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Insulin initiation in primary care for patients with type 2 diabetes : six month follow-up audit

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Dale, Jeremy, 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 1474-6514

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Official URL: http://dx.doi.org/10.1177/14746514080080010701

Abstract

Aim:
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.
Methods:
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).
Results:
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.
Conclusion:
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.

ISSN:

1474-6514

Official Date:

January 2008

Dates:

Date	Event
January 2008	Published

Volume:

Vol.8

Number:

No.1

Page Range:

pp. 28-31

Identifier:

10.1177/14746514080080010701

Status:

Peer Reviewed

Publication Status:

Published

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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