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1 2 3 4 5 6 7 8Why a toolkit?The right time The right insulin Mythsand barriersInsulin management:key factsCommissioning forpeople with Type 2diabetesMedicinesoptimisationteamsCommunitypharmacy9AcknowledgementsMyths and barriers (healthcare professionals)This film shows a scenario you may be familiar with.Different interactions between patients and cliniciansmay lead to very different outcomes. What approachesand tactics are most likely to achieve positive change?41 Argue and reiterate the rationale for change2 Give lots of suggestions how to go about change3 Point out the dangers of not changing4 Listen reflectively to why it is undesirable tothis patient at this time5 Listen reflectively to the difficulties the patientforesees6 Ask them how they see the pros and consof changing7 Acknowledge that they have a choice whetherto change or notBack to contentsReferencesRight Insulin, Right Time, Right Dose 28
1 2 3 4 5 6 7 8Why a toolkit?The right time The right insulin Mythsand barriersInsulin management:key factsCommissioning forpeople with Type 2diabetesMedicinesoptimisationteamsCommunitypharmacy9AcknowledgementsMyths and barriers (patient perspective)Common patient barriers andperceptions regarding insulin therapyand suggestions of how to addressMedication is one aspect of diabetes selfmanagementand for many people, diabetesis one of several long-term conditions they haveto deal with day to day.For patients, barriers may include fear ofhypoglycaemia, needle phobia, friends or family’sprevious experience with insulin, fear that theirdiabetes is now ‘very bad’ or a fear of a negativeimpact on their lifestyle 42,43,44 . All of these areimportant factors and must be identified andaddressed to ensure insulin therapy will be effective.Needle phobia Weight gain Fear of hypoglycaemiaDriving restrictionsFear that diabetesis now ‘very bad’People living with diabetesInsulin is for Type 1 diabetesImpact on lifestylePatient feedbackFeedback from South London patient engagementgroups 45 concluded that people with Type 2diabetes want to feel that they have received all theinformation they need to understand their diabetesand self-manage effectively.They want to talk about the options from thebeginning. “I’d like to be able to ‘look ahead’ to seewhat’s coming next.” – Person living with diabetesWhen starting new medication, they want to be toldabout the benefits to controlling their diabetes aswell as the possible side effects.Insulin leads to furthercomplicationsPersonal failure tomanage own conditionClick on the boxes above and get some for ideas for responsesFriends and family(stigma)Back to contentsReferencesRight Insulin, Right Time, Right Dose 29
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