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U-500 Insulin Syringe Units

How To Inject U-500: Injection Sites & Instructions | Humulin

How To Inject U-500: Injection Sites & Instructions | Humulin

If you have liver, kidney, or heart problems or any other medical conditions. If you are pregnant, plan to become pregnant, or are breast-feeding. About all the medicines you take, including prescription (especially ones commonly called TZDs [thiazolidinediones]) and over the counter medicines, vitamins, and herbal supplements. Before you start using Humulin R U-500, talk to your healthcare provider about low blood sugar and how to manage it. Read the detailed Instructions for Use that come with your Humulin R U-500. Take Humulin R U-500 exactly as your healthcare provider tells you to. Your healthcare provider should show you how much Humulin R U-500 to use and when to use it. Know the dose of Humulin R U-500 you use. Do not change your dose unless your healthcare provider tells you to. Check your insulin label each time you give your injection to make sure you are using the correct insulin. Humulin R U-500 KwikPen: The U-500 KwikPen is specially made to dial and deliver doses of Humulin R U-500 insulin. Do not use any syringe to remove Humulin R U-500 insulin from your U-500 KwikPen. The markings on certain syringes will not measure your dose correctly. A severe overdose can happen, causing low blood sugar, which may put your life in danger. Humulin R U-500 vial: There is a special U-500 insulin syringe to measure Humulin R U-500. Use only a U-500 insulin syringe to draw up and inject your Humulin R U-500. If you do not use the right syringe type, you may take the wrong dose of Humulin R U-500. This can cause you to have too low blood sugar (hypoglycemia) or too high blood sugar (hyperglycemia). Your healthcare provider should show you how to draw up Humulin R U-500. Use Humulin R U-500 30 minutes before eating a meal. Inject Humulin R U-500 under your skin (subcutan Continue reading >>

Hardwiring Safety Into The Computer System: One Hospitals Actions To Provide Technology Support For U-500 Insulin

Hardwiring Safety Into The Computer System: One Hospitals Actions To Provide Technology Support For U-500 Insulin

Hardwiring Safety into the Computer System: One Hospitals Actions to Provide Technology Support for U-500 Insulin As the obesity epidemic continues and insulin resistance problems worsen, larger doses of insulin are more frequently required to meet glycemic goals in patients with diabetes. This has led to an increase in the use of U-500 insulin when dose requirements exceed 200 units per day. Given the lack of a U-500 syringe (or pen until very recently), patients and practitioners had been forced to improvise by measuring and communicating doses in syringe units if using a U-100 syringe, or by volume markings if using a tuberculin syringe. Confusion regarding the actual dose or proper measurement of U-500 insulin has contributed to a rising number of reported dosing errors, including serious underdoses and overdoses. To reduce the risk of harmful dosing errors, ISMP has been calling for a U-500 insulin pen since 2013. This recommendation was strengthened after a study by the Department of Veterans Affairs found that almost half of clinicians, and even more patients, had selected a U-100 syringe to measure U-500 insulin doses below 100 units instead of a U-500 syringe prototype that was being tested. Participants mistakenly believed the measurement would be more accurate with the U-100 syringe; thus, a U-500 insulin syringe may not prove helpful in preventing dose measurement errors. In December 2015, the US Food and Drug Administration (FDA) approved Eli Lilly and Companys HUMULIN R U-500 KwikPen (insulin regular), a 3 mL prefilled pen holding a total of 1,500 units. With the KwikPen, which has been available since last month, dose conversion is no longer needed. The patients actual dose of U-500 insulin (rounded to the closest 5 unit increment) can be selected by tur Continue reading >>

