A Practical Approach to the Initiation, Titration and Intensification of Insulin Therapy in Adults with Diabetes in the Indian Context: Recommendations by Association of Clinical Endocrinologists Consensus Group

Insulin therapy is critical for people with type 1 diabetes (T1D). Although oral antidiabetic drugs (OADs) remain the mainstay of treatment for people with type 2 diabetes (T2D) in the early stages, insulin therapy becomes essential as the disease progresses to sustain life. Whilst there are guidelines and consensus statements from reputed institutions and medical bodies pertaining to diabetes mellitus (DM), there is not a dedicated guideline or consensus statement that is based on an evidence-based grading system that deals exclusively with the "Practical Approach to the Initiation, Titration and Intensification of Insulin Therapy in Adults with Diabetes in the Indian Context", guiding general physicians and general practitioners. Hence, this consensus statement uses the modified Delphi method. The Association of Clinical Endocrinologists is a nonprofit, non-commercial body registered in India, that serves as a platform for like-minded Endocrinologists who aspire to work for the cause of the science of Diabetes and Endocrinology, its utility and application for the betterment of the health of the people and the country. The authors request the readers to please do not confuse this Association of Clinical Endocrinologists with the American College of Endocrinology/American Association of Clinical Endocrinologists (ACE/AACE) of the United States of America (USA).