Are continuous insulin pumps more effective than multiple daily insulin injections in the management of poorly controlled type 2 diabetes?

Abstract

dinner. The dose was adjusted based on lowest finger stick glucose from previous three days. Doses were adjusted once a week during the training and every second week in the maintenance period. Patient-driven arm was seen in clinic three times at weeks four, 12, and 20 with telephone contact when deemed necessary. Physician-driven patients were seen six times at weeks two, four, eight, 12, 16, and 20 with phone call one week after their visit and when deemed necessary. After 20 weeks of treatment, no significant difference was noted in HbA1c lowering between those in the patient-driven titration group compared with the physiciandriven group (mean difference -0.23%; 95% CI, -0.54% to 0.08%).