Humulin R U-500 Savings Card & Support | Humulin R U-500

Humulin R U-500 Savings Card & Support | Humulin R U-500

If you have liver, kidney, or heart problems or any other medical conditions. If you are pregnant, plan to become pregnant, or are breast-feeding. About all the medicines you take, including prescription (especially ones commonly called TZDs [thiazolidinediones]) and over the counter medicines, vitamins, and herbal supplements. Before you start using Humulin R U-500, talk to your healthcare provider about low blood sugar and how to manage it. Read the detailed Instructions for Use that come with your Humulin R U-500. Take Humulin R U-500 exactly as your healthcare provider tells you to. Your healthcare provider should show you how much Humulin R U-500 to use and when to use it. Know the dose of Humulin R U-500 you use. Do not change your dose unless your healthcare provider tells you to. Check your insulin label each time you give your injection to make sure you are using the correct insulin. Humulin R U-500 KwikPen: The U-500 KwikPen is specially made to dial and deliver doses of Humulin R U-500 insulin. Do not use any syringe to remove Humulin R U-500 insulin from your U-500 KwikPen. The markings on certain syringes will not measure your dose correctly. A severe overdose can happen, causing low blood sugar, which may put your life in danger. Humulin R U-500 vial: There is a special U-500 insulin syringe to measure Humulin R U-500. Use only a U-500 insulin syringe to draw up and inject your Humulin R U-500. If you do not use the right syringe type, you may take the wrong dose of Humulin R U-500. This can cause you to have too low blood sugar (hypoglycemia) or too high blood sugar (hyperglycemia). Your healthcare provider should show you how to draw up Humulin R U-500. Use Humulin R U-500 30 minutes before eating a meal. Inject Humulin R U-500 under your skin (subcutan Continue reading >>

Humulin R U-500

Humulin R U-500

Generic Name: insulin human Dosage Form: injection, solution Indications and Usage for Humulin R U-500 HUMULIN R U-500 is a concentrated human insulin indicated to improve glycemic control in adult and pediatric patients with diabetes mellitus requiring more than 200 units of insulin per day. Limitation of Use The safety and efficacy of HUMULIN R U-500 used in combination with other insulins has not been determined. The safety and efficacy of HUMULIN R U-500 delivered by continuous subcutaneous infusion has not been determined. Humulin R U-500 Dosage and Administration Important Administration Instructions Prescribe HUMULIN R U-500 ONLY to patients who require more than 200 units of insulin per day. Humulin R U-500 is available as a KwikPen or multiple dose vial. Patients using the vial must be prescribed the U-500 insulin syringe to avoid medication errors. Instruct patients using the vial presentation to use only a U-500 insulin syringe and on how to correctly draw the prescribed dose of HUMULIN R U-500 into the U-500 insulin syringe. Confirm that the patient has understood these instructions and can correctly draw the prescribed dose of HUMULIN R U-500 with their syringe [see Dosage and Administration (2.4) and Warnings and Precautions (5.1)]. Advise the patient to read the FDA-approved patient labeling (Patient Information and Instructions for Use). Train patients on proper use and injection technique before initiating HUMULIN R U-500. Training reduces the risk of administration errors such as needle sticks and dosing errors. Instruct patients to always check the insulin label before administration to confirm the correct insulin product is being used [see Warnings and Precautions (5.1)]. Inspect HUMULIN R U-500 visually for particulate matter and discoloration. Only Continue reading >>

Delivery Options: Kwikpen, Syringe & Vial | Humulin R U-500

Delivery Options: Kwikpen, Syringe & Vial | Humulin R U-500

Data on file, Lilly USA, LLC. HM20151210a. Data on file, Lilly USA, LLC. HM20151210d. Data on file, Lilly USA, LLC. HM20151210e. Hood RC, Arakaki RF, Wysham C, et al. Two treatment approaches for human regular U-500 insulin in patients with type 2 diabetes not achieving adequate glycemic control on high-dose U-100 insulin therapy with or without oral agents: a randomized, titration-to-target clinical trial. Endocr Pract. 2015;21(7):782-793. Erratum, 2016;22(7):905. HumulinR U500 is an insulin that is used to control high blood sugar in adults and children with diabetes mellitus who need more than 200units of insulin in a day. HumulinR U500 contains 5 times as much insulin in the same volume (500units/mL) as standard insulin (100units/mL). It is not known if Humulin R U-500 is safe and effective when used in combination with other insulins, when used in an insulin pump, or in children. Humulin R U-500 is a concentrated human insulin indicated to improve glycemic control in adults and children with diabetes mellitus requiring more than 200 units of insulin per day. Limitation of Use: The safety and efficacy of Humulin R U-500 used in combination with other insulins has not been determined. The safety and efficacy of Humulin R U-500 delivered by continuous subcutaneous infusion has not been determined. Humulin R U-500 is a concentrated human insulin indicated to improve glycemic control in adults and children with diabetes mellitus requiring more than 200 units of insulin per day. Limitation of Use: The safety and efficacy of Humulin R U-500 used in combination with other insulins has not been determined. The safety and efficacy of Humulin R U-500 delivered by continuous subcutaneous infusion has not been determined. Important Safety Information for Humulin R U-500 What i Continue reading >>

