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Barriers to insulin initiation and intensification and how to overcome them
Article first published online: 14 SEP 2009
DOI: 10.1111/j.1742-1241.2009.02176.x
© 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd
Issue
International Journal of Clinical Practice
Special Issue: Insulin Intensification Summit
Volume 63, Issue Supplement s164, pages 6–10, October 2009
Additional Information
How to Cite
Kunt, T. and Snoek, F. J. (2009), Barriers to insulin initiation and intensification and how to overcome them. International Journal of Clinical Practice, 63: 6–10. doi: 10.1111/j.1742-1241.2009.02176.x
Publication History
- Issue published online: 14 SEP 2009
- Article first published online: 14 SEP 2009
- Paper received July 2009, accepted August 2009
- Abstract
- Article
- References
- Cited By
Summary
Aims: To review published evidence and clinical experience of the perceived barriers to insulin initiation and intensification and to develop solutions for patient management.
Method: Literature review and workshop discussions.
Results: Many patients with diabetes fail to achieve targets for glycaemic control because of inappropriate use of insulin. Patients and health care professionals face many potential barriers to insulin initiation and intensification in primary care. These can be categorised as low motivation, lack of familiarity or experience and time constraints.
Conclusion: Solutions should be tailored to different health care settings. Strategies include improving education and training, providing prescribing aids and increasing the efficiency of collaborative working and communications.