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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 ISSN 1474-6514.

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

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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 Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > 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:
DateEvent
January 2008Published
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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