First Insulin Syringe Designed For Use With Humulin R U-500 Available

First Insulin Syringe Designed For Use With Humulin R U-500 Available

First Insulin Syringe Designed for Use with Humulin R U-500 Available First Insulin Syringe Designed for Use with Humulin R U-500 Available The syringe is designed for patients with diabetes taking Humulin R U-500 insulin BD announced the launch of the BD U-500 Insulin Syringe, the first insulin syringe designed for patients with diabetes taking Humulin R U-500 insulin (regular insulin [human, rDNA origin]; Eli Lilly ). Humulin R U-500 contains concentrated insulin (500 units/mL) and is indicated for the treatment of high blood sugar in patients with diabetes who require >200 units of insulin per day. Insulin-Related CA Risks May Be Offset by Statin Use With no specific U-500 insulin syringe, patients and providers were required to take extra steps in converting U-500 insulin doses to the appropriate dose or volume with the traditional U-100 insulin syringe or tuberculin syringe. This manual conversion could lead to dosing errors, which may have caused patients to experience hyperglycemia, hypoglycemia, or death. The new BD U-500 Insulin Syringe helps patients and providers draw the correct dose of U-500 insulin by cutting steps that can result in dosing errors.The new 0.5mL, 6mm x 31-gauge syringe needle, the shortest insulin syringe needle currently available, is clearly marked with dosages to distinguish between other syringes and avoid confusion or incorrect dosing. It is marked in 5-unit incrementsand allows for dosing up to 250 units. Humulin R U-500 insulin should not be prescribed without BD U-500 insulin syringes. Continue reading >>

U-500 Insulin Errors

U-500 Insulin Errors

Humulin R is the brand name for Eli Lilly's recombinant human regular insulin. The usual version of Humulin R is U-100 and contains 100 units of insulin activity per 1 milliliter of fluid. But there's also a rarely-used version called U-500. The U-500 insulin is 5 times more potent than U-100 insulin. U-500 insulin contains 500 units of insulin activity per 1 milliliter of fluid. People may need to use U-500 if their diabetes is not well-controlled with U-100. The U-500 version should be used only for patients requiring doses above 200 units a day. Important information about U-500 insulin Since the use of U-500 insulin is not as common as the use of U-100 insulin, some health professionals may not be aware of it. This by itself increases the chance of dispensing errors. The main problem with U-500 insulin is the risk of a mix-up between the insulin U-100 and insulin U-500 versions. If this occurs, it can result in very dangerous low blood sugar or very high blood sugar. A mix-up between the two insulin concentrations may occur if doctors or pharmacists select the wrong concentration (for example, selecting the U-500 regular insulin from computer screen instead of U-100). Sometimes the two concentrations appear one line apart on the computer screen, which sets up the possibility of selection errors. Depending on the screen size, the prescriber may see only the first few words of the product listing, so the drug concentration is not seen. Prescribers may assume the patient needs U-100 and may not even look for the concentration on the screen. A mix-up may also occur if U-100 insulin and U-500 insulin are stored next to each other at the pharmacy, in the hospital or even in your home. Although the colors of the vials are different, if someone is not aware to look out for Continue reading >>

