PMID- 20160245 OWN - NLM STAT- MEDLINE DCOM- 20100504 LR - 20221207 IS - 1945-1997 (Electronic) IS - 0098-6151 (Linking) VI - 110 IP - 2 DP - 2010 Feb TI - Empowering patients during insulin initiation: a real-world approach. PG - 69-78 AB - Glycemic control is suboptimal in many patients with type 2 diabetes mellitus (T2DM). Despite documented benefits of insulin therapy, initiation of insulin is delayed in many cases because of the reluctance of patients and physicians to use this important treatment. A review of the literature revealed that educating patients about the role of insulin in managing T2DM and the advantages of using insulin analogs and insulin delivery devices may help alleviate some patients' concerns regarding insulin therapy. Compared with standard clinic-directed approaches, patient-driven algorithms that empower patients to initiate and titrate basal insulin therapy have been shown to improve glycemic control. Additional research is needed to confirm the importance of patient empowerment programs in T2DM management. FAU - LaSalle, James R AU - LaSalle JR AD - Medical Arts Research Collaborative, 950 N Jesse James Rd, Excelsior Springs, MO 64024-1238, USA. jlasalle4@aol.com LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Am Osteopath Assoc JT - The Journal of the American Osteopathic Association JID - 7503065 RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (hemoglobin A1c protein, human) SB - IM CIN - J Am Osteopath Assoc. 2010 Jul;110(7):396-7. PMID: 20693572 MH - Algorithms MH - Attitude to Health MH - Diabetes Mellitus, Type 2/*drug therapy/psychology MH - Drug Administration Schedule MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Insulin/*therapeutic use MH - *Motivation MH - *Power, Psychological MH - Practice Patterns, Physicians' RF - 73 EDAT- 2010/02/18 06:00 MHDA- 2010/05/05 06:00 CRDT- 2010/02/18 06:00 PHST- 2010/02/18 06:00 [entrez] PHST- 2010/02/18 06:00 [pubmed] PHST- 2010/05/05 06:00 [medline] AID - 110/2/69 [pii] PST - ppublish SO - J Am Osteopath Assoc. 2010 Feb;110(2):69-78.