Intensification of Insulin therapy
Dr. Mahshid Babaei
During the course of type 2 diabetes, because of the progressive nature of β-cell destruction many patients at some point require insulin therapy.
The current guidelines recommend stepwise intensification and while resistance to intensification is evident at every step, it appears to be more pronounced when considering initiating insulin .
Furthermore, few patients intensify their insulin regimen appropriately.
The failure to close the gap between best practice and the patient’s usual level of care is termed ‘clinical inertia’