A look into the future: Improving diabetes care by 2015

Stephen Brunton, Stephen Gough, Debbie Hicks, Jianping Weng, Etie Moghissi, Mark Peyrot, Doron Schneider, Petra Maria Schumm-Draeger, Christine Tobin, Anthony H. Barnett

Research output: Contribution to journalReview articlepeer-review

Abstract

Insulin initiation, which was traditionally the province of specialists, is increasingly undertaken by primary care. However, significant barriers to appropriate and timely initiation still exist. Whilst insulin is recognized as providing the most effective treatment in type 2 diabetes, it is also widely considered to be the most challenging and time consuming. This editorial identifies that the organization of existing healthcare services, the challenges faced by patients, and the treatments themselves contribute to suboptimal insulin management. In order to improve future diabetes care, it will be necessary to address all three problem areas: (1) re-think the best use of existing human and financial resources to promote and support patient self-management and adherence to treatment; (2) empower patients to participate more actively in treatment decision making; and (3) improve acceptance, persistence and adherence to therapy by continuing to refine insulin therapy and treatment regimens in terms of safety, simplicity and convenience. The principles discussed are also applicable to the successful management of any chronic medical illness.

Original languageEnglish (US)
Pages (from-to)65-72
Number of pages8
JournalCurrent Medical Research and Opinion
Volume27
Issue numberSUPPL. 3
DOIs
StatePublished - Nov 2011
Externally publishedYes

Keywords

  • Healthcare
  • Insulin
  • Non-adherence
  • Oral antidiabetic drug
  • Self-management
  • Therapy adherence
  • Type 2 diabetes mellitus

ASJC Scopus subject areas

  • Medicine(all)

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