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May 20, 1998

Insulin Treatment for Type 2 Diabetes—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(19):1523-1526. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-19-jbk0520

In Reply.—Drs Riddle and Karl make some important points regarding the article by Dr Hayward and colleagues.1 In my accompanying Editorial, I tried to emphasize many of the same points. Controlling type 2 diabetes according to new American Diabetes Association guidelines is more feasible now than it was at the time of Hayward's study (1990-1993), due primarily to the introduction of new oral agents and more physiologic strategies for using insulin. Of course, we need long-term estimates on costs, which are not yet available.

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