Insulin therapy goals

Goals for self-monitored blood glucose levels while on insulin therapy are a preprandial plasma glucose level between 80 and 110 mg/dL, and a 2-hour postprandial plasma glucose level less than 155 mg/dL. 

Patients with insulin-dependent diabetes receive subcutaneous insulin injections daily. The goal of insulin therapy is to provide adequate glucose control through each 24 hour period while minimizing the number of injections required to achieve that control. Repeated injections at the same site may result in atrophy or hyperplasia at the injection site. Insulin preparations of short, intermediate and long duration are available (Table 10.10). 

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