Optimising glycaemic control for patients starting insulin therapy
Brenda Capaldi Diabetes specialist nurse, Gartnavel Diabetes Centre, Glasgow
The incidence of diabetes is set to rise dramatically in the next five years so there is a growing focus on ‘shared care’ for people with diabetes, involving healthcare professionals from primary and secondary care in patient management. Insulin initiation and dose adjustment in patients with type 2 diabetes are increasingly being carried out in the primary care. This article discusses the important role of practice nurses in managing the care of patients with type 2 diabetes and the specific challenges presented by patient fears and resistance to insulin treatment. Current recommended targets for glycaemic control are identified and treatment plans discussed with a focus on transferring patients from oral hypoglycaemic drugs to insulin treatment.
Nursing Standard. 21, 44, 49-57. doi: 10.7748/ns2007.07.21.44.49.c4581Correspondence
This article has been subject to double blind peer review