Primary Care Diabetes
Volume 4, Supplement 1 , Pages S3-S10, April 2010

Treat early, treat appropriately

  • Andreas Liebl

      Affiliations

    • Center for Diabetes and Metabolism, Fachklinik, Bad Heilbrunn, Germany
    • Corresponding Author InformationCorresponding author. Andreas Liebl. m&i-Fachklinik Bad Heilbrunn, Wörnerweg 30, 83670 Bad Heilbrunn, Germany. Tel.: +49 80 4618 4106; fax: +49 80 4618 4088
  • ,
  • Guy Rutten

      Affiliations

    • Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands
  • ,
  • Carlos Abraira

      Affiliations

    • University of Miami Miller School of Medicine, Miami, Florida, USA

Abstract 

The treatment of type 2 diabetes is shifting from secondary specialist centres to the primary care setting. However, for this shift to be sustainable and successful, primary care physicians (PCPs) must effectively provide aspects of diabetes care traditionally supplied by specialists. In particular, the early and appropriate use of insulin in type 2 diabetes will increasingly become the responsibility of PCPs. This review examines how patients with type 2 diabetes are currently managed across several European countries, and explores the evidence around insulin use in type 2 diabetes and the implications for primary care.

Keywords:  Diabetes , Primary care , Insulin initiation , Control , Basal insulin

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PII: S1751-9918(10)60003-4

doi:10.1016/S1751-9918(10)60003-4

Primary Care Diabetes
Volume 4, Supplement 1 , Pages S3-S10, April 2010