Standard 7
When insulin is required it should be initiated by trained health care professionals within a structured programme that, whenever possible, includes education in dose titration for the person with diabetes.
Key practice points
Insulin is a lifelong requirement for people with type 1 diabetes.
Starting insulin requires specialist knowledge and expertise, and insulin should only be initiated by suitably qualified practitioners.
It takes time to assimilate the knowledge and skills required to manage insulin starts and sufficient numbers need to be performed on a regular basis in order to maintain competency.
A structured programme for insulin initiation should include patient education about blood glucose monitoring and how to understand and use the results to support dose titration.
Specialist management is needed to balance glycaemic control, hypoglycaemia and weight gain, taking into account individual circumstances.
Read this standard in conjunction with the equality and diversity section in the Introduction to the Toolkit.
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