title: Outpatient initiation of insulin: a nurse practitioner protocol.
abstract: Noninsulin dependent diabetes (type II diabetes) is a chronic disease characterized by hyperglycemia. Clients can generally be controlled by diet and exercise or a combination of diet, exercise, and oral hypoglycemic agents. When this therapy is not effective in controlling the hyperglycemia, the health care provider must choose to initiate insulin therapy. Outpatient initiation of insulin is an alternative to hospitalization in the type II diabetic client. Clinical guidelines for the initiation of insulin on an outpatient basis and management of the diabetic client are presented.
authors.forename: R S
authors.initials: RS
authors.lastname: Howe
authors.forename: C
authors.initials: C
authors.lastname: Christman
mesh_terms: D000553:Ambulatory Care / Q000592:standards*; D015190:Blood Glucose Self-Monitoring; D002985:Clinical Protocols / Q000592:standards*; D003663:Decision Trees; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy* / Q000451:nursing; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners
chemical_list: D007328:Insulin