Doctor Discussion Guide

This Doctor Discussion Guide is a tool that you can customize, print from home, and take with you to your next doctor visit. It will provide you and your doctor with some possible discussion points about your insulin treatment.

To customize your Doctor Discussion Guide, check any statement or question you would like to discuss with your doctor or treatment team. You can choose as many or as few as you want. If you have any additional questions or concerns, you can type them into the text box.

My Talking Points

Check off the talking point that you would like to discuss.View All [+]

My current insulin treatment

I am taking a long-acting insulin but not a mealtime insulin
I am taking both a long-acting insulin and a mealtime
I often eat at restaurants and worry about when to take my insulin
I have trouble finding a consistent time to take my insulin from day to day
I am using an insulin pump or considering insulin pump therapy

Is basal-bolus therapy (or intensive insulin therapy) right for me?

Would intensive insulin therapy give me more freedom in my daily schedule?
Would intensive insulin therapy help me to better manage my blood sugar?
Would intensive insulin therapy help me reduce my risk for diabetes complications?
How often would I have to inject insulin with intensive insulin therapy?
How would my meals and activity affect my insulin dose with intensive insulin therapy?
How often would I have to check my blood sugar with intensive insulin therapy?
How often would I have to adjust my insulin dose with intensive insulin therapy?
Would I have to inject insulin and check my blood sugar while away from home with
     intensive insulin therapy?

Additional questions

My Discussion Guide

My current insulin treatment

Is basal-bolus therapy (or intensive insulin therapy)
right for me?

Additional questions