Managing his condition requires four insulin

Ultimately, the choice of the suitable IS drug for a given patient will depend on the severity of the disease, the prevailing organ manifestations, patient age and childbearing potential (including possible wish for pregnancy) and physician experience. More important than the choice of a specific drug (see also below, strategy for treating SLE) is the realisation that initiation of an IS drug should have a low threshold in a newly diagnosed patient, in order to pursue prevention of flares and avoidance of long term GC treatment. In our practice, we tend to use IS early in the disease course, that is, from the first severe or the second mild/moderate flare.

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