Short-Acting Insulin Time Not Short
Short-Acting Insulin Effect Delayed in Obese Type 2 Diabetes Patients
Getting Good Blood Sugar Control
It's a problem, says ADA President Larry C. Deeb, MD, medical director of
the diabetes center at Tallahassee Memorial Hospital and a professor at both
the University of Florida and Florida State University.
"I feel very strongly about the issue of testing treatments in the kinds
of people who actually are going to get treated," Deeb tells WebMD.
"Every human isn't the same. Children aren't the same as adults, and obese
people aren't the same as the lean adults you routinely recruit for these
So what should obese patients do when they need insulin? Deeb agrees with
"You may need to take it earlier," he says. "You aren't going to
get rapid action for the obese patient. So you may need to rethink how you do
Kirkman says that if patients are worried, they should test how well their
short-acting insulin is working.
"And if someone were really concerned, they could just take the insulin,
eat the meal, and test their blood glucose in two to three hours," she
Neither Kirkman nor Deeb was involved in the Ardilouze study. Ardilouze say
he will next study blood sugar control in obese patients taking short-acting
insulin for type 2 diabetes.