Fine tuning insulin therapy settings for insulin delivery devices: Getting it right for Traditional device delivery leading to advanced diabetes devices

Jennifer Okemah

Abstract

Regardless of the insulin delivery device or type of diabetes, determining and fine-tuning of insulin therapy settings (insulin to carbohydrate ratio, insulin sensitivity factor, duration of insulin action, target glucose) is critical to achieving glycaemic targets safely. New smart insulin pens and smart insulin pumps offer a golden opportunity for the diabetes care and education specialist to lead in configuring these tools for the patient’s individual needs. The main aim is to learn how to determine initial insulin therapy settings based on evidence, learn how to collaboratively use the data with the patient on-going to fine-tune the therapy settings to optimize the insulin regimen in a timely manner, explore the possibility of providing virtual care for insulin therapy patients through the use of remote patient monitoring codes.