Insulin and Type Two Diabetes

A1 Seagull: What would have to be different here where you would consider insulin as an initial therapy? Is there a percent threshold that you would go over? Would she have to be really symptomatic? She says, okay, my A1C was six. It's now 9.6. How do you think about the A1C targets now or how do you stratify patients? Sure. We shouldn't be hammering down on our individuals who with heart disease, especially in people over 65.