Guiding a patient on figuring meal-time insulin dosing
Recently I assessed an 84-year-old inpatient with diabetes for his insulin usage at home. In reporting his dosing, he stated that after he checked his glucose before each meal, he took the “first two numbers of the result,” and made his dosage for meal-time insulin. For example, if the glucose reading were 240, he would take 24 units of Humalog.
I asked him if this was his instruction per his provider, and he said, “No, but it was the only thing that made sense to me that I could remember.”
A specific teaching plan with simple dosing was designed for him, and a home health evaluation for medication administration safety was also made on his return home.
This example again reiterates the importance of having the patient give you a verbal and sometimes a practice demonstration of what they understand to be the practice for medication administration.
Janet Howard-Ducsay, RN, BA/BSN, CDE
Diabetes Nurse Educator
|If you have a “Diabetes Disaster Averted” story like “Patient’s Method of Figuring Meal-time Insulin Doesn’t Quite Work,” please let us know! If we feature your Disaster Averted in our Diabetes Clinical Mastery Series e-newsletter, you will receive a $25 gift card. Please click here to submit a short summary of the incident, what you feel you learned from handling the incident, and your name and title. If you prefer to remain anonymous, please let us know, but still give us your name and address (so we can send you the gift card).|
Copyright © 2014, 2020 HIPER LLC
For more information about insulin, visit our therapy center.
Click here to see more diabetes Disasters Averted.