Update on the use of insulins for the primary care physician

被引：0

作者：

Lopez-Simarro, Flora ^{[1
,2
]}

Cols-Sagarra, Celia ^{[2
,3
]}

Mediavilla Bravo, Jose Javier ^{[2
,4
]}

Canis-Olive, Judit ^{[2
,5
]}

Hernandez-Teixido, Carlos ^{[2
,6
]}

Gonzalez Mohino Loro, Maria Belen ^{[2
,7
]}

机构：

[1] CAP Martorell Urbano, Med Familia, Barcelona, Spain

[2] Grp Trabajo Diabet, Semergen, Spain

[3] CAP Martorell Rural, Med Familia, Barcelona, Spain

[4] Ctr Salud Burgos Rural, Med Familia, Burgos, Spain

[5] EAP Vilafranca Nord, Med Familia, Barcelona, Spain

[6] CS San Roque, Med Familia, Badajoz, Spain

[7] CS Puebla Montalban, Med Familia, Toledo, Spain

来源：

MEDICINA DE FAMILIA-SEMERGEN | 2022年 / 48卷 / 01期

关键词：

Diabetes mellitus type 2; Insulin; Primary care physician; GLYCEMIC CONTROL; BASAL INSULIN; TYPE-2; INERTIA;

D O I：

10.1016/j.semerg.2021.04.011

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Insulin treatment in type 2 diabetes mellitus patients is still essential and its usage has increased during recent years. Despite this, the level of control continues to be very poor. Insulin treatment is initiated with control levels above the recommendations set by the Clinical Practice Guidelines (CPG) and patients are exposed to very high blood glucose levels during long periods of time. This paper reviews the role of insulin in the different CPG, the criteria for therapy initiation and intensification, the beginning of the intensification and the different types of insulin which are commercialized in our country. Moreover, we discuss insulinization in special situations such as corticosteroid treatment, fragile elderly patients, palliative care situations, chronic kidney disease or during Ramadan. Finally, the problem of therapeutic inertia in insulinization is also addressed. Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN).

引用

页码：54 / 62

页数：9

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