Table 6.

Reasons for patient referral to insulin therapy evaluation clinics

Initiation of insulin for patients who are poorly controlled on OAD therapies Insulin dose adjustments for patients who are not achieving HbA1C goals with basal-bolus therapy Instruction on self-titration tools for basal insulin Instruction on carbohydrate counting and carbohydrate-to-insulin ratios Evaluation of patients’ ability to self inject (includes pen-vs-syringe demonstrations) General education about the role of insulin in diabetes management Instruction on the use of self-monitoring blood glucose monitors Hypoglycemia prevention and management