"Insulin is not only the most powerful,
but also the most underutilized,
agent for the treatment of diabetes."
but also the most underutilized,
agent for the treatment of diabetes."
Anuj Bhargava, MD, MBA, CDE, FACP, FACE
Insulin, a Clinical Journal for Health Care Professionals
January 2009, pg 68
January 2009, pg 68
I told a Nurse Practitioner the other day that when she informs a patient about the new diagnosis of diabetes, she should take along an insulin syringe of normal saline and have the patient give a self injection -- remove the fear of insulin shots from the get go. She said she'd think about it.
I have 30 minutes for 'diabetes education' with my next scheduled patient. Her A1C is 8.4 -- do I take a syringe of normal saline in for my initial session? Hmmm.... that would be 'no'. But, I do mention the option and open it up for discussion. I throw in phrases like 'treat to target' and we don't want to follow the 'too little, too late' approach that was previously used regarding insulin for diabetes management. She's due for her next A1C in a month. I told her if it was still above 8, she should seriously consider adding insulin to her management plan.
I wonder if she will come back for her next scheduled visit with me.
I have 30 minutes for 'diabetes education' with my next scheduled patient. Her A1C is 8.4 -- do I take a syringe of normal saline in for my initial session? Hmmm.... that would be 'no'. But, I do mention the option and open it up for discussion. I throw in phrases like 'treat to target' and we don't want to follow the 'too little, too late' approach that was previously used regarding insulin for diabetes management. She's due for her next A1C in a month. I told her if it was still above 8, she should seriously consider adding insulin to her management plan.
I wonder if she will come back for her next scheduled visit with me.
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