When you need to have a conversation with your patient about starting insulin...

Medicine Matters
by Clipper Young, PharmD, MPH, CDE, BC-ADM

As a clinician and a certified diabetes educator who works with patients with diabetes to manage their condition, when reviewing patient profiles, I frequently find myself in search of a better approach to starting the conversation on initiating insulin. For clinicians, insulin initiation might mean sending a few more prescriptions to the pharmacy and educating patients on proper injection techniques, the side effects of insulin, and treatment for hypoglycemia, as well as monitoring blood glucose control. However, for patients, adding insulin to their current diabetes medication regimens might lead them to think that they have failed in some way in managing their condition, that they are at fault despite being adherent to their oral antidiabetic medications, or that they have lost control over their lives.

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