Table 2.

Preparing the Patient for Insulin Therapy

• Discuss insulin at time of diagnosis of diabetes
• Dispel myths about insulin
• Maintain a positive attitude [8]
- Assure the patient that the need for insulin does not represent a personal failure on his or her part
- Express confidence in the patient's ability to master self-injection techniques and to maintain appropriate schedules
• Discuss treatment goals with patient [8,43]
- Explain the rationale for adding insulin to the treatment regimen and the health benefits associated with improved glycemic control
- Allay patient fears about possible negative health consequences associated with insulin therapy
- Assure the patient that the need for insulin does not mean his or her diabetes has worsened to a point where it cannot be managed successfully
• Discuss the patient's day-to-day routine and habits [8]
- Identify how food, exercise, and lifestyle choices may influence therapy and treatment goals
- Assure the patient that he or she can continue to take part in favorite activities, including eating in restaurants and travel