Mr. T is 65 yrs old. He had NIDDM for 17 yrs. He uses :
GLIPIZIDE 15 MG TWICE A DAY
METFORMIN 850 MG THREE TIMES A DAY.
He has glycosuria frequently . The last 2 glycated haemoglobin concentrations have been 11,3 and 12%.
The doctor suggests that the only way to adequately control his diabetes is by insulin injections, but Mr. T dosnt agree this suggestion.
What treatment options should be considered?(1
2)? How might the difficulties over insulin administration be overcome
3) ?What kind of insulin regimen would be appropriate