Patient and physician perspectives and experiences of basal insulin titration in type 2 diabetes in the United States: Cross‐sectional surveys
Authors' conclusion
There is a marked difference in patients' and physicians' experiences of BI titration education. Novel tools and strategies are required to enable effective BI titration, with more educational resources at the outset, and ongoing access to tools that provide clear, simple direction for self-titration with less reliance on physicians/health care providers.
Study context
- Population
- Patients with T2D and physicians treating them, identified by claims in the Optum Research Database, United Statescompleted survey
- Participants
- 416 vs 386
- Exposure
- Patient vs physician experiences of basal insulin titration education
- Patientsn = 416
- Physiciansn = 386
- Outcome
- Experiences of BI titration education
Methodological detailsobservational, surveys
- Observational
- Surveys
Main finding
As reported in the abstract
- Basal insulin (BI) titration explained by a physician: patients reporting
- 74%
- BI titration explained: physicians reporting doing so
- 96%
- Offered educational materials: patients reporting
- 20%
- Provided educational materials: physicians reporting
- 56%
- Physicians' main concern: patients' ability to titrate accurately
- 79%
Observational data: associations, not effects.
Further findings
Physician practice characteristics
- Physicians treating ≥50 patients with T2D
- 90%
- Physicians treating ≥25% of patients with BI
- 66%
Original publication
Patient and physician perspectives and experiences of basal insulin titration in type 2 diabetes in the United States: Cross‐sectional surveys. Diabetes Obes Metab. Published 25 September 2023. doi:10. 1111/ dom. 15240
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