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The need to start insulin therapy for patients with Type 2 diabetes marks a significant turning point in disease progression. It can be an anxious time for patients, who may fear the thought of insulin treatment. This paper looks at a model of insulin initiation in primary care, with an emphasis on patient self-management.
AIM This paper is a report of a study to describe nurses' perceptions of decision-making and the evidence base for the initiation of insulin therapy. BACKGROUND Several theoretical perspectives and professional's attributes underpin decision-making to commence insulin therapy. The management of type 2 diabetes is moving from secondary to primary care and… (More)
Illness can have a number of effects on diabetes, which require changes in management based on the individual patient's needs. Common effects of illness are discussed, together with strategies for regaining control. Where there is any doubt about the patient's condition or the dosage change, specialist advice should be sought