PMID- 34071359 OWN - NLM STAT- MEDLINE DCOM- 20220114 LR - 20230920 IS - 2076-3271 (Electronic) IS - 2076-3271 (Linking) VI - 9 IP - 2 DP - 2021 May 28 TI - Expert Group Recommendations on the Effective Use of Bolus Insulin in the Management of Type 2 Diabetes Mellitus. LID - 10.3390/medsci9020038 [doi] LID - 38 AB - Evidence suggests a major contribution of postprandial glucose (PPG) excursions to the increased risk of micro- and macro-vascular complications in individuals with type 2 diabetes mellitus (T2DM). Administration of bolus insulin remains a very effective therapeutic option for PPG control. The aim of this expert group recommendation document was to provide practical and easy-to-execute guidelines for physicians on the appropriate use of bolus insulin in the management of T2DM. A panel of key opinion leaders from India reviewed and discussed the available clinical evidence and guideline recommendations on the following topics: (1) optimum control of PPG; (2) choice of bolus insulin; and (3) special situations and practical considerations. The expert panel critically analyzed the current literature and clinical practice guidelines and factored their rich clinical experience to develop a set of nine expert group recommendations for the effective use of bolus insulin. These recommendations will not only result in a more evidence-based application of bolus insulin in the clinical setting but also trigger further research and provide a valuable base for the development of future guidelines on the use of bolus insulin in the management of individuals with T2DM. FAU - Chawla, Rajeev AU - Chawla R AD - Department of Diabetology, North Delhi Diabetes Centre, 180, Jai Apartments, Sec 9, Rohini 110085, India. FAU - Mukherjee, Jagat Jyoti AU - Mukherjee JJ AD - Division of Endocrinology, Department of Medicine, Apollo Gleneagles Hospitals, 58, Canal Circular Road, Kolkata 700054, India. FAU - Chawla, Manoj AU - Chawla M AD - Lina Diabetes Care and Mumbai Diabetes Research Centre, 704, Cosmos Plaza, Opp. Indian Oil Nagar, J.P. Road, Andheri (W), Mumbai 400053, India. FAU - Kanungo, Alok AU - Kanungo A AD - Department of Diabetology, Kanungo Institute of Diabetes Specialities Pvt. Ltd., 1120, Dumduma, Bhubaneswar 751019, India. FAU - Shunmugavelu, Meenakshi Sundaram AU - Shunmugavelu MS AD - Department of Diabetology, Trichy Diabetes Speciality Centre (P) Ltd., B-37, Sasthri Road, VII Cross East, Thillai Nagar, Trichy 620018, India. FAU - Das, Ashok Kumar AU - Das AK AD - Department of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalathumettupathai, Ganapathichettikulam Village, No 20, Kalapet, Puducherry 6050146, India. LA - eng PT - Journal Article PT - Review DEP - 20210528 PL - Switzerland TA - Med Sci (Basel) JT - Medical sciences (Basel, Switzerland) JID - 101629322 RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (Insulin, Regular, Human) MH - *Diabetes Mellitus, Type 2/drug therapy MH - Humans MH - Hypoglycemic Agents MH - *Insulin MH - Insulin, Regular, Human MH - Postprandial Period PMC - PMC8162981 OTO - NOTNLM OT - bolus insulin OT - expert group recommendations OT - type 2 diabetes mellitus COIS- The authors have no conflicts of interest to report for this publication. EDAT- 2021/06/03 06:00 MHDA- 2021/06/03 06:01 PMCR- 2021/05/28 CRDT- 2021/06/02 01:31 PHST- 2021/04/06 00:00 [received] PHST- 2021/05/22 00:00 [revised] PHST- 2021/05/25 00:00 [accepted] PHST- 2021/06/02 01:31 [entrez] PHST- 2021/06/03 06:00 [pubmed] PHST- 2021/06/03 06:01 [medline] PHST- 2021/05/28 00:00 [pmc-release] AID - medsci9020038 [pii] AID - medsci-09-00038 [pii] AID - 10.3390/medsci9020038 [doi] PST - epublish SO - Med Sci (Basel). 2021 May 28;9(2):38. doi: 10.3390/medsci9020038.