Predictors of Insulin Initiation in Patients with Type 2 Diabetes: An Analysis of the Look AHEAD Randomized Trial 1 1,2,3 1 Scott J. Pilla, MD, MHS , Hsin-Chieh Yeh, PhD , Stephen P. Juraschek, MD, PhD , 1,2,3 1,2,3 Jeanne M. Clark, MD, MPH , and Nisa M. Maruthur, MD, MHS Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA; 2 3 Department of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Welch Center for Prevention, Epidemiology & Clinical Research, Baltimore, MD, USA. CONCLUSIONS: Patient age, race/ethnicity, and diabetes BACKGROUND: The decision to initiate insulin in pa- complications may influence insulin initiation in type 2 tients with type 2 diabetes is a challenging escalation of diabetes, independent of glycemic control. Future work is care that requires an individualized approach. However, needed to understand the drivers of racial differences in the sociodemographic and clinical factors affecting insu- antihyperglycemic treatment, and to identify patients who lin initiation are not well understood. benefit most from insulin. OBJECTIVE: We sought to identify patient factors that were independent predictors of insulin initiation among KEY WORDS: diabetes mellitus, type 2; insulin/therapeutic use;
Journal of General Internal Medicine – Springer Journals
Published: Jan 19, 2018
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