Optimizing glycaemic control in a complex T2DM patient using basal-bolus insulin and continuous glucose monitoring

  • Suhas Gopal Erande Department of Medicine, Akshay Hospital, Erandwane, Pune, India
  • Abhijit Anil Trailokya Department of Medical Affairs, Indoco Remedies Ltd, Mumbai, India
  • Avinash Wamanrao Talware Department of Medical Affairs, Indoco Remedies Ltd, Mumbai, India
Keywords: glycaemic variability, CGM, hypoglycemia, premixed insulin, basal-bolus insulin

Abstract

This case study presents the management of a 65-year-old female with Type 2 Diabetes Mellitus (T2DM), renal impairment and hypertension who experienced significant glycaemic variability and recurrent hypoglycaemic events. Due to poor control of a premixed insulin regimen, a shift to basal-bolus insulin therapy combined with intermittent continuous glucose monitoring (CGM) was implemented. This approach improved glycaemic control, increased percentage time in target range (TIR), and reduced hypoglycemia, highlighting the effectiveness of personalized insulin management and patient engagement in glycaemic monitoring.

Published
2024-12-16
How to Cite
Erande, Suhas, Abhijit Trailokya, and Avinash Talware. 2024. “Optimizing Glycaemic Control in a Complex T2DM Patient Using Basal-Bolus Insulin and Continuous Glucose Monitoring”. Romanian Journal of Diabetes Nutrition and Metabolic Diseases 31 (4), 459-65. https://rjdnmd.org/index.php/RJDNMD/article/view/1796.