Health Mentor Online provides education and knowledge self-assessment on insulin and its initiation as well as other diabetes related topics. The resource is free for registered nurses employed as Practice Nurses and can be accessed by other health professionals by arrangement (http://pro.healthmentoronline.com/).
NZ Guidelines Group: The following advice on patient education associated with the initiation of insulin is provided by a NZGG Diabetes Advisory Group (2011).
Your patient will need education and advice on:
self-monitoring of blood glucose
when to test, how to test, how to record in a log book style
test if they have symptoms of hypoglycaemia
increase frequency of testing if unwell
insulin regimen
which insulin preparation
what the dose is, and when to administer it
how to use the insulin injection device
how to titrate the dose (if this is appropriate at this stage)
how to administer insulin
how to store the insulin and how to dispose of ‘sharps’
dietary and lifestyle advice
maintaining a healthy body weight by healthy eating and exercise
the risk of hypoglycaemia with excess alcohol consumption
managing hypoglycaemia
how to recognise the symptoms of hypoglycaemia
how to manage and prevent episodes of hypoglycaemia
driving: legal and practical issues
ensure the patient understands their responsibility to maintain a reasonable level of glycaemic control while minimising their risk of hypoglycaemic episodes
if the patient is a vocational driver please refer for specialist advice
refer to the NZ Transport Agency Medical aspects of fitness to drive: A guide for medical practitioners (July 2009).
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