Common Problems Encountered in Insulin Management course for GPs
This session describes the physiological basis of insulin replacement and the commonly used insulin regimens. Practical issues in insulin management are illustrated in case histories and the significance of insulin therapy in relation to driving is reviewed.
This session was reviewed by Khyati Bakhai and last updated in June 2019.
Learning Objectives
By the end of this session you will be able to:
- Describe normal insulin physiology including understanding basal and prandial insulin secretion
- List common insulin regimens including bedtime basal insulin, twice daily pre-mixed and basal bolus regimens
- List commonly used injection devices, how to titrate insulin doses and the significance of rotating injection sites
- Describe what to advise people taking insulin during intercurrent illness
- List DVLA regulations in relation to insulin therapy
Type 2 diabetes is a progressive disease caused by the abnormal inter-relationship between insulin resistance and progressively diminishing beta cell function.
Simon Page has been a Consultant Physician and Endocrinologist at Nottingham University Hospitals NHS Trust since 1995. He graduated from Bristol Medical School in 1982 and completed his MD thesis studying human thyroid cell cultures at St George’s Hospital in London.
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