PMID- 31129933 OWN - NLM STAT- MEDLINE DCOM- 20200616 LR - 20200616 IS - 2208-7958 (Electronic) VI - 48 IP - 5 DP - 2019 May TI - Teaching patients with type 2 diabetes to self-administer insulin. PG - 251-254 LID - 10.31128/AJGP-11-18-4764 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a progressive chronic condition. Glucose-lowering medications are initiated, maximised and combined throughout the patient journey. Prescribing insulin is an integral part of managing T2DM. OBJECTIVE: The aim of this article is to provide practical guidance to assist commencement of insulin. DISCUSSION: Access to specialist diabetes care for insulin commencement varies considerably according to disease complexity, service type, setting and location. Delays in commencing insulin can result in the patient experiencing further glycaemic deterioration, increasing the risk of developing or worsening diabetes-related complications. Initiation of insulin in primary care can involve more than determining the type and dose of insulin in order to achieve optimal patient outcomes. The key to successfully teaching patients to self-administer insulin, and allowing them to master the steps involved, is to focus on 'why' rather than 'what' to do. FAU - Chin, Ginn AU - Chin G AD - BPharm, BCGP, GCertDiabEd, credentialled diabetes educator, Temple Hills Medical Centre, Doncaster East, Vic; Manningham General Practice, Templestowe Lower, Vic; Forest Hill Medical Centre, Forest Hill, Vic. ginnchin2@gmail.com FAU - Robins, Michelle AU - Robins M AD - MNurs, MHealthSc, GCertHeallth, CertDiabEd, Nurse Practitioner Diabetes, Northern Health, Vic; Senior Lecturer, Deakin University, Vic LA - eng PT - Journal Article PL - Australia TA - Aust J Gen Pract JT - Australian journal of general practice JID - 101718099 RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) SB - IM MH - Diabetes Mellitus, Type 2/*drug therapy MH - General Practice/instrumentation/methods MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Insulin/*therapeutic use MH - Patient Education as Topic/*methods/standards MH - Self-Management/*methods/psychology EDAT- 2019/05/28 06:00 MHDA- 2020/06/17 06:00 CRDT- 2019/05/28 06:00 PHST- 2019/05/28 06:00 [entrez] PHST- 2019/05/28 06:00 [pubmed] PHST- 2020/06/17 06:00 [medline] AID - 10.31128/AJGP-11-18-4764 [doi] PST - ppublish SO - Aust J Gen Pract. 2019 May;48(5):251-254. doi: 10.31128/AJGP-11-18-4764.