PMID- 33247666 OWN - NLM STAT- MEDLINE DCOM- 20201201 LR - 20221207 IS - 0004-5772 (Print) IS - 0004-5772 (Linking) VI - 68 IP - 12[Special] DP - 2020 Dec TI - Use of Gla-100 in Special Situations. PG - 60-66 AB - Insulin therapy is the cornerstone of diabetes management in people with type 2 diabetes mellitus (T2DM). Therefore, its use is recommended even in special populations and situations such as the elderly, pregnant women, obese individuals, people observing religious fasting, and in the presence of comorbidities such as renal insufficiency, and cancer. Since these special situations predispose to complications such as a high risk of hypoglycemia, patients need constant glucose monitoring and insulin dose adjustments, wherever applicable. This review discusses the various considerations that might guide the decision-making process in the special situations alluded to here. It also throws light on how insulin glargine 100 U/mL has emerged as a preferred choice of insulin therapy in most of these situations, on the strength of its inherently low hypoglycemia and weight gain potential, which has found traction even in the recent diabetes guidelines. CI - (c) Journal of the Association of Physicians of India 2011. FAU - John, Mathew AU - John M AD - Senior Consultant Endocrinologist, Providence Endocrine and Diabetes Specialty Center, Trivandrum, Kerala. FAU - Paul, Thomas V AU - Paul TV AD - Professor, Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, Tamil Nadu. FAU - Joshi, Akhil AU - Joshi A AD - Senior Consultant Endocrinologist, Sudha Hospital and Medical Research Center, Kota, Rajasthan. FAU - Kumar, Ravi AU - Kumar R AD - Consultant Endocrinologist, Endocare Superspeciality Hospital, Nizamabad, Telangana. FAU - Gupta, P R AU - Gupta PR AD - Consultant, Apollo Clinic, Howrah, West Bengal. FAU - Kumar, Shankar AU - Kumar S AD - Consultant, Department of Internal Medicine, Manipal Hospital, Bangalore, Karnataka. FAU - Nahata, Kamal AU - Nahata K AD - Consultant, Dr. Nahata's Clinic, Guwahati, Assam. FAU - Ravindra, B K AU - Ravindra BK AD - Medical Affairs, Diabetes and Cardiovascular, Sanofi India Ltd., Mumbai, Maharashtra. FAU - Mohan, Viswanathan AU - Mohan V AD - Chairman and Chief Diabetologist, Dr. Mohan's Diabetes Specialities Centre, Chennai, Tamil Nadu. LA - eng PT - Journal Article PT - Review PL - India TA - J Assoc Physicians India JT - The Journal of the Association of Physicians of India JID - 7505585 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) SB - IM MH - Aged MH - Blood Glucose MH - Blood Glucose Self-Monitoring MH - *Diabetes Mellitus, Type 2/drug therapy MH - Dose-Response Relationship, Drug MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Pregnancy EDAT- 2020/11/29 06:00 MHDA- 2020/12/02 06:00 CRDT- 2020/11/28 10:08 PHST- 2020/11/28 10:08 [entrez] PHST- 2020/11/29 06:00 [pubmed] PHST- 2020/12/02 06:00 [medline] PST - ppublish SO - J Assoc Physicians India. 2020 Dec;68(12[Special]):60-66.