What are the key criteria for initiating insulin therapy in patients with Type 2 Diabetes?

Insulin therapy should be considered for patients with type 2 diabetes:

• With poor blood glucose control associated with marked symptoms, such as polyuria, polydipsia, and unintended weight loss ¹,²,³.
• Who have poor blood glucose control despite maximum tolerated doses of other antidiabetic treatments ¹,²,³.
• With suboptimal blood glucose control who are at high risk of complications, for example due to young age ¹,²,³.
• Where oral antidiabetic drugs are contraindicated or not tolerated ¹,²,³.

In children and young people, the decision should involve a multidisciplinary team, considering age, maturity, and individual needs ¹,²,³.

Additionally, education on self-monitoring, injection technique, and ongoing review is recommended when initiating insulin therapy ¹,³.