Table 2 Preparing the Patient for Insulin Therapy

• Discuss insulin at time of diagnosis of diabetes

• Dispel myths about insulin

• Maintain a positive attitude [8]

   - Assure the patient that the need for insulin does not represent a personal failure on his or her part

   - Express confidence in the patient's ability to master self-injection techniques and to maintain appropriate schedules

• Discuss treatment goals with patient [8,43]

   - Explain the rationale for adding insulin to the treatment regimen and the health benefits associated with improved glycemic control

   - Allay patient fears about possible negative health consequences associated with insulin therapy

   - Assure the patient that the need for insulin does not mean his or her diabetes has worsened to a point where it cannot be managed successfully

• Discuss the patient's day-to-day routine and habits [8]

   - Identify how food, exercise, and lifestyle choices may influence therapy and treatment goals

   - Assure the patient that he or she can continue to take part in favorite activities, including eating in restaurants and travel