Recently, when working with a person with diabetes taking insulin, he and I discovered that the reason his glucose was not lowering with insulin therapy is he removed the first but not the second cap on the insulin pen needle. You might be tempted to think, “really, are you serious?” Yes, I am serious. The underlying reason for this happening is he was not taught how to use the insulin pen when he first began taking insulin. I reassured him that he was not the first nor the last for this happen, and to not feel bad as he simply did not know. Guidance on how to use insulin pens is key prior to the first dose.
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