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It is a mini review article on initiation of insulin and it challenges, in both globally and especially in lower middle income countries (such as, Trinidad and Tobago (TTO)). International Diabetes Federation (IDF) revealed that in 2015 1,40,300 cases of diabetes were in TTO. Due to which economic burden was at $322 billion globally.
There are 3 stages to insulin therapy: initiation, optimization and intensification.
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