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The prevalence of type 2 diabetes has increased in the last few decades while the average age at diagnosis has decreased Diabetes confers an elevated risk of cardiovascular complications or premature death compared to the background population To lower the risk of complications it is important to lower the glucose level but also to treat risk factors such as hypertension. We therefore suggest an initial bolus of 03 ukg.

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We recommend a treatment goal of 150 mgdL 120-180 mgdLBG levels in excess of 600 mgdL will likely require a higher initial insulin dose.

. An urgent care provider should always be encouraged to add his or her own clinical judgment and experience to the insulin protocol being used.

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