Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region

The type 2 diabetes mellitus (T2DM) management represents a major challenge in the Gulf region. Hyperglycemia is a major risk factor for microvascular and macrovascular complications and increased mortality. Early dietary and lifestyle changes alongside a step-wise targeted pharmacological approach...

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Main Authors: Mohammed Hassanein, Walid Al Dahi, Husain Taha Radhi, Abdulraouf AIMahfouz, Juma Al Kaabi, Abdulmuhsen Alshammari, Abdullah Alfutaisi, Mussa H. AlMalki, Rayaz Malik
Format: Article
Language:English
Published: Knowledge E 2022-03-01
Series:Dubai Diabetes and Endocrinology Journal
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Online Access:https://www.karger.com/Article/FullText/521437
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Summary:The type 2 diabetes mellitus (T2DM) management represents a major challenge in the Gulf region. Hyperglycemia is a major risk factor for microvascular and macrovascular complications and increased mortality. Early dietary and lifestyle changes alongside a step-wise targeted pharmacological approach to achieve a glycated hemoglobin (HbA1c) level of <7% are recommended to limit these complications. However, achievement of this HbA1c target remains a major challenge, especially in the Gulf region. Both physician and patient-led barriers limit timely initiation and titration of insulin. An expert-group advisory committee reviewed the current guideline recommendations, strategized best practice, and curated clinical practical advices to enable primary-care physicians to optimally initiate and titrate insulin in patients with T2DM.
ISSN:2673-1797
2673-1738