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Table 4 Examples of documentation of reasons for insulin discontinuationa

From: Reasons for discontinuing insulin and factors associated with insulin discontinuation in patients with type 2 diabetes mellitus: a real-world evidence study

Reason Category Example
Blood glucose control Off her insulin. Her BG is wnl as of late.
She also stopped taking insulin because her glucose levels have been ranging 90–110.
BS 80s–130s off insulin.
Weight loss I discussed that he may not need any insulin at all and this is likely due to his significant weight loss.
He has continued to work on his diet and keep himself active, has lost 30 pounds since last year, come off of insulin in past couple of weeks per PCP.
He has been losing weight. He has not been able to eat properly. His blood sugars have dropped and he is having hypoglycemic reactions.
Non-insulin diabetes medication started Pt. would like to switch to oral meds. Discussed. Dr. will D/C insulin.
I will replace her mealtime Humalog with Victoza.
Glucotrol XL 2.5 mg qd was started, replacing insulin injections which he previously used
Hypoglycemia He has been losing weight. He has not been able to eat properly. His blood sugars have dropped and he is having hypoglycemic reactions.
Insulin stopped due to hypoglycemia.
Financial She states she has not been taking any insulin as she could not afford it.
Diet He has continued to work on his diet and keep himself active, has lost 30 pounds since last year, come off of insulin in past couple of weeks per PCP.
Decreased food intake He has been losing weight. He has not been able to eat properly. His blood sugars have dropped and he is having hypoglycemic reactions.
Patient preference Not currently on insulin and she really dislikes giving herself the shots.
Bariatric procedure F/u s/p gastric bypass surgery. Her Lantus was stopped after the surgery.
  1. aReason categories that constituted > 1% of all insulin discontinuation reasons were included