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    Short-Acting Insulin Time Not Short

    Short-Acting Insulin Effect Delayed in Obese Type 2 Diabetes Patients

    Getting Good Blood Sugar Control

    It's a problem, says ADA President Larry C. Deeb, MD, medical director of the diabetes center at Tallahassee Memorial Hospital and a professor at both the University of Florida and Florida State University.

    "I feel very strongly about the issue of testing treatments in the kinds of people who actually are going to get treated," Deeb tells WebMD. "Every human isn't the same. Children aren't the same as adults, and obese people aren't the same as the lean adults you routinely recruit for these studies."

    So what should obese patients do when they need insulin? Deeb agrees with Ardilouze.

    "You may need to take it earlier," he says. "You aren't going to get rapid action for the obese patient. So you may need to rethink how you do it."

    Kirkman says that if patients are worried, they should test how well their short-acting insulin is working.

    "And if someone were really concerned, they could just take the insulin, eat the meal, and test their blood glucose in two to three hours," she says.

    Neither Kirkman nor Deeb was involved in the Ardilouze study. Ardilouze say he will next study blood sugar control in obese patients taking short-acting insulin for type 2 diabetes.

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