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Prim Care Diabetes. 2017 Feb;11(1):3-12. doi: 10.1016/j.pcd.2016.09.003. Epub 2016 Oct 7.

Clinical inertia to insulin initiation and intensification in the UK: A focused literature review.

Author information

1
Leicester Diabetes Centre, University of Leicester, UK. Electronic address: kk22@leicester.ac.uk.
2
Royal Gwent Hospital and Oak Street Surgery, Cwmbran, UK.

Abstract

Achieving tight glycaemic control early following the diagnosis of type 2 diabetes is key to optimising clinical outcomes, yet many patients and clinicians are reluctant to initiate and intensify insulin therapy. Reasons for this arise primarily from a lack of time, clinical expertise and patient understanding. However, meaningful progress can be achieved with self-management educational programmes soon after diagnosis. Clinician education and training, along with easy-to-use and well-tolerated therapies (for example, those carrying a low risk of hypoglycaemia and/or avoiding weight gain), may also increase the likelihood of patient adherence.

KEYWORDS:

Clinical inertia; Insulin intensification; Type 2 diabetes guidelines

PMID:
27727005
DOI:
10.1016/j.pcd.2016.09.003
[Indexed for MEDLINE]
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