Starting Insulin with Type 2 Diabetes
You have been directed to this page because you are likely to start injecting insulin as part of your type 2 diabetes treatment.
Please use the information on this page to help your understanding and ensure your insulin journey is as safe as possible.
Testing your blood sugars
Monitor and record blood glucose (sugar) levels before and during insulin initiation as advised by your clinician. This helps us to alter the insulin dose(s) safely for you. The number tells us how much glucose is circulating in your blood at certain points of the day.
There are a variety of blood glucose testing meters available with varying functions and buttons. The meters provided are either GlucoRx or FineTest. Extra testing strips, lancet devices and sharps boxes will be added to your repeat medication list and can be ordered in the usual way. See our Prescriptions page for more information.
Unless advised otherwise you need to test your blood sugars four times a day. Document results clearly in the diary provided for review during your appointments.
Please test four times a day, before mealtimes (breakfast, lunch and dinner) and bedtime. Record results in the blood glucose diary provided.
|Date 01/04/2023||Before Breakfast 9.5||Before lunch 12.8||Before Dinner 14||Before Bed 7.0|
|Date 02/04/2023||Before Breakfast 10.1||Before lunch 11||Before Dinner 7.8||Before Bed 11.1|
Driving and diabetes
It is your responsibility to inform the DVLA if you are taking or injecting certain diabetes medications. Group 1 and Group 2 licenses have different rules so it is important to check with the DVLA. You can be fined up to £1000 for not informing the DVLA about a medical condition that may affect your ability to drive.
You must inform the DVLA before you commence insulin treatment.
You will be provided with an information leaflet at your initial insulin initiation appointment.
You can use the link below to assess and report your condition online.
More information is available here:
Insulin Initiation Checklist
You have been provided with leaflets or guidance for
- Diabetes & driving
- How to manage a hypoglycaemic episode
- Managing your diabetes and insulin when you are unwell
- Safe injection technique
You have collected the following from the pharmacy or surgery
- Blood glucose meter
- Blood glucose testing strips
- Blood glucose lancets (single use)
- Sharps disposal box
- Your insulin device(s) - either a box of pens or cartridges with a multi-use pen
- Box of insulin needles
Store the insulin in your fridge after collecting from the pharmacy.
You have been given an insulin alert card, with information about the type of insulin you take
You have access to rapid acting glucose to treat a hypoglycaemic (hypo) episode, this can include
- five large jelly babies
- five glucose or dextrose tablets
- a small glass of a sugary (non-diet) drink
- a small carton of pure fruit juice
- two tubes of a glucose gel such as GlucoGel®
On the day of your insulin initiation appointment
Bring ONE pen or cartridge and multi use pen to the appointment with 1 or 2 insulin needles, leave the other pens in your fridge
- Bring your blood glucose diary with you for review
- Bring a friend or family member for support if you wish
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