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. 2021 May;12(5):1575-1589.
doi: 10.1007/s13300-021-01037-7. Epub 2021 Mar 15.

Expert Opinion: A Call for Basal Insulin Titration in Patients with Type 2 Diabetes in Daily Practice: Southeast European Perspective

Nicolae Hancu  1 , Andrej Janez  2 , Nebojsa Lalic  3 , Nikolaos Papanas  4 , Dario Rahelic  5   6   7 , Gabriela Roman  8 , Cristian Serafinceanu  9 , Nikolaos Tentolouris  10 , Blaženko Vukovic  11 , Agron Ylli  12 , Tsvetalina Tankova  13
Affiliations

Expert Opinion: A Call for Basal Insulin Titration in Patients with Type 2 Diabetes in Daily Practice: Southeast European Perspective

Nicolae Hancu et al. Diabetes Ther. 2021 May.

Abstract

Therapeutic inertia related to insulin treatment, i.e. delays in initiation, especially titration of basal insulin, is a significant problem in daily practice in Southeast European countries. This phenomenon can be traced back to several patient-, physician- and health system-related factors. In recognition of the issue of inadequate insulin titration, 11 leading experts from countries in this region held a consensus-seeking meeting to review the current status of insulin initiation after non-insulin treatment and the potential barriers to insulin titration to provide an algorithm and tools for outpatient physicians and for patients aimed at optimizing basal insulin titration. The experts reached a consensus on the majority of the topics and proposed recommendations on how clinical inertia can be overcome. The outcomes of the meeting have been summarized in this paper.

Keywords: Clinical inertia; Insulin initiation; Insulin titration; Type 2 diabetes.

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Figures

Fig. 1
Fig. 1
Summary of steps I–IV
Fig. 2
Fig. 2
Consensus guide for the patients
See this image and copyright information in PMC

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