Insulin initiation in primary care for patients with type 2 diabetes : six month follow-up audit
Dale, Jeremy, 1958-, Gadsby, Roger and Shepherd, J.. (2008) Insulin initiation in primary care for patients with type 2 diabetes : six month follow-up audit. British Journal of Diabetes & Vascular Disease, Vol.8 (No.1). pp. 28-31. ISSN 1474-6514Full text not available from this repository.
Official URL: http://dx.doi.org/10.1177/14746514080080010701
To evaluate the impact of the initiation of basal insulin therapy on glycaemic control (HbA1C) and weight gain in patients with poorly controlled weight gain in patients with poorly controlled type 2 diabetes who were registered with practices that volunteered to participate in an insulin initiation training programme.
Data at baseline, three and six months post-insulin initiation were collected from log diaries and analysed, for up to 10 patients per practice for each trained healthcare professional (HCP).
Out of 132 participating HCP, 94 (71.2%) provided baseline and three-month data. In 835 patients, of these, 475 (56.9%) also had six-month data. The mean HbA1C at baseline was 9.6%, at three months post insulin initiation it was 8.6%, and at six months it was 7.9%. Out of 381 patients with data on weight change, 1.9% gained weight (mean gain of 1.5 kg over six months). HCPs reported confidence in initiating insulin. They perceived that there was a high level of acceptability to patients.
Attending an insulin initiation training programme may prepare primary HCPs to initiate insulin therapy for patients with poorly controlled type 2 diabetes.
|Item Type:||Journal Article|
|Subjects:||R Medicine > R Medicine (General)
R Medicine > RM Therapeutics. Pharmacology
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Non-insulin-dependent diabetes, Insulin -- Therapeutic use -- Evaluation, Primary care (Medicine)|
|Journal or Publication Title:||British Journal of Diabetes & Vascular Disease|
|Publisher:||Sage Publications Ltd.|
|Official Date:||January 2008|
|Page Range:||pp. 28-31|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||sanofi aventis (Firm)|
|Version or Related Resource:||See also: Dale, J., Martin, S. and Gadsby, R. (2010). Insulin initiation in primary care for patients with type 2 diabetes: 3-Year follow-up study. Primary Care Diabetes, 4(2), pp. 85-89.|
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