The Pharmacist's Guide To U-500 Insulin Tl;dr Pharmacy

The Pharmacist's Guide To U-500 Insulin Tl;dr Pharmacy

Family photograph of U-500 insulin (yellow) and U-100 (green) ( Image ) So.what is this dinosaur and why do we need it for managing diabetes?? Humulin R U-500 is a concentrated Regular insulin used as a basalinsulin. So instead of the typical U-100 insulin (100 units/ml), this beast is 500 units/ml5x as concentrated. In contrast, Humulin R U-100 insulin is considered a short-acting, prandialinsulin. Cant you already see the potential for mix-ups?! They're both regular insulins, but U-500 is used for basal coverage while U-100 is used for prandial coverage. Our use of concentrated insulin has increased over the past 10 years due to the high incidence of insulin resistance and obesity. The obesity rate in 2015 was 30% ! On top of this, the diabetes rate in 2015 was 9.4% (30.3 million people) and another 84 million have pre-diabetes. Insulin resistance is the hallmark characteristic for type 2 diabetes. As diabetes progresses and people with type 2 diabetes get older, insulin resistance continues to become problematic, resulting in higher insulin needs. When do you need to switch your patient to U-500 insulin? When a patient requires more than 200 units of insulin a day, moving to a concentrated insulin can improve BG control and provide more comfort with fewer injections. I'll get more into the "how to transition your patient to U-500" later in this post. Understanding the normal pancreas function helps to understand how to use injectable insulin safely and effectively. The pancreas has exocrine and endocrine functions. The exocrine functions basically help you digest food. This is the amylase and lipaseyou've heard about. These enzymes get secreted whenever you eat, and they help us break down dietary proteins and fats into something usable for the body. The endocrine f Continue reading >>

As U-500 Insulin Safety Concerns Mount, Its Time To Rethink Safe Use Of Strengths Above U-100

As U-500 Insulin Safety Concerns Mount, Its Time To Rethink Safe Use Of Strengths Above U-100

As U-500 Insulin Safety Concerns Mount, Its Time to Rethink Safe Use of Strengths Above U-100 As the obesity epidemic continues and insulin resistance problems worsen, larger doses of insulin are more frequently required to meet glycemic goals. This has led to an increased use of U-500 insulin when dose requirements exceed 200 units per day. But along with the increased use of U-500 insulin, we have been receiving a growing number of U-500 insulin-related medication error reports and/or complaints from health professionals. Most of the reports are related to dosing confusion caused by not having a syringe with a U-500 scale. This usually requires practitioners to rely on measuring doses with a U-100 syringe and teaching the patient to communicate doses in syringe unitsthat is, measure 200 units of U-500 insulin by drawing up 40 syringe units on the U-100 syringe. But too often, patients do not understand the difference between U-100 and U-500, so they inaccurately state the actual dose, saying, for example, that they take 40 units of insulin, which can lead to hyperglycemia if only 40 units are then prescribed. Worse, confusion can also lead to overdoses. If people using a U-100 syringe misunderstand syringe units, a dose of 80 units of U-500 insulin might be prepared by measuring 80 units on the U-100 scale instead of 16 syringe units, resulting in a dose of 400 units. It is difficult to understand how a high-alert drug like insulin was ever allowed to be available without a corresponding way to measure doses accurately (e.g., a U-500 syringe). Instead, practitioners have been forced to improvise by using a U-100 syringe, which we believe is more error-prone than using a tuberculin syringe that measures U-500 doses by volume. Indeed, a U-500 syringe would seem to be a Continue reading >>

Bd Launches First Syringe Designed For Use With Humulin® R U-500 Insulin

Bd Launches First Syringe Designed For Use With Humulin® R U-500 Insulin

Humulin R U-500 (500 units of insulin per 1mL), is concentrated insulin that is indicated for the treatment of high blood sugar in people with diabetes who need to inject more than 200 units of insulin per day. These patients are a critical population of people with diabetes who are considered insulin resistant, meaning their bodies can't process insulin correctly, and who require larger doses to keep their blood glucose levels under control. A recent estimate indicates up to 3.7 percent of patients with insulin-treated diabetes in the United States have total daily insulin requirements exceeding 200 units.i Without a dedicated U-500 insulin syringe, people with diabetes and health care providers are required to take additional steps to manually convert U-500 insulin doses to the appropriate dose or volume when using a traditional U-100 insulin syringe or tuberculin (volumetric) syringe. Before the availability of the U-500 insulin syringe, this conversion could result in dosing errors, which have resulted in patients experiencing hyperglycemia, hypoglycemia or death.ii Compared to syringes made for U-100 insulin, the new BD U-500 Insulin Syringe is designed to help make it easier for patients and health care providers to draw the correct dose of U-500 insulin by reducing steps that can result in dosing errors. Humulin R U-500 insulin vials should not be prescribed without BD U-500 insulin syringes. "Together BD and Lilly Diabetes have the unique opportunity to bring to market a solution that addresses the critical need of a very specific and important population of people with diabetes," said Dr. Laurence Hirsch, Vice President of Global Medical Affairs for BD Diabetes Care. "This collaboration with Lilly exemplifies BD's continued commitment to provide solutions for a Continue reading >>

