What are the key criteria for initiating insulin therapy in patients w

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Insulin therapy should be considered for patients with type 2 diabetes:

With poor blood glucose control associated with marked symptoms, such as polyuria, polydipsia, and unintended weight loss ,,.
Who have poor blood glucose control despite maximum tolerated doses of other antidiabetic treatments ,,.
With suboptimal blood glucose control who are at high risk of complications, for example due to young age ,,.
Where oral antidiabetic drugs are contraindicated or not tolerated ,,.

In children and young people, the decision should involve a multidisciplinary team, considering age, maturity, and individual needs ,,.

Additionally, education on self-monitoring, injection technique, and ongoing review is recommended when initiating insulin therapy ,.

What are the key criteria for initiating insulin therapy in patients with Type 2 Diabetes?