While this is a British study, it
applies to the USA as well. Type 2 diabetes patients are mistreated
when it comes to receiving the medication increase when needed. This
applies to increased dosage, adding another medication, or changing
to insulin.
Yes, people with Type 2 diabetes are
being “let down” because they are being forced to wait for
further treatment when needed. Research has shown the average
waiting time for increased treatment from the start of insulin is 3.7
years.
Previous evidence has shown that
maintaining tight management of blood glucose levels in people with
type 2 diabetes can lead to significant reductions in related
complications.
“Clinical inertia.” is the term
applied to the delay of increasing medication needed by patients and
is preventing this from happening, according to a study published in
the Diabetes, Obesity and Metabolism journal. The research was
carried out by NIHR Collaboration for Leadership in Applied Health
Research and Care (CLAHRC) East Midlands, an organization that turns
research into cost-saving and high-quality care through cutting-edge
innovation.
Professor Kamlesh Khunti, Director of
CLAHRC East Midlands and Professor of Primary Care Diabetes &
Vascular Medicine at the University of Leicester based at the
Leicester Diabetes Centre, said: "Of the 11,000 patients we
studied, only a third of those needing further medication were
actually given it.
"Clinical inertia” is a global
phenomenon, which is putting people with Type 2 diabetes at further
risk of preventable complications associated with the diabetes.
"Failure by healthcare
professionals to intensify medication in the pursuit of tighter
glycemic control is due to a number of complex reasons related to
patient and health care professional factors. However, we need to
make great efforts to reverse these trends and improve patients
reaching tight glucose targets from diagnosis of diabetes."
The study concluded that more should be
done to avoid clinical inertia and patients should have their
treatment intensified where appropriate. Long-term complications and
mortality associated with Type 2 diabetes can be significantly
reduced if therapies are initiated earlier.
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