Diabetes
Conditions
Keywords
Diabetes - insulin administration
Brief summary
This research is to determine the use of insulin pens compared to syringe and vial therapy in adults newly begun on insulin therapy during their hospital stay.
Detailed description
This research is to determine the use of insulin pens compared to syringe and vial therapy in adults newly begun on insulin therapy during their hospital stay. Patients will have no prior experience using insulin or other self-administered injectable medicine. The study will examine which method of administering insulin reduces dosing errors, causes a lower incidence of low blood sugars, increases adherence to therapy and with which method patients are more satisfied.
Interventions
Insulin pen was compared to administration of insulin using standard syringes.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult in hospital and diagnosed with diabetes; must have no prior experience using insulin or other self-administered injectable medicine. they must be able to prepare an injection and to self administer the insulin using either a pen device or syringe and vial. They must be willing to monitor their blood sugar three times per day and keep a diary of their sugar measurements and insulin doses.
Exclusion criteria
* Previously treated with injectable medicine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insulin Dosing Accuracy (in units) | Approximately one year | Whether the method of administering insulin would: 1) reduce dosing errors as measured by direct observation of patient performance, 2) reduce the risk of hypoglycemia, 3) increase adherence to insulin, 4) improve patient satisfaction.Dosing accuracy was measured by direct observation of subject's performance at follow-up visits. |
Secondary
| Measure | Time frame |
|---|---|
| Reduce the Risk of hypoglycemia (assessed by patient diary) | 3 months |
| Adherence to prescribed dose of insulin (assess patient diaries and observation of used pens/vials) | 3 months |
| Patient satisfaction with method of insulin administration measured by questionnaire. | 3 months |