Diabetes Medicine: Humulin-râ® U-500 Insulin

Diabetes Medicine: Humulin-râ® U-500 Insulin

F A C T S H E E T F O R P A T I E N T S A N D F A M I L I E SF A C T S H E E T F O R P A T I E N T S A N D F A M I L I E S What is insulin, and what does it do? Insulin is a medicine used to treat diabetes. It is given by injection (shot). It moves glucose (sugar) out of your blood and into your body’s cells. Insulin helps lower your blood glucose and makes it less likely that your diabetes will cause serious problems. What is U-500 insulin? U-500 helps control blood glucose for 8 to 24 hours. This type of insulin is only used if you need more than 200 units of insulin per day. U-500 insulin is 5 times stronger than standard U-100 insulin. When do I give U-500 insulin? U-500 starts working about 30 minutes after it is given. You will likely need to give yourself a dose 2 or 3 times per day before meals. To prevent low blood glucose (hypoglycemia), you should always eat within 30 minutes of giving U-500 insulin. How do I give U-500 insulin? U-500 can be injected with a syringe or a pen. • Inject insulin into the fatty tissue just under the skin, NOT the muscle. • The best areas to inject insulin are the belly, the top and outside of your thighs, or the back of your upper arms. • Change injection sites within those areas each time you give a dose. Do not inject in the same site every day. See the back of this sheet to learn how to give U-500 insulin with a syringe or a pen. General guidelines for taking insulin Here are some general rules to help you use insulin safely: • Try to eat your meals and snacks at the same time every day. Stick to a regular schedule for breakfast, lunch, dinner, and bedtime snacks. This will help your insulin work better and keep your blood glucose at the right level. • Don’t stop taking your ins Continue reading >>

Using U-500 Insulin

Using U-500 Insulin

What is it? Humulin R U-500 is a kind of insulin that is much stronger than the more common U-100 insulin. It is used by people with diabetes who need large doses of insulin, usually because they are “insulin resistant.” That means their bodies can't use insulin well, so they need large doses to keep their blood glucose (sugar) under control. How is it used? U-500 is 5 times more concentrated than U-100 insulin. This means that every 1 unit of U-500 is the same as 5 units of your usual insulin. This makes it a more powerful medicine. It also means that you need to be careful about giving yourself the right amount of U-500. If you are using a regular insulin syringe like the kind used for U-100 insulin, the markings each correspond to one-fifth of a U-500 unit. So, if you are taking 100 units of U-500 in an insulin syringe, you would draw insulin from the vial up to the 20 mark (100 ÷ 5 = 20). Your health care provider might want you to use a different kind of syringe, called a “tuberculin syringe.” This kind of syringe is marked in milliliters (ml). If you are taking 100 units of U-500 in a tuberculin syringe, you would draw insulin from the vial up to the 0.2-ml mark. (See chart at left.) Check your insulin before you leave the pharmacy to be sure you have the right kind. U-500 insulin comes in 20-ml vials (twice as big as U-100 insulin vials) and has orange stripes on the box and label. Make sure you are also using the correct syringes. Your health care provider will tell you whether to use the usual insulin syringes or to switch to tuberculin syringes. Don't hesitiate to ask your prescriber or pharmacist any questions you may have about U-500. It can be confusing at first to make the switch, but your health care team is there to help you. Preventing lows Ins Continue reading >>

Fda Approves A Dedicated Syringe To Be Used With Humulin R U-500 Insulin

Fda Approves A Dedicated Syringe To Be Used With Humulin R U-500 Insulin

[7/8/16] Today, the U.S. Food and Drug Administration approved a dedicated syringe for the administration of Humulin R U-500 insulin, which is now the only device approved for use with U-500 insulin vial. Humulin R U-500 insulin vial has been available with no dedicated device for delivery since 1994. To administer the insulin, healthcare practitioners and patients had to make dose conversions to deliver the appropriate dose using a U-100 insulin syringe or a tuberculin (volumetric) syringe. Since conversions are no longer needed with this new device, the Humulin R U-500 insulin vial label will be updated to remove the dose conversion information for U-100 and tuberculin syringes. Approved syringes for use with Humulin R U-500 insulin vials will only be available with a prescription and should be co-prescribed with U-500 insulin. Humulin R U-500 is also available in a prefilled pen device as well as a vial. For patients that do not use the pen, the vial can be used as an alternative. If patients are hospitalized or transitioning care, their dose of Humulin R U-500 should be clearly communicated to hospital staff. Patients who are prescribed Humulin R U-500 insulin should be aware of the following: Only use the U-500 insulin syringe with the U-500 insulin vial. Do not switch between types of syringes because it may increase the risk of dosing errors. Maintain an adequate supply of U-500 insulin syringes. Patients should not attempt to dose with another type of syringe if their supply of U-500 insulin syringes runs out, but instead call their pharmacist or healthcare professional immediately for further instruction. Continue reading >>

