How to Start Insulin Therapy in a Patient With Diabetes

Chuck, a 42-year-old man with type 2 diabetes, high blood pressure, obesity, and obstructive sleep apnea, needs a checkup. His A1C level is 13.5%, indicating severe hyperglycemia. Despite the cost, insulin therapy is deemed necessary due to the high A1C level. The goal is to lower A1C to below 7, although 7 to 8 is considered reasonable. Other medication options, such as GLP1 inhibitors, are also expensive. In cases like Chuck's, where A1C is above 10, starting insulin is a powerful treatment approach.