Do you have clients with T2D who are achieving less than optimal blood glucose control? Are they complaining of symptoms of hyperglycaemia but don’t take their OHA regularly? Or perhaps those pills just don’t seem to work anymore. Have you been reluctant to prescribe insulin because you don’t feel your clients will take it or you are not sure where to start and what to do to help them? For further information about prescribing insulin for your type 2 clients click here.
We can help. Our team of specialized and Certified Diabetes Educator nurses (RNs) & dietitians (RDs) are able to start your clients on insulin. We provide the education, encouragement and confidence they need to improve not only their glycemic control but those metabolic parameters as well, such as LDL, Total chol/ HDL ratio, BP.
Our insulin initiation program supports family doctors and specialists such as endocrinologists by offering your clients (and their “significant other”) several individual appointments as well as a 3 month follow up appointment to ensure they are on track.
All we need from you is a completed referral form. The client will be contacted by our team and the nurse or dietitian will inform you when the client will be seen. The RN or RD may make suggestions or recommendations which require your input when client preference or lifestyle or ability indicates some challenge. We will send you a complete report at the end of the service.
Who qualifies for insulin initiation services?
We provide services to adults (18 years and older) with Type 2 Diabetes (T2D) .
They must be a resident of Ottawa or have a family doctor or specialist practicing in the Ottawa (Champlain LHIN).
We do not provide on going insulin management for your client, but will work in partnership with you to assess the effectiveness of the insulin regime and make adjustments as necessary.
Where to Start?
Complete the appropriate referral form and email or fax back. Click here to access the CDEPO referral form .
If you are unsure about which insulin to use, what dose to start at, how to titrate or whether to discontinue the OHA, click on this link and please refer to the Appendix 3 (p. S197 & S198) of the Canadian Diabetes Association Clinical Practice Guideline.
How soon can your patient be seen?
We are able to see clients for their first appointment within two - three weeks from receipt of the referral, depending on the client’s availability. If we are not able to contact the client then a fax will be sent to you informing you of this difficulty.
Clients requiring insulin immediately should be sent to the ER.
Please see the section physician resources for further Articles on medical management of T2D