Why sugars are not under control even with regular insulin doses- Its a common problem that despite taking heavy dose of insulin, some patient will have uncontrolled sugars.Here asking about the technique of insulin will be very helpful instead of blindly further increasing the dose of insulin.This hardly takes 2 minutes even in a busy OPD. To save time doctors can have ready made instruction sheets to be given to the patients.This will help in adequate management of diabetes.I see almost every third patient on previously insulin therapy, using it in an improper way.Though patient will say- doctor I am chronic patient of diabetes,I know very well how to take insulin shots.Here comes the importance of counseling.And insulin doses can be decreased.It will not take time before patient says to his friend circle that this particular doctor has brought down my insulin units!