Searching for the answer to this counselling pearl has proven to be difficult in the past. Why not therefore share it with you!
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1. Counselling Conundrum: a real question from a patient
2. Concise Conclusion: a straight-forward patient-friendly answer
3. Quick Wrap-up
Clearly, there are nuances that may not be captured in this format. The goal here is to provide you with helpful counselling tips which often draw from multiple sources or those which are not commonly accessed by busy healthcare providers serving the community.
Counselling Conundrum: "My Doctor told me to adjust my Tresiba based on my morning sugars, but they didn't tell me how often. Should I change it every day if my sugar is too high?"
Concise Conclusion: Because Tresiba lasts about 42 hours in your system, adjust your dose only every three or four days. If you adjust every day, the insulin will not have had time to fully lower your blood sugars prior to you making a decision about further adjustments, which may lead to unnecessary and excess insulin used.
Quick Wrap-up: The same is true for glargine U-300 (Toujeo). Keep these two insulins in your back pocket if hypoglycemia is a problem for your patients on NPH or glargine U-100, as they are longer-acting. Insulin titration can be complicated for patients, so ensure they know what to do.
Dive Deeper
We hope you have found this useful. A reply to this email with any feedback or topic suggestion you may have would be greatly appreciated. Your input will be the key to making this newsletter the best it can be.
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