Spiker
Well-Known Member
- Messages
- 4,685
- Type of diabetes
- Type 1
- Treatment type
- Pump
I don't see it saying glargine is not recommended any more. It says detemir and glargine are fine. As you say it gives detemir as its first preference, though that only reflects the general practice since the glargine cancer scare.It's nice to see that detemir is the preference for basal insulin now, as I posted in the other thread about how the long acting human insulin was known to increase nocturnal hypoglycaemia and this is not recommended anymore (Section 1.7.3).
I don't see these guidelines supporting what you are claiming about a nocturnal hypo risk for glargine.
They do come out strongly against use of mixed insulin regimes or any non basal-bolus regimes, even for newly diagnosed people. That is significant. A good idea in my opinion as people often get stranded on the mixed insulin regimes and can often struggle with the inflexibility of these regimes.