Dosing Dangers Of U-500 Insulin

Dosing Dangers Of U-500 Insulin

Many health care professionals are aware of U-500 insulin, but only a select few come in contact with it on a daily basis. U-500 is a concentrated form of regular insulin prescribed when patients require more than 200 units of insulin each day. While regular U-100 delivers 100 units of insulin in each mL of fluid, U-500 delivers 5 times this amount, or 500 units of insulin in each mL of fluid. Any health care professional can imagine the potential for dosing errors with the administration of this U-500 insulin. As pharmacists know, insulin syringes are calibrated up to 100 units in a 1-mL syringe. Currently, there are no specific syringes on the market calibrated for the U-500 insulin. As a result, the same syringes used for U-100 insulin are commonly used for U-500 dosing. Rarely is a prescription written for U-500 insulin that doesn't require clarification from a pharmacist. When physicians order 25 units of U-500 insulin, do they really mean only 25 units, which would be measured at the 5-unit calibration mark of an insulin syringe, or do they need it to be measured at the 25-unit calibration mark, which is actually 125 units? Whenever U-500 insulin is prescribed, the directions need to include not only the actual dose of insulin, but also the volume of insulin to be administered. Ideally, this order would be written to administer 125 units of U-500 insulin (0.25 mL) measured at the 25-unit calibration mark on a standard insulin syringe. Through advancements in electronic prescribing, drop-down menus, and electronic health records (EHRs), any order entered into a system stays until an authorized practitioner logs into the electronic chart and changes it. When pharmacists call to clarify a U-500 insulin prescription, they need to ensure it is also changed in the EHR Continue reading >>

Concentrated Insulin Human Regular (u-500) For Patients With Diabetesp

Concentrated Insulin Human Regular (u-500) For Patients With Diabetesp

aTDD = total daily dose, CSII = continuous subcutaneous insulin infusion, SMBG = self-monitored blood glucose, 50/50 = 50% of TDD prebreakfast and 50% of TDD predinner, 60/40 = 60% of TDD prebreakfast and 40% of TDD predinner, 33/33/33 = one-third of TDD before each meal. bEmpirically reduce the conversion dose from U-100 by 1020% if baseline glycosylated hemoglobin (HbA1c) is 8%; increase the dose by 1020% if HbA1c is 10%. cU-500 bolus doses recommended 30 minutes before a meal; adjust dosage according to latest SMBG value. U-500 has prandial and basal timeaction profile characteristics. dBasal insulin (glargine, detemir, or isophane [NPH]) may be substituted for bedtime U-500 insulin to adjust fasting blood glucose values according to physician judgment. eBased on percentage of TDD. May initially use fixed ratios or distribute boluses according to proportion of carbohydrates with meal or carbohydrate-counting according to patient preference and physician judgment. aThe following dosing formulas may also be used: dose (actual units) 0.2 = unit markings in a U-100 insulin syringe, dose (actual units) 0.002 = volume (mL) in a tuberculin syringe. Alissa R. Segal, Pharm.D., CDE, Jack E. Brunner, M.D., F. Taylor Burch, Pharm.D., M.H.A. and Jeffrey A. Jackson, M.D., CDE Alissa R. Segal, Pharm.D., CDE, is Associate Professor of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences, Boston, and Clinical Pharmacist and Diabetes Educator, Joslin Diabetes Center, Boston. Jack E. Brunner, M.D., is Director, Endocrine and Diabetes Care Center, Toledo, OH. F. Taylor Burch, Pharm.D., M.H.A., is Endocrine Medical Liaison, U.S. Medical Division, Endocrine, Lilly USA, LLC, Indianapolis, IN. Jeffrey A. Jackson, M.D., CDE, is Adjunct Clinical Associate Professor, Inter Continue reading >>

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