How to Start Insulin Therapy in a Patient With Diabetes

The first question that you really think of when you're addressing any patient with diabetes is what type do you think they have and there are clues. We go through his plan it doesn't seem to be a lot of good options initially so we decide after shared decision making to try insulin therapy for this patient just given how high is a 1c is. All right well we have a big script and it took us a little while to get started tonight so we should probably go to a case from Cashlack obviously I'm going to ask the great Dr. Paul Nelson Williams to start us off with a case and you know ask the first question here. Chuck is a 42 year old gentleman who's