Under what conditions for type 2 diabetics, pen type fast acting insulin is recommended before both breakfast & dinner I am on human mixtard insulin.

Dr. Milind PatilEndocrinologist14yrs exp

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If sugar is not under control or if you are getting low sugars then it's better to change to fast acting insulin.  

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Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. Usually in T2 DM when there is no proper control achieved with oral tablets (anti-diabetics) then Insulin is required. Because in some T2 DM patients insulin secreting beta cells have no reserve left, then there is a need for insulin supplementation from outside. Insulin is available in the form of vials to be taken by syringe or is also available as disposable pen or reusable pen. all the forms are same. With pen there is a better convenience and more accurate dosing is possible. Thanks. 

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Dr. Alwin Thilak ChristopherDiabetologist7yrs exp

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Hi, your mixtard (u not mentioned whether it is 30/70 or 50/50, in both case you too use fast acting insulin in small proportion. So it’s nothing new) we use fast acting insulin in case of renal failure, and any acute conditions like sepsis and many others.  

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Dr. Pramod Kumar SharmaEndocrinologist42yrs exp

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Used mostly for those who are tour and have irragular eating habits.  

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Dr. Deepak GoutamDiabetologist2022yrs exp

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There is no specific recommendation for pen type pen is very fine easy to use easy to carry and low hectic that's why we use pen.  

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