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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. doi:10.1177/14746514080080010701
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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 | ||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RM Therapeutics. Pharmacology |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| 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: |
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| Volume: | Vol.8 | ||||
| Number: | No.1 | ||||
| Page Range: | pp. 28-31 | ||||
| DOI: | 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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