Thread Rating:
  • 2 Vote(s) - 2.5 Average
  • 1
  • 2
  • 3
  • 4
  • 5
Fear of Injection
#1

Dear members,
Hi

One of my female patient with an HbA1c of 9.5% and has received metformin plus SU for the last 2 years. During a discussion of therapeutic options, the patient expresses anxiety about using injectable therapy, but her target HbA1c goal has not been attained with any of the multiple oral regimens she has tried.Once the patient actually experiences an injection in the office, she is much less apprehensive. The idea of a once-weekly GLP-1RA appeals to her more than daily basal insulin.

 
What is your suggestion? How would you treat this patient?Tq in advance
Reply
#2
In this case, it was important to help the patient overcome her fear of injections because adding a third oral agent had not been successful. Although it can sometimes be a challenge, there is value in determining the reasons why patients are anxious about injectable therapy and if there are any potential trade-offs that would make it more attractive (eg, weight loss or the need for only once-weekly administration). An injection trial, even with saline, in the office can sometimes help patients overcome their fear and become more willing to try injectable therapies. Where insulin is required, a strategy to assist patients in overcoming their fear of injections is to start with very low-dose basal insulin. Many patients can accept basal insulin but fear multiple mealtime injections. In such cases, taking a stepwise approach may be helpful, such as starting with just evening mealtime insulin.
I hope it helps you.
god luck 
Reply
#3
Wool Checked Long Skirted Coat ( 92.54 $)
[Image: Wool_Checked_Long_Skirted_Coatn2.jpg]
Wool Checked Long Skirted Coat ...
Clothes Type: Wool & Blends
Material: Cashmere,Cotton Blend,Wool
Type: Skirted
Clothing Length: X-Long
Sleeve Length: Full
Collar: Lapel
Closure Type: Single Breasted
Pattern Type: Plaid
Embellishment: Vintage

[Image: 2hs46dw.png]


READ MORE
New Fashion Yellow Purple Black Animal Cute Fox Stud Earrings For Women Jewelry Gifts 0418 ( 1.74 $)
CP-GP264 Mini Plastic Foldable Folding Tripod Stand $3.30
Unisex Autumn Fashion Beanies Knit Beani Hat Winter Hat Men Women Solid Color Elastic Hip-Hop Cap Two Styles ( 3.47 $)
TOCHIC Tempered Glass Screen Protector Film for XIAOMI REDMI Note 3 $2.79
Narciso Lizard Embossed Leather Satchel bag ( 156.50 $)
Skone 5048 Shell Face Female Quartz Watch Heart - shaped Pattern Wristwatch ( 6.36 $)
2 Meter 6 Feet Ruggedized Fabric Braided USB Male to Micro USB Male Data Sync Charging Cable for Samsung HTC Nokia Huawei ( 1.49 $)
5 Meters 72W 300 SMD 5050 LEDs RGB Ribbon Light IP65 Water Resistant DIY Strip Lamp Kit - 12V 5A ( 19.34 $)
Brazilian Virgin Hair Body Wave 6''-28'' Mink Brazilian Body Wave 3 Bundles Ombre Brazilian Hair Weave Bundles Remy Human Hair ( 45.00 $)
Sabina Silver Tone Stainless Steel Womens Watch ( 136.50 $)
28 Colors Drop Shipping New 2016 Fashion Knitted Neon Women Beanie Girls Autumn Casual Cap Women's Warm Winter Hats Unisex ( 2.20 $)
Hot Car Ornaments Durable Digital LCD Display Car Electronic Clock 2016 New 3 in1 Car Automotive Thermometer Clock Calendar ( 6.58 $)
Iconic Stainless Steel wBlack Enamel Charm ( 99.00 $)
New Arrive 100cm Seraph of the end Krul Tepes pink long straight synthetic cos wig ( 19.88 $)
OUKITEL C3 8GB 3G WCDMA Phone 3D Diamond Cover 5.0''Android 6.0 MT6580 Quad Core 1.3GHz RAM 1GB 1280720 Smartphone 5 Colors ( 64.69 $)



[Image: 104.jpg]
Reply
#4
Ourtime X01S 3G Smartwatch Phone ( 93.30 $)
[Image: Ourtime_X01S_3G_Smartwatch_Phone9O.jpg]
Ourtime X01S 3G Smartwatch Phone ...
[Image: 2hs46dw.png]


READ MORE
Big Sale !Faux Rabbit Fur Ball Keychain for Bag Plush Car Key Ring Car Key Pendant Amzing ( 0.99 $)
Acoustic Electric Guitar String Action Ruler Gauge Steel Luthier Tool Setup in / mm for Guitar Bass $3.78
2016 NEW Gradient Points Sun Glasses Tom High Fashion Designer Brands For Women Sunglasses Cateyes oculos feminino de sol ( 8.12 $)
Black White Crystal Cufflinks ( 61.60 $)
1pcs Nail IBD Gel UV Builder Nail Art Pink Clear White Beauty Salon 2oz 56g Strong false tips extension polish 3 color option ( 4.98 $)
Classica Collection - Black Calfskin Card Holder ( 70.00 $)
ROCK Metal MFI certified Lightning to USB Cable For iPhone 5 SE 6 6s plus iPad Nylon Braid Fibre fast charging iPhone Cable USB ( 11.52 $)
1 PC Antique Bronze Plated Color Changing Mood Rings Changing Color Temperature Emotion Feeling Rings Set For WomenMen MJ-RG002 ( 4.41 $)
34 Sleeve Belted Dress ( 51.20 $)
Cheap brazilian straight virgin hair 4 bundles mink brazilian hair weave bundles brazilian virgin hair straight 8a straight hair ( 48.00 $)
4 Categories Cherry Seed Balcony Garden Fruit Bonsai Potted Plant Seed Green Bonsai Cherry Fruits Seed 15Pcsbag ( 0.96 $)
New 2016 women backpack waterproof nylon 10 colors lady women's backpacks female casual travel bag bags mochila feminina ( 28.00 $)
CARNIVAL 8558L Women Quartz Watch ( 61.10 $)
Simple alligator crocodile leather mini women crossbody bags small women bag messenger shoulder sling purse lady handbag ( 29.88 $)
Black Cubic Zirconia Sterling Silver Ring ( 135.00 $)



[Image: 5.jpg]
Reply


Forum Jump:


Users browsing this thread: 1 Guest(s)