WHEN TO START INSULIN IN DIABETICS AND HOW TO ADJUST?   Insulin  is usually recommended as the initial therapy for diabetes if a person's HbA1c  level  at diagnosis is greater than 10% or if someone's fasting  blood glucose level  is consistently above 250 mg/dl   ALSO, Insulin  should be initiated when A1C is ≥7.0% after 2–3 months of dual oral therapy. The preferred regimen for  insulin  initiation in type 2 diabetes is once-daily basal  insulin . In addition to timely initiation, rapid titration of the dose is indispensable for successful  insulin  therapy.            Let's BE  FAMILIAR WITH SOME BRAND NAMES OF INSULIN:                              Let's SEE FOR EXAMPLE, HOW YOU INITIATE AND ADJUST  NovoLog ®  Mix 70/30