In conjunction with the American Society of Endocrine PAs (ASEPA), Clinician Reviews is bringing you practical information about topics in endocrinology that may help you to better understand and manage patients with diabetes, thyroid disorders, and other metabolic conditions. In this month’s column, Scott Urquhart, PA-C, DFAAPA, Immediate Past President of ASEPA, discusses a few perspectives on how to balance the clinical and financial needs of diabetic patients who require the initiation of insulin to maintain A1C goals.