You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View
Latest Diabetes Articles
Popular Diabetes Articles
Highly Recommended Diabetes Articles
Send a link to this page to your friends and colleagues.
It's a complex mental process that your doctors go through when they choose your medicines, according to a recent survey of several hundred physicians.
It's based less on hard numbers than on hazier subjective considerations, and there are differences in the way that general practitioners think compared to diabetes specialists.
Both generalists and specialists report that at each of the three main stages of medication management (initiating first meds, beginning second-line oral agents, and starting insulin), they consider your overall health, your A1c, and your "adherence behavior," but not so much your age or written treatment guidelines.
When it comes to prescribing insulin, more generalists than specialists consider patient adherence: 76 percent versus 60 percent. When deciding whether to begin insulin, 68 percent of generalists identify patient fear of injections and patients' desire to stay off insulin as major barriers.
Overall, qualitative factors such as adherence, motivation, and overall health are given somewhat more weight than quantitative factors such as age, A1c, and weight. The decision-making process is definitely less straightforward than "evidence-based treatment guidelines," would make it seem; such guidelines aim to dictate the decision process based solely upon hard scientific evidence.
Source: Diabetes Care, June 2007
Aug 2, 2007
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.