Foreword: The hypoglycaemic hierarchy in 2009

Psychogenic insulin resistance

Overcoming the patient’s – and perhaps the doctor’s – resistance to starting insulin is a major step in initiating insulin therapy.

Diabetes care: therapeutic inertia in doctors and patients

An ‘active’ approach to routine diabetes care helps patients get closer to therapeutic targets.

Six steps to a healthy lifestyle – the keystone in managing type 2 diabetes

Setting small, gradual goals can make lifestyle changes more achievable.

Getting A1c under 7%. The KISS (‘keep insulin safe and simple’) approach in type 2 diabetes

The target value for glycosylated haemoglobin (A1c) of below 7% can be achieved by first getting the fasting blood glucose level (BGL) to target, then the evening BGL if it is not already, and then any mealtime BGL increases.

Insulin analogues. What do they offer to the insulin KISS?

The basal and bolus insulin analogues introduced over the past decade have advantages over traditional insulins that enable easier matching of insulin therapy to lifestyle.

The insulin KISS in older people with type 2 diabetes

The benefits and risks of tight glycaemic control in patients with type 2 diabetes change as patients get older and more frail.