Many physicians aren't aware of all of the barriers to basal insulin initiation. Barriers can include concerns about side effects, the potential impact on social life, not dosing correctly, and feelings on failure for not being able to control their diabetes. Additionally, patients have expressed a desire for more and better education and demonstration on how to inject basal insulin. (Diabetes Care. 2010;33:733-735.) Physicians are often not aware that these concerns and desires have a drastic impact on a patient's willingness to initiate injection therapy. They are also not aware of the potential solutions to this problem.

The goal of this activity is to increase awareness of the role of insulin in meeting glycemic goals in patients with type 2 diabetes (T2D) and the impact patients' emotional barriers may have on the timely start and persistence of insulin therapy.

Learning Objectives:

Have increased knowledge regarding the:

  • Various psychological barriers of patients with T2D towards the initiation of and persistence with insulin therapy when current glucose-lowering therapy no longer provides sufficient control
  • Substantial long-term risk of vascular complications when patients with T2D remain above their personal glycated hemoglobin (HbA1c) targets for extended periods of time

Have greater competence related to:

  • The application of proven strategies -- including emotional support -- to overcome barriers towards the appropriate and timely initiation of and adherence to insulin in patients with T2D

Continuing Medical Education Credits:

Medscape, LLC designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This Enduring Material activity, Practical Strategies for Overcoming Emotional Barriers to Insulin Initiation in the Primary Care Setting, has been reviewed and is acceptable for up to 0.25 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 05/20/2019. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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