Question

A 62-year-old with poorly controlled diabetes (A1C 10.8%) and weight loss presents with polyuria and ketonuria but no acidosis. When is insulin initiation favored per ADA?

Accepted Answer

A1C >=10% or symptomatic hyperglycemia

Answer

Only if A1C >14%

Answer

Never; prefer triple oral therapy

Answer

After 6 months of GLP-1 RA therapy

Answer

Only in hospital

Practice question

A 62-year-old with poorly controlled diabetes (A1C 10.8%) and weight loss presents with polyuria and ketonuria but no acidosis. When is insulin initiation favored per ADA?