestyle measures and oral agents, including baseline fasting glucose, HbA1c (hemoglobin A1c), renal and hepatic function assessment, basal insulin dosing, injection technique, glucose monitoring, and titration?

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Last updated: February 13, 2026 • View editorial policy

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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