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Title: Clinical inertia to insulin initiation and intensification in the UK: A focused literature review
Authors: Khunti, Kamlesh
Millar-Jones, David
First Published: 7-Oct-2016
Publisher: Elsevier for Primary Care Diabetes Europe
Citation: Primary Care Diabetes, 2017, 11 (1), pp. 3-12
Abstract: Achieving tight glycaemic control early following the diagnosis of type 2 diabetes is key to optimising clinical outcomes, yet many patients and clinicians are reluctant to initiate and intensify insulin therapy. Reasons for this arise primarily from a lack of time, clinical expertise and patient understanding. However, meaningful progress can be achieved with self-management educational programmes soon after diagnosis. Clinician education and training, along with easy-to-use and well-tolerated therapies (for example, those carrying a low risk of hypoglycaemia and/or avoiding weight gain), may also increase the likelihood of patient adherence.
DOI Link: 10.1016/j.pcd.2016.09.003
eISSN: 1751-9918
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © the authors, 2016. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License (, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Appears in Collections:Published Articles, Dept. of Health Sciences

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