i 3.30 Hours

Course Overview

In the past, patients with diabetes typically received one or two daily fixed insulin in doses that only physicians understood and adjusted. Current practice, though, has transitioned to helping patients proactively replicate the pancreas’ role in blood glucose control. This knowledge empowers the person with diabetes to become an active participant in insulin management based on their existing lifestyle and preferences. Healthcare providers are now increasingly involved in teaching patients to control diabetes through skillful insulin management. To do so, you must understand the principles of insulin therapy and dosage adjustment. The more you know and share with your patients, the better control your patients will have over their diabetes. The goal of this course is to educate nurses and dietitians about the principles of insulin therapy and dosage adjustment.

About the Course Author

Julie Stefanski, MEd, RDN, CSSD, LDN, CDCES, FAND is a SME Writer focused on topics related to food, nutrition & dietetics for Relias. She is a registered dietitian nutritionist and has been a certified diabetes educator since 2003. Ms. Stefanski earned a Bachelor of Science degree in Dietetics and a master's degree in Adult Education with a special focus on distance learning. She was an adjunct instructor in the Stabler Department of Nursing at York College of Pennsylvania for 13 years. Stefanski is the owner of Stefanski Nutrition Services where she specializes in pediatric nutrition, diabetes, gastrointestinal issues and sports nutrition. Stefanski serves as national media spokesperson for the Academy of Nutrition & Dietetics.

Julie Stefanski, MEd, RDN, CSSD, LDN, CDCES, FAND has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Cassandra earned her Bachelor of Science Degree in Nursing from Winston-Salem State University. She has worked as a registered nurse for more than 20 years and has clinical experience, specializing in Nephrology Research, Critical Care with Cardiothoracic Surgery and Trauma, Med/Surg, Community Health Outreach, and Education. Cassandra Shine RN, BSN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

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Accreditation Information

Certificates provided by accrediting body (2 Match)

  • Florida Council of Dietetics and Nutrition


    Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 3.3 contact hours.
  • Accreditation Council for Continuing Medical Education


    In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Relias LLC designates this enduring activity for a maximum of 3.3 AMA PRA category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Course Details
  • Course Code:

  • Hours:

  • Type:

    Online Course
  • Release Date:

  • Expiration Date:

  • Learning Objectives:

    Compare the different types of insulins.; Describe the treatment recommendations for the initiation and titration of insulin.; Discuss the components of retrospective and prospective approaches for adjusting insulin.; Discuss the fundamental principles of insulin and blood glucose levels.
  • Outline:

    Section 1: Introduction
    About This Course
    Learning Objectives
    Section 2: Fundamentals of Insulin and Blood Glucose Levels
    How Insulin Works
    The Phases of Insulin Release
    Glucose Control
    Intensive Glycemic Control
    Differences in Insulin
    Insulin Variables
    Human Insulin vs Insulin Analogs
    Injection Technique
    Section 3: Insulin Types
    Rapid-Acting Analog
    Types of Rapid-Acting Insulin
    Short-Acting and Intermediate-Acting Human Insulin
    Premixed Insulins
    Long-Acting Analogs
    Insulin Glargine
    Insulin Detemir
    Insulin Degludec
    Concentrated Insulin
    Section 4: Treatment Recommendations
    Goals for Treatment
    Insulin Therapy
    Insulin Initiation
    Bolus and Basal Insulin: Keeping It Balanced
    Intensifying the Regimen
    NPH Regimens
    Insulin Pumps
    Disposable Insulin Delivery Device
    Hypoglycemia Management
    Section 5: Retrospective and Prospective Approaches to Insulin Adjustment
    Assessment of Knowledge and Skills
    General Guidelines
    Insulin Algorithms
    Retrospective Approach
    Prospective Approach
    Basic Dose
    Compensatory Dose
    Use Caution
    Anticipatory Dose
    Anticipatory Dose for Food
    Anticipatory Dose for Activity
    Meet Sara
    Meet Randy
    Section 6: Clinical Vignette
    Meet Jake
    Section 7: Conclusion
    Course Contributors
  • Target Audience:

    The target audience for this course is: Level III level Dietitians; Nurses; Physicians; in the following settings: Acute Care Facility.
  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.