Table 4 Examples of documentation of reasons for insulin discontinuation^a

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.