Insulin Matters: A Practical Approach to Basal Insulin Management in Type 2 Diabetes View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-04

AUTHORS

Lori Berard, Noreen Antonishyn, Kathryn Arcudi, Sarah Blunden, Alice Cheng, Ronald Goldenberg, Stewart Harris, Shelley Jones, Upender Mehan, James Morrell, Robert Roscoe, Rick Siemens, Michael Vallis, Jean-François Yale

ABSTRACT

It is currently estimated that 11 million Canadians are living with diabetes or prediabetes. Although hyperglycemia is associated with serious complications, it is well established that improved glycemic control reduces the risk of microvascular complications and can also reduce cardiovascular (CV) complications over the long term. The UKPDS and ADVANCE landmark trials have resulted in diabetes guidelines recommending an A1C target of ≤ 7.0% for most patients or a target of ≤ 6.5% to further reduce the risk of nephropathy and retinopathy in those with type 2 diabetes (T2D), if it can be achieved safely. However, half of the people with T2D in Canada are not achieving these glycemic targets, despite advances in diabetes pharmacological management. There are many contributing factors to account for this poor outcome; however, one of the major factors is the delay in treatment advancement, particularly a resistance to insulin initiation and intensification. To simplify the process of initiating and titrating insulin in T2D patients, a group of Canadian experts reviewed the evidence and best clinical practices with the goal of providing guidance and practical recommendations to the diabetes healthcare community at large. This expert panel included general practitioners (GPs), nurses, nurse practitioners, endocrinologists, dieticians, pharmacists, and a psychologist. This article summarizes the panel recommendations. More... »

PAGES

501-519

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s13300-018-0375-7

DOI

http://dx.doi.org/10.1007/s13300-018-0375-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101187873

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29476414


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455 https://www.grid.ac/institutes/grid.492821.4 schema:alternateName LMC Diabetes & Endocrinology (Canada)
456 schema:name Diabetes Education, LMC Diabetes and Endocrinology, Montreal, QC, Canada
457 LMC Diabetes and Endocrinology, Thornhill, ON, Canada
458 rdf:type schema:Organization
459 https://www.grid.ac/institutes/grid.55602.34 schema:alternateName Dalhousie University
460 schema:name Behaviour Change Institute, Nova Scotia Health Authority, Halifax, NS, Canada
461 Department of Family Medicine, Dalhousie University, Halifax, NS, Canada
462 rdf:type schema:Organization
 




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