It's never too late to look for alternatives to Insulin

We report the case of a 61-year-old patient with early onset and long duration of diabetic disease in multi-injected insulin therapy for almost thirty years, who developed micro- and macrovascular complications. The patient has been on dialysis three times a week for 4 years with a glycemic pattern characterized by severe hypoglycaemia related to the dialysis sessions, despite the reduction in insulin dosage. In October 2017 he was offered a treatment with linagliptin in combination with low-dose basal insulin, the latter withdrawn in December 2017. Follow-ups showed a good glycemic balance and no hypoglycaemic episodes (Diabetology).