Fine-Tuning Control: Pattern Management Versus Supplementation
View 1: Pattern Management: an Essential Component of Effective Insulin Management
- Jan Pearson, BAN, RN, CDE and
- Richard Bergenstal, MD
Abstract
In Brief
Research shows that near-normoglycemia is crucial for preventing complications and improving the health of individuals with diabetes. The majority of people with diabetes need insulin therapy. Just injecting insulin is not enough, however. Patient-centered team care is vital to success. Individuals need to build their self-management skills beginning with the foundation of pattern management and progressing to advanced insulin management. Sliding-scale, or supplemental, insulin therapy can only be fully effective with pattern management as the underlying strategy.
Footnotes
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Jan Pearson, BAN, RN, CDE, is director of education at the International Diabetes Center in Minneapolis, Minn. Richard Bergenstal, MD, is the executive director of the International Diabetes Center and a clinical associate professor in the Department of Medicine at the University of Minnesota in Minneapolis.
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Note of disclosure: Dr. Bergenstal has received clinical research grants from Roche Diagnostics, which manufactures Comfort Curve blood glucose test strips, and from Abbott Laboratories, Medisense Products, which manufactures the Precision Xtra Management System.
- American Diabetes Association
