The National Institute for Health and Care Excellence (NICE 2011) states that a structured programme for patients starting on insulin should include:
structured education
continuing telephone support
frequent self-monitoring
adjusting doses
understanding diet
managing hypoglycaemia
managing acute changes in plasma glucose control values
support from an appropriately trained and experienced health care professional
injection technique including site selection and care
managing sick days.
and should be:
evidence-based
quality assured
built around a structured curriculum
delivered by trained educators
audited (www.nice.org.uk/Guidance/QS6/chapter/quality-statement-6-insulin-therapy).
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