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There are however no specific recommendations for these adjustments, currently mainly based on expert opinions.29 A series of clinical considerations and expert opinions on the insulin regimen employed are provided by the authors of a comprehensive revision in which a multiple-daily-injection regime associated with long-acting and short-acting insulin on meal times is preferred both to avoid glycemic variability related to dialysate dextrose and hypoglycemia episodes

Nucleic Acids Res 40, D1108D1112, doi: 10.1093/nar/gkr1063 (2012)