open access

Vol 5, No 4 (2004): Practical Diabetology
Original articles (submitted)
Published online: 2004-07-21
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Intensification of insulin therapy in Poland. Basic parameters of metabolic control and treatment satisfaction ó results of a large trial of patients with type 2 diabetes

Jacek Sieradzki, Maciej Nazar
Diabetologia Praktyczna 2004;5(4):173-182.

open access

Vol 5, No 4 (2004): Practical Diabetology
Original articles (submitted)
Published online: 2004-07-21

Abstract

INTRODUCTION. The aim of the study was to establish the profile of patients who undergo intensification of insulin therapy In Poland and what is the efficacy of that intervention. Moreover the study was aimed at finding out the interaction between arbitrary assumed typology of patients and acceptability and effects of insulin therapy.
MATERIALS AND METHODS. During year 2002, 5737 patients with type 2 diabetes took part in the study. HbA1c, demographics, current diabetes complications and assumed typology of patients were registered. In 4 weeks interval fasting glycemia, postprandial morning glycemia and diabetes treatment satisfaction questionnaire were noted.
RESULTS. It appears that non-active and passive persons are 62% of all patients. Most of the subjects are treated with Oral Hypoglycemic Agents (OHA) — 72.8%. Insulin therapy is being intensified in 8.3 years after diagnosis and mean HbA1c at this moment is 9.10%. Non-active and passive patients hale insulin therapy intensified at slightly higher HbA1c values. 60% of the subjects had late diabetes complications. Treatment satisfaction (all parameters) was independent from treatment method and was in general higher after intensification. Higher satisfaction tendency was observed in active and innovative groups.

Abstract

INTRODUCTION. The aim of the study was to establish the profile of patients who undergo intensification of insulin therapy In Poland and what is the efficacy of that intervention. Moreover the study was aimed at finding out the interaction between arbitrary assumed typology of patients and acceptability and effects of insulin therapy.
MATERIALS AND METHODS. During year 2002, 5737 patients with type 2 diabetes took part in the study. HbA1c, demographics, current diabetes complications and assumed typology of patients were registered. In 4 weeks interval fasting glycemia, postprandial morning glycemia and diabetes treatment satisfaction questionnaire were noted.
RESULTS. It appears that non-active and passive persons are 62% of all patients. Most of the subjects are treated with Oral Hypoglycemic Agents (OHA) — 72.8%. Insulin therapy is being intensified in 8.3 years after diagnosis and mean HbA1c at this moment is 9.10%. Non-active and passive patients hale insulin therapy intensified at slightly higher HbA1c values. 60% of the subjects had late diabetes complications. Treatment satisfaction (all parameters) was independent from treatment method and was in general higher after intensification. Higher satisfaction tendency was observed in active and innovative groups.
Get Citation

Keywords

insulin therapy; diabetic control; treatment satisfaction; type 2 diabetes

About this article
Title

Intensification of insulin therapy in Poland. Basic parameters of metabolic control and treatment satisfaction ó results of a large trial of patients with type 2 diabetes

Journal

Clinical Diabetology

Issue

Vol 5, No 4 (2004): Practical Diabetology

Pages

173-182

Published online

2004-07-21

Bibliographic record

Diabetologia Praktyczna 2004;5(4):173-182.

Keywords

insulin therapy
diabetic control
treatment satisfaction
type 2 diabetes

Authors

Jacek Sieradzki
Maciej Nazar

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