Abstract
This review provides information to equip diabetes educators to instruct and guide patients in using U-500 human regular insulin (U-500R). The article includes an overview of U-500R pharmacology and clinical data, strategies for outpatient and inpatient use, and tools for patient education. U-500R is useful for treating patients with any type of diabetes who require high doses of insulin. U-500R alleviates the volume-related problems associated with high doses of U-100 insulin, making treatment with high doses of insulin more feasible (because of the need for fewer injections for patients) as well as more cost-efficient and potentially more effective. These tools can help diabetes educators feel more comfortable and confident as they advise and educate patients who receive high-dose U-500R as part of their overall diabetes care plan. The diabetes educator plays a vital role in helping patients use U-500R safely and successfully.
MeSH terms
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Blood Glucose / metabolism
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Diabetes Mellitus, Type 1 / blood
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Diabetes Mellitus, Type 1 / drug therapy*
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Diabetes Mellitus, Type 1 / psychology
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Diabetes Mellitus, Type 2 / blood
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Diabetes Mellitus, Type 2 / drug therapy*
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Diabetes Mellitus, Type 2 / psychology
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Directive Counseling
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Dose-Response Relationship, Drug
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Drug Administration Schedule
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Glycated Hemoglobin A / metabolism
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Humans
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Hypoglycemic Agents / administration & dosage*
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Hypoglycemic Agents / pharmacokinetics
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Hypoglycemic Agents / pharmacology
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Injections, Subcutaneous / methods*
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Insulin / administration & dosage
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Insulin, Regular, Human / administration & dosage*
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Insulin, Regular, Human / pharmacokinetics
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Insulin, Regular, Human / pharmacology
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Patient Education as Topic
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Patient Satisfaction
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Risk Factors
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Self Care / methods*
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Syringes / statistics & numerical data*
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Treatment Outcome
Substances
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Blood Glucose
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Glycated Hemoglobin A
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Hypoglycemic Agents
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Insulin
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Insulin, Regular, Human
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hemoglobin A1c protein, human