Transforming Chronic Disease Management: Nurse-Run, Insulin Titration by Telephone

Patients and providers often express frustration with the traditional approach to chronic disease management that utilizes infrequent, provider-driven 20-minute visits. This session discusses the development of a nurse-run insulin titration by telephone program that resulted in better patient support, elimination of barriers to clinic visits, and stronger focus on medical needs.

Learning Objectives:

• Define the steps of nursing algorithm for titration process.
• Describe characteristics of patients who are appropriate for titration program.
• Identify limitations of titration program.
• Explain the purpose for starting the insulin titration program.