By Colin Kenny – GP, Dromore, County Down
The authors of this large cohort study, which made a retrospective analysis of over 80,000 patients with type 2 diabetes, found long delays in people either having their oral treatment incrementally increased or having insulin initiated. Slightly under half still had suboptimal control after several years. The best evidence has for a long time supported early intensification in the treatment of people with newly diagnosed diabetes (over the first 18 months from diagnosis). This raises questions about how to ensure people with diabetes do not get caught in the cycle of poor control feeding treatment inertia, and vice versa, that is outlined in this study?
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