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| Topic: |
Diabetes (DM) |
| Title: |
Intensifying Insulin Therapy: Multiple Daily Injections to Pump Therapy. |
| Author: |
Tomky, D.M.; Kulkarni, K. |
| Source: |
IN: Mensing, C., ed. Art and Science of Diabetes Self-Management Education. Chicago, IL: American Association of Diabetes Educators. pp. 372-398. |
| Availability: |
Available from American Association of Diabetes Educators. 100 West Monroe St., Ste 400, Chicago, IL 60603. Website: www.aadenet.org. Price: Member price: $199.00, Nonmember price: $249.00. |
| Abstract: |
Meticulous metabolic control minimizes the long-term complications of diabetes and improves the quality and length of life for individuals with the disease. To achieve this kind of glycemic control, insulin therapy often needs to be intensified. This can be undertaken either through multiple daily injections (MDI) or continuous subcutaneous insulin infusion (CSII), also known as insulin pump therapy. This chapter on the use of intensive insulin therapy is from a comprehensive text that serves as a resource for all health professionals, community professionals, and individuals who provide education to individuals with diabetes. The authors stress that educators must understand the benefits, risks, and limitations of intensive therapy to counsel and assist patients who are using MDI or insulin pumps. Patients considered appropriate candidates for intensive insulin therapy include those who can reliably demonstrate and use safe, consistent self-care behaviors such as frequent blood glucose monitoring (SMBG), insulin injections, carbohydrate counting, and problem solving for high and low blood glucose and sick day management. Preparing the patient and support persons in problem-solving skills with intensive insulin therapy prior to pump therapy initiation is critical to using an insulin pump safely and effectively. Pump therapy is most commonly used by people with type 1 diabetes, but may also be of value for people with type 2 diabetes, older adults with profound insulin deficiency, and pregnant women with diabetes. The chapter includes a list of key points, a summary of teaching strategies, case studies, suggested Internet resources, a glossary of key terms, and a list of references. 5 tables. 87 references. |
| Format: |
Book Chapter |
| Language: |
English. |
| Major Keywords: |
Diabetes Mellitus. Patient Education. Teaching Strategies. Professional-Patient Relations. Patient Care Management. Pathophysiology. SMBG. Intensive Diabetes Management. Insulin. Drug Therapy. |
| Minor Keywords: |
Educators. Information Resources. Guidelines. Case Studies. Blood Glucose. Patient Care Team. Monitoring. Administration and Dosage. Insulin Pumps. Multiple Injections. Pharmacology. |
| Publication Number: |
DMBK12241. |
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