Open AccessExpert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region
Author(s) -
Hassanein Mohammed,
Al Dahi Walid,
Radhi Husain Taha,
AIMahfouz Abdulraouf,
Al Kaabi Juma,
Alshammari Abdulmuhsen,
Alfutaisi Abdullah,
AlMalki Mussa H.,
Malik Rayaz
Publication year - 2022
Publication title -
dubai diabetes and endocrinology journal
Language(s) - English
Resource type - Journals
eISSN - 2673-1738
pISSN - 2673-1797
DOI - 10.1159/000521437
Subject(s) - review article
The type 2 diabetes mellitus (T2DM) management represents a major challenge in the Gulf region. Hyperglycemia is a major risk factor for microvascular and macrovascular complications and increased mortality. Early dietary and lifestyle changes alongside a step-wise targeted pharmacological approach to achieve a glycated hemoglobin (HbA1c) level of <7% are recommended to limit these complications. However, achievement of this HbA1c target remains a major challenge, especially in the Gulf region. Both physician and patient-led barriers limit timely initiation and titration of insulin. An expert-group advisory committee reviewed the current guideline recommendations, strategized best practice, and curated clinical practical advices to enable primary-care physicians to optimally initiate and titrate insulin in patients with T2DM.