Initiating insulin therapy in adults with type 2 diabetes: a practical guide
Intended for healthcare professionals

Initiating insulin therapy in adults with type 2 diabetes: a practical guide

Martha Stewart Diabetes specialist nurse, University Hospitals Birmingham NHS Foundation Trust, and deputy programme lead (MSc in advancing diabetes care), Birmingham City University, Birmingham, England

Why you should read this article:
  • To reinforce your knowledge of indications and treatment regimens for insulin therapy in type 2 diabetes

  • To enhance your understanding of psychological insulin resistance and strategies to overcome it

  • To contribute towards revalidation as part of your 35 hours of CPD (UK readers)

  • To contribute towards your professional development and local registration renewal requirements (non-UK readers)

Supporting adults with type 2 diabetes is an important part of primary care nursing. Insulin therapy is key to managing hyperglycaemia and reducing the risk of long-term diabetes-related complications, so many patients with type 2 diabetes will require insulin therapy as their condition progresses. However, they may have concerns about burdensome side effects such as hypoglycaemia and weight gain or about implications for driving. They may also struggle with concordance with treatment, for example if a suboptimal injection technique leads to pain and lipohypertrophy. This article provides nurses working in primary care with a practical guide to initiating insulin therapy in patients with type 2 diabetes, such as how to determine whether a patient needs insulin therapy, selecting the most appropriate regimen for each patient, supporting patients to overcome psychological insulin resistance and minimising common side effects.

Primary Health Care. doi: 10.7748/phc.2024.e1829

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software



Conflict of interest

None declared

Stewart M (2024) Initiating insulin therapy in adults with type 2 diabetes: a practical guide. Primary Health Care. doi: 10.7748/phc.2024.e1829

Published online: 10 April 2024

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