Identifying, Addressing Insulin Use Challenges in the Pharmacy

Pharmacists are in a unique position to support patients using insulin by identifying common challenges and offering timely guidance. One important area to watch is dosing. If a patient has been on the same low dose for months without any changes, it could be a sign that their treatment isn’t being adjusted properly. Pharmacists can encourage conversations with healthcare providers or reinforce follow-up plans to ensure progress is being made.

Storage and expiration are also key concerns. Insulin needs to be stored correctly to remain effective, usually in the refrigerator until opened, and then at room temperature with clear guidelines on when to discard it. If patients are picking up insulin less often than expected, it may indicate improper use or expired product.

Each refill presents a valuable moment to check in. Simple questions like “How is the insulin working for you?” or “Have you noticed any low blood sugar symptoms?” can reveal whether the medication is being used correctly and effectively. Education on recognizing and responding to low blood sugar is also essential. Through routine engagement, pharmacists can help patients feel more confident and informed in their insulin use—leading to better outcomes and fewer complications.

Drug Topics® recently sat down with Susan Cornell, PharmD, CDCES, FAPhA, FADCES, experiential education specialist and professor emeritus at Midwestern University, to discuss red flags should pharmacists watch for that might indicate a patient’s insulin regimen needs adjustment or follow-up with their provider, and how pharmacists should assess and address whether a patient is experiencing hypoglycemia or hyperglycemia related to their insulin use.

READ MORE: Insulin Management Resource Center

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