A Patient-Driven Approach to Manage Mealtime Insulin Titration: Tools From the AUTONOMY Study. (June 2016)

• Record Type: Journal Article
• Authors: Camacho, Allison; Johnson, Jennal; Bonner, Jeffrey S.; Glass, Leonard C.
• Is Part Of: Diabetes educator. Volume 42:Number 3(2016:Jun.)
• Page Start: 271
• Page End: 280
• Publication Date: 2016-06
• Subjects: Diabetes -- Study and teaching -- Periodicals; 616.462005
• DOI: 10.1177/0145721716642297
• Languages: English
• ISSNs: 0145-7217

Abstract

Purpose: Patient-centric methods to support diabetes management are important to overcome barriers associated with initiating mealtime insulin. This article describes the subject-driven titration tools implemented in the AUTONOMY trial to initiate and adjust mealtime insulin dose and the methods used to apply these tools in clinical practice. Conclusions: The methods used to initiate and escalate mealtime insulin in the AUTONOMY trial proved to be safe and effective, and the patient-friendly guide to self-adjusting mealtime insulin dose may mitigate the complexities associated with treatment intensification while empowering patients to reach their glycemic goals.