Practical guidance on basal insulin initiation and titration in Asia: A delphi-based consensus

Chan, Siew Pheng and Aamir, Azizul Hasan and Bee, Yong Mong and Deerochanawong, Chaicharn and Paz-Pacheco, Elizabeth and Tiu, Fatma and Foo, Siew Hui and Tan, Kevin E. K. and Le, Toan Q. and Saraswati, Made Ratna and Bunnag, Pongamorn and Panusunan Sibarani, Roy and Raza, Syed Abbas and Tran, Nam Quang (2022) Practical guidance on basal insulin initiation and titration in Asia: A delphi-based consensus. Diabetes Therapy, 13 (8). pp. 1511-1529. ISSN 1869-6953, DOI https://doi.org/10.1007/s13300-022-01286-0.

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Abstract

The global health burden of diabetes is on the rise and has affected more than half a billion people worldwide, particularly in Southeast Asia, North Africa, Africa, and the Western Pacific, Middle East, and South and Central America regions of the International Diabetes Federation (IDF). Despite many new treatments being available for the management of diabetes, glycemic control remains suboptimal in Asia, compared to the rest of the world. Delay in timely insulin initiation and inadequate titration of insulin are regarded to be some of the important reasons for inadequate glycemic control. Additionally, Asian populations have a distinct phenotype, including a younger age of onset and higher glycemic excursions, suggestive of a lower beta-cell function, as compared to non-Asians. Although there are multiple local and international guidelines on insulin initiation and titration, some of these guidelines can be complex. There is an unmet need for guideline recommendations on basal insulin initiation and titrat

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Diabetes mellitus; Basal insulin; Insulin titration; Initiation; Self-monitoring of blood glucose; Titration algorithm
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Medicine
Faculty of Medicine > Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 09 Nov 2024 03:29
Last Modified: 09 Nov 2024 03:30
URI: http://eprints.um.edu.my/id/eprint/41687

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