Tips for overcoming barriers to insulin therapy
Insulin plays an important role in managing diabetes. However, to get the full benefits of insulin therapy you need to take it exactly as prescribed by your healthcare provider. Often people find it hard to take their medication as prescribed. There are many reasons why this happens, and the specific reasons vary from person to person. If you can discover what makes it harder for you to take your insulin as prescribed, you can find ways to overcome these barriers.
Some general tips
Know your medicines. Be sure you have all of the information you need to take your medicines properly. Here is a list of information to know about every medication you take:
- The name of the medication
- The amount (dose) prescribed
- When to take the medication
- Whether it is taken before, with, or after eating
- How to store the medication
- What the medication does for you
- How to tell if the medication is working as expected
- What to do if you have a side effect
- What to do if you miss a dose
Solve problems together with your diabetes-care team. Sometimes the biggest barrier to getting the full benefit of your medication is poor communication. Your healthcare providers want to know if you are having problems taking your insulin.
Separate fact from fiction. “Common knowledge” is often partly or totally incorrect. For some reason, there seems to be more “common knowledge” about health than almost anything other subject! Some people’s views about insulin and other diabetes medications are based on information that is out of date or simply incorrect. Be sure to check out any information you hear from other sources with your diabetes care team.
Overcoming specific barriers
The chart that follows lists some of the barriers you might need to overcome when making insulin part of your diabetes care plan. Also listed are some suggested tips to help you overcome these barriers.
| Possible Barriers | Suggested Solutions |
|---|---|
Injecting insulin hurts. |
You will most likely be surprised to find out that the shorter,
finer needles in prefilled disposable insulin pens make insulin injections more comfortable. Ask your healthcare provider if a
prefilled disposable insulin pen might be right for you. |
Taking insulin is too inconvenient and difficult |
Prefilled disposable insulin pens offer simple, adjustable dosing in an easy-to-carry, discrete pen-like delivery system. Talk to your healthcare provider about whether an insulin pen might be right for you or visit insulindevice.com to see an online demo of insulin pens from Novo Nordisk. |
I have a hard time remembering to take my insulin. |
If you take a
long-acting insulin at bedtime, it can help to associate taking your insulin with something you already do at bedtime. Many people find that keeping their insulin with their toothbrush is a helpful reminder.
|
Taking insulin makes me feel like I have failed to manage my diabetes. |
It is important to realize that type 2 diabetes is a progressive disease. Most people who have type 2 diabetes – even if they follow their diabetes care plan closely – will eventually need to advance to insulin therapy. When this happens, don’t assume the change has occurred because you did something wrong.
|
I’m afraid of the side effects of insulin. |
People who have had diabetes for a while and have not effectively managed their blood glucose are at a greater risk for serious health conditions such as heart disease, kidney disease, and amputations. Sometimes people relate starting insulin to these health conditions when in reality it was the long-term uncontrolled blood glucose levels the probably lead to these problems, not starting insulin. Keeping your blood glucose levels as close to normal as possible can help to reduce your risk of developing complications of diabetes.
When you take insulin according to your diabetes-care plan, it is a safe and effective way of treating your diabetes.
|
Insulin costs too much. |
Novo Nordisk prefilled disposable insulin pens are covered by many managed care plans. For reimbursement assistance for Novo Nordisk products, please call 1-877-NOVO-777 (1-877-668-6777). |
I am confused about how and when to take my insulin. |
Be sure to get written instructions on when, how much, and how to take your insulin. |
I don’t believe I really need to take insulin for my diabetes. |
Sometimes these feelings of doubt are of away of coping with the news that you need to take insulin. Talk with your healthcare provider about why you need to advance to insulin therapy, and what to expect from taking insulin. |
Taking insulin means I have to give up activities I enjoy. |
In most cases, you can continue to take part in any of the activities you enjoyed before you started insulin therapy. You just may need to monitor your blood glucose more frequently and add some snacks to make sure your blood glucose stays as close to normal as possible. Talk to your healthcare provider about how to accommodate specific activities. |
I feel embarrassed to take insulin. |
As of 2007, nearly 15 million people in the United States had been diagnosed with diabetes, and about 28% take insulin.
|
Insulin options are constantly changing and expanding. The best insulin choice for you will be one that manages your blood glucose, while also meeting your lifestyle needs. You and your healthcare provider will work together to devise an insulin plan that will work for you.
Sources: Hayes RP, Bowman L, et. al. Understanding diabetes medications form the perspective of patients with type 2 diabetes. Prerequisite to medication concordance. The Diabetes Educator 2006;32(3):404-414.
Illustrated Guide to Insulin Therapy. Novo Nordisk.

