Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region
The type 2 diabetes mellitus (T2DM) management represents a major challenge in the Gulf region. Hyperglycemia is a major risk factor for microvascular and macrovascular complications and increased mortality. Early dietary and lifestyle changes alongside a step-wise targeted pharmacological approach...
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| Format: | Article |
| Language: | English |
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Knowledge E
2022-03-01
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| Series: | Dubai Diabetes and Endocrinology Journal |
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| Online Access: | https://www.karger.com/Article/FullText/521437 |
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| author | Mohammed Hassanein Walid Al Dahi Husain Taha Radhi Abdulraouf AIMahfouz Juma Al Kaabi Abdulmuhsen Alshammari Abdullah Alfutaisi Mussa H. AlMalki Rayaz Malik |
| author_facet | Mohammed Hassanein Walid Al Dahi Husain Taha Radhi Abdulraouf AIMahfouz Juma Al Kaabi Abdulmuhsen Alshammari Abdullah Alfutaisi Mussa H. AlMalki Rayaz Malik |
| author_sort | Mohammed Hassanein |
| collection | DOAJ |
| description | The type 2 diabetes mellitus (T2DM) management represents a major challenge in the Gulf region. Hyperglycemia is a major risk factor for microvascular and macrovascular complications and increased mortality. Early dietary and lifestyle changes alongside a step-wise targeted pharmacological approach to achieve a glycated hemoglobin (HbA1c) level of <7% are recommended to limit these complications. However, achievement of this HbA1c target remains a major challenge, especially in the Gulf region. Both physician and patient-led barriers limit timely initiation and titration of insulin. An expert-group advisory committee reviewed the current guideline recommendations, strategized best practice, and curated clinical practical advices to enable primary-care physicians to optimally initiate and titrate insulin in patients with T2DM. |
| format | Article |
| id | doaj-art-9b1589bb683849c68084ea28f71b8ab0 |
| institution | Kabale University |
| issn | 2673-1797 2673-1738 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Dubai Diabetes and Endocrinology Journal |
| spelling | doaj-art-9b1589bb683849c68084ea28f71b8ab02025-01-02T14:13:55ZengKnowledge EDubai Diabetes and Endocrinology Journal2673-17972673-17382022-03-0111110.1159/000521437521437Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf RegionMohammed Hassanein0Walid Al Dahi1Husain Taha Radhi2Abdulraouf AIMahfouz3Juma Al Kaabi4https://orcid.org/0000-0003-2477-0408Abdulmuhsen Alshammari5Abdullah Alfutaisi6Mussa H. AlMalki7https://orcid.org/0000-0003-4068-5465Rayaz Malik8Dubai Hospital, Dubai, United Arab EmiratesMubarak Al-Kabeer Hospital, Jabriya, KuwaitSalmaniya Medical Hospital, Manama, BahrainKing Faisal Specialist Hospital, Riyadh, Saudi ArabiaTawam & Al Ain Hospitals, AUH, Abu Dhabi, United Arab EmiratesMubarak Al-Kabeer Hospital, Jabriya, KuwaitSultan Qaboos University Hospital, Seeb, OmanKing Fahad Medical City, Riyadh, Saudi ArabiaWeill Cornell Medicine-Qatar and Senior Consultant in Endocrinology & Diabetes at Hamad Medical Corporation, Doha, QatarThe type 2 diabetes mellitus (T2DM) management represents a major challenge in the Gulf region. Hyperglycemia is a major risk factor for microvascular and macrovascular complications and increased mortality. Early dietary and lifestyle changes alongside a step-wise targeted pharmacological approach to achieve a glycated hemoglobin (HbA1c) level of <7% are recommended to limit these complications. However, achievement of this HbA1c target remains a major challenge, especially in the Gulf region. Both physician and patient-led barriers limit timely initiation and titration of insulin. An expert-group advisory committee reviewed the current guideline recommendations, strategized best practice, and curated clinical practical advices to enable primary-care physicians to optimally initiate and titrate insulin in patients with T2DM.https://www.karger.com/Article/FullText/521437insulin initiationtitrationglycemic controltype 2 diabetes mellitusinsulin inertiagulf countriesglycated hemoglobin targetprimary-care physiciansprimary-care centers |
| spellingShingle | Mohammed Hassanein Walid Al Dahi Husain Taha Radhi Abdulraouf AIMahfouz Juma Al Kaabi Abdulmuhsen Alshammari Abdullah Alfutaisi Mussa H. AlMalki Rayaz Malik Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region Dubai Diabetes and Endocrinology Journal insulin initiation titration glycemic control type 2 diabetes mellitus insulin inertia gulf countries glycated hemoglobin target primary-care physicians primary-care centers |
| title | Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region |
| title_full | Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region |
| title_fullStr | Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region |
| title_full_unstemmed | Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region |
| title_short | Expert-Group Practical Advice on Insulin Initiation and Titration for Patients with Type 2 Diabetes in the Gulf Region |
| title_sort | expert group practical advice on insulin initiation and titration for patients with type 2 diabetes in the gulf region |
| topic | insulin initiation titration glycemic control type 2 diabetes mellitus insulin inertia gulf countries glycated hemoglobin target primary-care physicians primary-care centers |
| url | https://www.karger.com/Article/FullText/521437 |
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