Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Self-Management Support For Insulin Therapy In Type 2 Diabetes

M. Funnell, D. Kruger, M. Spencer
Published 2004 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
PURPOSE The purpose of this article is to describe the self-management support that can be provided by diabetes educators for type 2 diabetes patients who are transitioning from therapy with oral hypoglycemic agents to insulin. METHODS The role of the diabetes educator in patient education and self-management support during all aspects of insulin therapy is discussed. Phases during which support may be especially important include the decision-making process, initiation, and maintenance. RESULTS Although some patients make the decision fairly easily, the introduction of insulin therapy is likely to raise many issues and questions for many type 2 diabetes patients. The more reluctant patients may experience psychological insulin resistance, a syndrome where insulin therapy is viewed as a threat or failure, which can affect health professionals as well. The diabetes educator can provide support and approaches to help diminish this resistance and make the transition to insulin therapy easier and more effective for patients with type 2 diabetes. CONCLUSIONS Education and ongoing self-management support are needed for informed decision making and the initiation and maintenance of insulin therapy. Therefore, diabetes educators have a critical role to play during both the decision-making process and the safe transition to insulin therapy.
This paper references
Insulin therapy for normalizing glycosylated hemoglobin in type II diabetes: application, benefits, and risks
SV Edelman (1995)
Insulin-Therapy Resistance
G. Koerbel (2003)
Health economic benefits and quality of life during improved glycemic control in patients with type 2 diabetes mellitus: a randomized, controlled, double-blind trial.
M. Testa (1998)
Injection related anxiety in insulin-treated diabetes.
A. Zambanini (1999)
Physiological insulin replacement in type 1 diabetes mellitus.
G. Bolli (2001)
Quality of life following a change in therapy for diabetes melli
FE VanderDoes (1998)
Basal-Bolus Insulin Therapy
G. Spollett (2002)
Quality of life following a change in therapy for diabetes melli
FE VanderDoes (1998)
When oral agents fail: practical barriers to starting insulin
M. Korytkowski (2002)
Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control.
S. Norris (2002)
Symptoms and Well-Being in Relation to Glycemic Control in Type II Diabetes
F. E. E. van der Does (1996)
Insulin therapy and patient attitudes at two VA centers [ abstract 1886 - PO ]
JT Fitzgerald (2000)
NIDDM Patients' Fears and Hopes About Insulin Therapy: The basis of patient reluctance
L. Hunt (1997)
Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33)
UK Prospective Diabetes Study Group (1998)
Psychological issues and treatments for people with diabetes.
R. Rubin (2001)
Psychological insulin resistance: a missed diagnosis
CA Leslie (1994)
Quality of Life Following a Change in Therapy for Diabetes Mellitus
M. Pibernik-Okanović (2012)
Glimepiride Combined with Morning Insulin Glargine, Bedtime Neutral Protamine Hagedorn Insulin, or Bedtime Insulin Glargine in Patients with Type 2 Diabetes
A. Fritsche (2003)
The American Association of Clinical Endocrinologists Medical Guidelines for the Management of Diabetes Mellitus : The AACE System of Intensive Diabetes Self-Management — 2002 Update
R. Hellman (2002)
Before oral agents fail: the case for starting insulin early
M. Marre (2002)
Quality of Life in Type 2 Diabetic Patients
A. Spasić (1999)
Management of diabetes: are doctors framing the benefits from the wrong perspective?
H. Wolpert (2001)
Insulin therapy and patient attitudes at two VA centers [abstract 1886PO]. Diabetes
JT Fitzgerald (2000)

This paper is referenced by
Psychological insulin resistance: a critical review of the literature
Amfiana Gherman (2011)
Expectations about insulin therapy, perceived insulin‐delivery system social acceptability, and insulin treatment satisfaction contribute to decreases in insulin therapy self‐efficacy in patients with type 2 diabetes after 36 weeks insulin therapy (2型糖尿病患者经过36周的胰岛素治疗后,患者对胰岛素治疗的期望、感知的胰岛素给药装置的社会接受性以及对
R. Hayes (2013)
Insulin for Type 2 Diabetes Mellitus: Separating the Myths from the Facts
T. Reid (2007)
EffectivenessofaCommunityHealthWorkerIntervention AmongAfricanAmericanandLatinoAdultsWithType2 Diabetes:ARandomizedControlledTrial
Michael S. Spencer (2011)
Psychological Insulin Resistance and Low Self-efficacy as Barriers to Diabetes Self-care Management in Patients with Type 2 Diabetes
Bohyun Kim (2019)
Overview of Types of Disease, Their Epidemiology, and Treatments
S. Yasin (2018)
Psychological resistance to insulin therapy in adults with type 2 diabetes: mixed-method systematic review.
Huey-Fen Wang (2012)
Diabetes Control With Reciprocal Peer Support Versus Nurse Care Management
M. Heisler (2010)
Self-rated diabetes control in a Canadian population with type 2 diabetes: associations with health behaviours and outcomes.
K. Smith (2012)
Enfuvirtide for Nurses: Answering Patient Questions on Activity, Safety, and Lifestyle Impact
E. Glutzer (2005)
Diabetes management: optimizing roles for nurses in insulin initiation
Bridget Levich (2011)
Physician perceptions of GLP-1 receptor agonists in the UK
L. Matza (2016)
Inhaled human insulin ((insulin human [rDNA origin]) Inhalation Powder) in diabetes mellitus
C. Mathieu (2006)
Self-Management Behavior in Patients with Type 2 Diabetes: A Cross-Sectional Survey in Western Urban China
M. Huang (2014)
„Wie sag ich’s dem Patienten?“
Susan Clever (2013)
Insulin Injection and Finger Sticking Fear in People with Diabetes
R. Pınar (2014)
Influence of a Community Health Worker Intervention on Mental Health Outcomes among Low-Income Latino and African American Adults with Type 2 Diabetes
M. Spencer (2013)
Initiation of insulin for type 2 diabetes mellitus patients: what are the issues? A qualitative study.
A. M. Tan (2011)
Primary care physician perspectives on basal insulin initiation and maintenance in patients with type 2 diabetes mellitus.
S. Kalirai (2018)
The relation between patient-centeredness and patient empowerment: a discussion on concepts.
I. Holmström (2010)
Attitudes and barriers to insulin therapy: Is there a difference between developed countries and developing countries?
Kameel Mungrue (2017)
Diabetes therapy‐focus on Asia: second‐line therapy debate: insulin/secretagogues
R. Eldor (2012)
Patient empowerment and optimal glycemic control
R. White (2012)
Esther Cimon (2014)
Inha led Human Insu l in ( Exubera ® ) :
Looking Back on 2010 : A Year Strived for A Higher Standard
Joewel Tarra (2011)
Transition to insulin in Type 2 diabetes: family physicians' misconception of patients' fears contributes to existing barriers.
S. Nakar (2007)
Translating clinical guidelines into clinical practice: role of the pharmacist in type 2 diabetes management.
Scott R. Drab (2009)
Overcoming Barriers to the Initiation of Insulin Therapy
M. Funnell (2007)
The role of psychological insulin resistance in diabetes self‐care management
Ancho Lim (2020)
Empowering patients in the hospital as a new approach to reducing the burden of health care-associated infections: The attitudes of hospital health care workers.
H. Seale (2016)
Differences in physician and patient perceptions about insulin therapy for management of type 2 diabetes: the DAWN Japan study
N. Yoshioka (2014)
See more
Semantic Scholar Logo Some data provided by SemanticScholar