The joint RSSDI-ESI (Research Society for the Study of Diabetes in India—Endocrine Society of India) clinical practice recommendations 2020 suggest that insulin initiation with once-daily co-formulation/premix or basal insulin should be considered if the glycosylated hemoglobin (HbA1c) value is not on target despite three OADs [4]. Here, INS is linked to diabetes mellitus.