Question

A 58-year-old with T2DM, A1C 9.2%, on metformin 1000 mg BID and GLP-1 RA presents with fasting 175-210 mg/dL despite adherence. Weight 90 kg. What is an appropriate basal insulin starting dose?

Accepted Answer

Start ~0.2 units/kg/day (e.g., 18 units at bedtime) and titrate

Answer

Start 0.05 units/kg/day only

Answer

Start 1 unit/kg/day

Answer

Continue current regimen without insulin

Answer

Use sliding-scale insulin alone

Practice question

A 58-year-old with T2DM, A1C 9.2%, on metformin 1000 mg BID and GLP-1 RA presents with fasting 175-210 mg/dL despite adherence. Weight 90 kg. What is an appropriate basal insulin starting dose?