Efficacy of Automated Bolus Calculation in Type 2 Diabetes

Efficacy of Advanced Carbohydrate Counting and Automated Bolus Calculation in Insulin-treated Type 2 Diabetes Patients: The BolusCal2 Study

The investigators hypothesize that non-optimal basal-bolus insulin treated patients with type 2 diabetes can achieve better metabolic control by counting carbohydrates with concurrent use of an automated bolus calculator. Additionally, the investigators propose that this intervention will lead to improvement in patient related outcomes.

Inclusion Criteria:

• Type 2 diabetes > 1 year
• Age 18 years or older
• HbA1C > 64 mmol/mol (8.0 %)
• Treatment with multiple daily insulin injections (basal and prandial insulin) ≥ 6 months
• GAD-antibody negative
• Naïve to bolus calculators

Exclusion Criteria:

• Pregnancy or breast feeding
• Gastroparesis
• Severe nephropathy (eGFR<30 mL/min/1,73 m2)
• Use of sulfonylurea