Clinical Review
Initiating Bedtime Insulin
Fed Pract. 2003 November;20(11):33
Author and Disclosure Information
Sharon A. Watts, ND, RN-C, CDE and Rossana D. Danese, MD
Dr. Watts is a family nurse practitioner, diabetes educator, and study coordinator at the Louis Stokes Cleveland VA Medical Center, Cleveland, OH. Dr. Danese, a fellow of the American College of Endocrinology, is a staff physician at the Louis Stokes Cleveland VA Medical Center and an assistant professor of medicine at Case Western Reserve University, Cleveland, OH.
Patients and practitioners alike may be reluctant to begin a regimen of injectable insulin—even when oral agents fail to control blood glucose. But such therapy can be highly effective if combined with carefully timed administration and patient education.