The Insulin Dose Adjustment Guidelines (2020) provides diabetes educators (nurses and dietitians) with procedures, and guidelines to assist them in reaching and maintaining an expected level of competence in performing insulin dose adjustment.

Adjustment of insulin doses is performed under a Care Directive (CD) (or Delegated Function at IWK) by a diabetes educator (nurse or dietitian) who is certified in insulin dose adjustment. 

Diabetes educators will be required to complete a certification process as evidence of their competency to adjust insulin doses (see Criteria for Certification on page 3). 

Certification may be granted for diabetes educators to provide adult and specialty insulin dose adjustments. 

A medical advisor or designate can request an Insulin Dose Adjustment exam by making a written request to info@dcpns.nshealth.ca.

Insulin dose adjustments will be made according to guidelines outlined in the most recent DCPNS Insulin Dose Adjustment Guidelines.