Insulins (long-acting)
- Basal insulin suppresses fasting glucose
- Glargine/degludec/detemir; icodec weekly
- T1DM always needs basal insulin coverage
- T2DM: add when injectable insulin is needed
- Degludec has very long, flexible action
- Hypoglycemia + weight gain are key risks
- Never stop basal insulin in T1DM
Class at a glance
- Basal insulin suppresses fasting glucose
Members / distinctions
- T2DM: add when injectable insulin is needed
Other member distinctions
- Glargine/degludec/detemir; icodec weekly
- T1DM always needs basal insulin coverage
- Degludec has very long, flexible action
- Never stop basal insulin in T1DM
Safety / monitoring
- Hypoglycemia + weight gain are key risks
Self-check
- Which long-acting insulin has very long, flexible action?
Degludec. - Should basal insulin ever be stopped in T1DM?
No.
Drugs in this class (4)
Insulins (long-acting) prescription history
Animated chart of estimated U.S. prescriptions per year, Diabetes meds (1923–2026). Insulin highlighted from 1923.
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