The focus of this guideline is to support nurses, Registered Nurses (RNs) and Registered Practical Nurses (RPNs) in all practice settings, as they care for clients (18 years and older) with type 2 diabetes requiring subcutaneous insulin therapy. Specifically, this guideline would assist nurses who are not specialists in diabetes care to safely initiate and administer insulin, a “high-alert” medication. This guideline will provide answers to the question: What are the essential client self-care components to be addressed by nurses when caring for an adult with type 2 diabetes who requires subcutaneous insulin? Information will be discussed under the following topics:
- Psychological and psychosocial issues including the assessment and management of those with special needs
- Insulin preparation and administration
- Safe medication practice
- Blood glucose monitoring
- Sick day management
- Food choices
Although this best practice guideline contains recommendations for RNs and RPNs, caring for clients with type 2 diabetes requiring insulin is an interdisciplinary endeavour. It is acknowledged that effective care depends on an intradisciplinary approach with ongoing communication between health professionals and clients. Individual preferences, unique needs and resources of each client must always be considered.