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Insulin Administration in Patients with Uncontrolled Diabetes Mellitus

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T. Suksawat, P. Thongtaeng, K. Chosivasakul, and K. Panidchakul 1
1 Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health, Thailand

Background: The management of blood glucose levels in patients with uncontrolled diabetes mellitus
involves treatment plans that include both oral medications and insulin injections. In patients receiving
insulin injections, maintaining proper blood glucose control often presents challenges In Thailand, patients
often use suboptimal injection sites, timing, dosage, and insulin storage. Additionally, there are limitations
in the healthcare system’s analysis of factors related to blood glucose control in insulin-injecting
diabetes patients. These limitations lead to patient care that does not align with the patients’ specific
contexts and lifestyles. Therefore, nurse practitioners analyze the factors and causes comprehensively
using the determinants of health framework. This strategy uses evidence-based practices and nursing
innovations to establish care and insulin delivery strategies with a multidisciplinary team to improve health
outcomes.

Objective: To develop care and insulin administration strategies for diabetes patients with
uncontrolled blood glucose levels.

Methods: Conducting a comprehensive health assessment and analyze factors based on the patients’
context and lifestyle. Care and insulin administration strategies for patients with uncontrolled diabetes are
designed in collaboration with a multidisciplinary team. This design incorporates self-efficacy theory and
motivational interviewing techniques, utilizing evidence-based practices and nursing innovations.
Implementation of the care and insulin administration plan. Follow-up and evaluation of health outcomes
in the short term, intermediate term, and long term.

Results: - Short-term outcome: Patients develop correct insulin injection techniques.
- Intermediate outcome: Patients can adjust their medication and insulin injection behaviors appropriately
Poster Presentation Abstracts
according to their context and lifestyle.
- Long-term outcome (after one month): Patients maintain normal blood glucose levels, allowing for a
reduction in medication dosage by physicians.

Conclusion: In treating patients with uncontrolled diabetes mellitus, nurse practitioners must analyze
factors based on the patients’ context and lifestyle to ensure effective care and insulin administration.

Keywords: insulin administration, uncontrolled diabetes mellitus, self-efficacy theory, motivational
interviewing

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Correspondence: Pulawit Thongtaeng, Faculty of Nursing, Praboromarajchanok Institute, Ministry of
Public Health, Thailand
E-mail: pulawit.th@pi.ac.th

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