Starting insulin

Instructions

You are a medical student on placement in general practice. Wendy Carruthers, 59, has type 2 diabetes with an HbA1c of 10.5% on three tablets. She and the GP agreed to start insulin glargine, and she has come back to learn how.

1. 1

   Take a focused history relevant to starting insulin

2. 2

   Counsel Mrs Carruthers on starting insulin glargine

3. 3

   Agree a management plan with Mrs Carruthers

• An insulin pen and a glucose meter are on the desk