Created at 8:31 p.m. Nov, 08, 2024
Author: anknovice
Related Note: 1462849196492 1
Rationale for change

Previously stated that long acting insulin is administered twice daily.
this is only if diabetes is severely uncontrolled (A1C > 13/14). If a patient takes long acting insulin twice a day, they will likely have a hypoglycemic emergency...

It is typically only administered once daily, according to UWorld ID 850.
"Long-acting insulins (eg, glargine) mimic basal insulin secretion; they have an extended duration of action and little or no peak effect. They are typically given once daily and suppress fasting hyperglycemia, which is predominantly caused by inappropriate hepatic gluconeogenesis."

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