Lilley, L. L., Collins, S. R., & Snyder, J. S. (2017). Antidiabetic Drugs. In Pharmacology and the Nursing Process (8th ed., pp. 504-507). St. Louis, MO: Elsevier. Amanda Poole-Guerrero, Callie Diffie, and Derek Johnston
My pleasure Dr. White. I know that insulin glargine is indicated for the long term management of hyperglycemia in type 1 or 2 diabetes mellitus.
RN Nick, I'm prescribing insulin glargine to the patient in room 2. Can you please provide education to this patient
RN Nick: "Suzy I'm going to teach you about your new medication, insulin glargine." Suzy & Mrs. Smith: "Ok, great." RN Nick: "This is a long-acting form of insulin that you will only have to take once at the same time each day. Suzy, I have a special job for you. Can you always make sure your insulin is clear with no floating particles before using it?" Suzy: "Yes Sir!" RN Nick: "Perfect you will be the best person for this job. Also, Mrs. Smith I need you to know some medications that can interact with insulin causing increased blood glucose are corticosteroids, diuretics, estrogen, thyroid drugs, and beta-blockers." Mrs. Smith: "Oh good to know." RN Nick: "Keep in mind you cannot mix insulin glargine in the same syringe with any other form of insulin."
RN Nick: "It is always important to test Suzy's blood sugar before giving her any insulin." Mrs. Smith: "Are there any other concerns I should have?" RN Nick: "Why yes, an important adverse effect is lipodystrophy at the injection site. So, it is important to rotate the injection sites and always be aware of allergic reactions such as itching, swelling, and redness. You will need to call Dr. White if this occurs. Also, it is important to keep a quick source of sugar, like a glucose gel, with you at all times in case of low blood sugar and keep a log of Suzy's daily blood sugars. We will monitor her A1C levels in follow up visits. If insulin glargine is not effectively regulating her blood sugar we can look at adding short acting insulin as well."
RN Nick: "Before you leave Suzy, I have a special ID bracelet for you to wear at all times."