How can I talk to patients about beginning insulin therapy?
Inform patients about the progressive nature of the disease, and be sure that they understand that their pancreas is no longer making enough insulin.46 Based on data from 2003-2004, about 40% of patients with diabetes nationwide were not adequately controlled, that is to say, an A1C level of more than 7%.65 Patients may focus on blaming themselves for their uncontrolled blood glucose, but you can help them focus on the positive aspects of managing their diabetes.46 Inform patients that adding insulin may help improve their glycemic control. According to the ADA, insulin is an effective way to lower blood glucose.73 Be sure to tell your patients that insulin works as part of an overall treatment plan, along with diet, exercise, and other diabetes medications. In a survey, about 80% of patients with type 2 diabetes taking OADs said they would consider taking insulin based on their doctor’s recommendation. Helping patients get their blood glucose under control earlier in the disease proce
