Open AccessBarriers to insulin initiation and intensification and how to overcome them
Author(s) -
Kunt T.,
Snoek F. J.
Publication year - 2009
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/j.1742-1241.2009.02176.x
Subject(s) - medicine , insulin , health professionals , primary care , health care , nursing , face (sociological concept) , diabetes mellitus , control (management) , intensive care medicine , medical education , family medicine , endocrinology , economic growth , social science , management , sociology , economics
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.