TCOYD The Podcast! CGM-Guided Insulin Initiation and Titration in Type 2 Diabetes (For HCPs)
Managing type 2 diabetes can change over time, but having the right information for your patients can make those changes feel a lot more manageable. CGM can help your patients see what’s happening with their blood sugar and guide what comes next.
In this episode of the TCOYD Podcast, Dr. Steve Edelman and Dr. Jeremy Pettus discuss how continuous glucose monitoring is changing the way type 2 diabetes is managed for your patients, especially as treatment needs evolve over time. They explain why type 2 diabetes can progress from lifestyle changes and oral medications to GLP-1 therapies and insulin, and why needing insulin isn’t a personal failure. They also explore how seeing glucose data in real time can help your patients better understand how meals, exercise, medications, and insulin affect their glucose throughout the day.
The conversation gets practical with how CGM can help guide your patients’ transition to basal insulin, make insulin adjustments easier and safer, and identify when mealtime insulin may be needed. Dr. Edelman and Dr. Pettus explain what overnight glucose patterns can tell you about your patients’ basal insulin dose, how to recognize post-meal spikes, and why starting mealtime insulin doesn’t necessarily mean adding injections at every meal for your patients. They also discuss newer basal insulins, avoiding too much basal insulin, and how automated insulin delivery systems may fit into the future of type 2 diabetes management.
Ultimately, CGM gives your patients living with type 2 diabetes more than glucose numbers. It provides feedback that can help them recognize patterns, see how their treatment is working, and work with their healthcare team to make more informed adjustments as their diabetes management needs change.

I take my basal insulin once in the morning (16 units) and again at bedtime (4 inits)
I am seeing gradudual dropping/drifting down in the middle of the night.
Thinking I should drop by 2 units at night??
If you’re dropping at night, lowering your basal dose does make sense, but you really need to discuss it with your healthcare team.
Fantastic information. I’ve been following you both on and off for several years. Thank you so much
I’m a type 2 and my numbers are trending up (just as you mentioned) u
so. starting GLP-1 in the next month. Very interested in CGM
Chris R
Your world is going to change for the better once you start a GLP-1. Just take things slow…start low and go slow.