Registed Nurses' Association of Ontario

BPG for the Subcutaneous Administration of Insulin in Adults with Type 2 Diabetes

Type of Guideline: 
Clinical
Publication date: 
2004
Status: 
Published
About this Guideline:


Please note:
The RNAO Best Practice Guideline Subcutaneous Administration of Insulin in Adults with Type 2 Diabetes (2004, 2009) is being retired in March 2020.

Comprehensive and up-to-date evidence-based recommendations for the prevention and management of diabetes are available. RNAO encourages users of this guideline to review the 2018 Diabetes Canada Clinical Practice Guidelines.

RNAO’s guideline development team completed an AGREE II appraisal on the 2018 Diabetes Canada Clinical Practice Guideline and concluded it is a high quality guideline. It is comprehensive (38 chapters) and covers prevention and management of diabetes in adults, children and adolescents. It also has chapters dedicated to diabetes and pregnancy, diabetes in older people and type 2 diabetes and Indigenous Peoples.


The focus of this guideline is to support nurses 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
  • Hypoglycemia
  • 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. Supplement: 2009

Related File(s):
PreviewAttachmentSize
Insulin User Guide655.64 KB
Insulin Summary79.24 KB