May 14, 2019 : DCMS #449

DISASTERS AVERTED — Near Miss Case Studies

Abbreviations Will Get U in Trouble

TOP STORIES — Diabetes News and Research

Life After Basal Injection to Multiple Injections of Insulin

Training Diabetes Patients on Self-Injection Is Essential

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Catherine L. Davis on Exercise Dose in Children

MOST POPULAR ARTICLES OF THE MONTH

#1 Metformin Associated with Vitamin B Deficiency and Cognitive Impairment

#2 New Heart Rate Monitor Detects Hypoglycemia For Type 1 Patients

#3 Canagliflozin Study Stopped Early Due to Positive Results in Reducing CKD, Death and ESRD

Have you ever had a patient that, no matter how much you raised their insulin dose, their glucose doesn’t improve? Sometimes they just don’t want to inject, but more often they are just doing something wrong because of their original training. 

Patients are taught how to self dose by injecting into an orange ?. Next thing you know they are injecting their insulin into an orange and eating it. How about when we teach them to use a pen by dialing up to the desired dose and then turning it back to zero so as not to waste the insulin. What do you think they do at home?

This week we have an interesting feature on the value of real hands-on training with real devices. The difference this makes in patient care and outcomes may surprise you.

Dave Joffe

Editor-in-chief

The cause of many insulin errors is the use of abbreviations in written orders. The abbreviation “U” for “units” has often been misread as a zero, resulting in serious, tenfold overdoses. Recently, we heard about three new cases that illustrate other problems when abbreviations are used in insulin orders.

A new way to introduce multiple injections with the use of an insulin patch.

Training devices for autoinjectors can help ensure diabetes patients learn self-injection properly.

In this Exclusive Interview, Catherine L. Davis  talks with Diabetes in Control Publisher Steve Freed during the ADA 2018 convention in Orlando about the surprising results of a study on exercise dose in children with obesity.