Primary Care Diabetes
Volume 4, Supplement 1 , Pages S11-S18, April 2010

Addressing barriers to initiation of insulin in patients with type 2 diabetes

  • Mark Peyrot

      Affiliations

    • Loyola University Maryland, Baltimore, Maryland, USA
    • Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    • Corresponding Author InformationCorresponding author. Mark Peyrot. Department of Sociology, Loyola University Maryland, 4501 North Charles Street, Baltimore, MD, 21210, USA. Tel.: +1 401 617 5140; fax: +1 410 617 2215
    • ,
  • Richard R. Rubin

      Affiliations

    • Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    • ,
  • Kamlesh Khunti

      Affiliations

    • Department of Health Sciences, University of Leicester, Leicester, UK

Abstract 

Type 2 diabetes is progressive in nature and many people with the condition will inevitably require insulin therapy to attain and maintain adequate glycaemic control. In clinical practice, insulin initiation is delayed in many patients who would benefit from such treatment. Patients' and physicians' beliefs and perceptions regarding insulin therapy are known to create barriers contributing to the delay in its initiation. This article explores the nature of these barriers and offers suggestions and practical solutions for addressing and overcoming these hurdles so that insulin can be initiated confidently and appropriately in order to improve diabetes care.

Keywords:  Insulin initiation , Patient barriers , Physician barriers , Barrier resolution strategies

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PII: S1751-9918(10)60004-6

doi:10.1016/S1751-9918(10)60004-6

Primary Care Diabetes
Volume 4, Supplement 1 , Pages S11-S18, April 2010

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