Transcription of Insulin Prescribing Guidance
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Insulin Prescribing Guidance
Title: Flowchart Insulin Regimen Selection Version: 1 Date: November 2012 Author(s): NHS Fife Diabetes MCN: Prescribing Subgroup Page: 1 of 12 Review; November 2015 Insulin Prescribing Guidance Type 2 diabetes This Document aims to provide Prescribing Guidance to primary care practitioners on NHS Fife preferred Insulin selection. NHS Fife Diabetes MCN Prescribing Subgroup 18/09/2012 Title: Insulin Prescribing Guidance : Type 2 Diabetes Version: 1 Date: September 2012 Author(s): NHS Fife Diabetes MCN: Prescribing Subgroup Page: 1 of 12 Review date: to be confirmed Title: Flowchart Insulin Regimen Selection Version: 1 Date: November 2012 Author(s): NHS Fife Diabetes MCN: Prescribing Subgroup Page: 2 of 12 Review; November 2015 Contents Page Introduction 3 Important Notes to Health Care Practitioner Initiating 4 and Managing Patients on Insulin initiation of Insulin in Type 2 Diabetes 5 (As per Appendix 2 in the Insulin Strategy) Figure 1: Insulin Regimen Selection for Type 2 Diabetes 6 Figure 2: Once Daily Basal Insulin 7 Figure 3: Twice Daily Fixed Mix Insulin 8 Figure 4: Three time daily Fixed Mix Insulin 9 Figur e 5: Basal Bolus 10 References 11 Appendix 1: Insulin Intensification 12 (As per Appendix 3 in th)
Initiation of insulin Stage Diagnosis Decision to initiate treatment Choice of Regimen In line with Fife Formulary, and based on individual need and preference. Initiation of insulin Management and review Initiation based on patient assessment which considers: • Patient understanding • Lifestyle • Vision • Manual Dexterity
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