A Practitioner’s Toolkit for Insulin Motivation in Adults with Type 1 and Type 2 Diabetes Mellitus: Evidence-Based Recommendations from an International Expert Panel
Aim To develop an evidence-based expert group opinion on the role of insulin motivation to overcome insulin distress during different stages of insulin therapy and to propose a practitioner’s toolkit for insulin motivation in the management of diabetes mellitus (DM). Background Insulin distress, an...
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| Veröffentlicht in: | Diabetes therapy 2020-03, Vol.11 (3), p.585-606 |
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| creator | Kalra, Sanjay Bajaj, Sarita Sharma, Surendra Kumar Priya, Gagan Baruah, Manash P. Sanyal, Debmalya Das, Sambit Chaudhury, Tirthankar Gangopadhyay, Kalyan Kumar Das, Ashok Kumar Sethi, Bipin Ayyar, Vageesh Shaikh, Shehla Shah, Parag Jindal, Sushil Deshmukh, Vaishali Dave, Joel Amod, Aslam Joshi, Ansumali Pokharel, Sunil Pathan, Faruque Afsana, Faria Prasad, Indrajit Murad, Moosa Soelistijo, Soebagijo Adi Purwoto, Johanes Hussein, Zanariah Horn, Lee Chung Sahay, Rakesh Somasundaram, Noel Antonypillai, Charles Sumanathilaka, Manilka Bulugahapitiya, Uditha |
| description | Aim
To develop an evidence-based expert group opinion on the role of insulin motivation to overcome insulin distress during different stages of insulin therapy and to propose a practitioner’s toolkit for insulin motivation in the management of diabetes mellitus (DM).
Background
Insulin distress, an emotional response of the patient to the suggested use of insulin, acts as a major barrier to insulin therapy in the management of DM. Addressing patient-, physician- and drug-related factors is important to overcome insulin distress. Strengthening of communication between physicians and patients with diabetes and enhancing the patients' coping skills are prerequisites to create a sense of comfort with the use of insulin. Insulin motivation is key to achieving targeted goals in diabetes care. A group of endocrinologists came together at an international meeting held in India to develop tool kits that would aid a practitioner in implementing insulin motivation strategies at different stages of the journey through insulin therapy, including pre-initiation, initiation, titration and intensification. During the meeting, emphasis was placed on the challenges and limitations faced by both physicians and patients with diabetes during each stage of the journey through insulinization.
Review Results
After review of evidence and discussions, the expert group provided recommendations on strategies for improved insulin acceptance, empowering behavior change in patients with DM, approaches for motivating patients to initiate and maintain insulin therapy and best practices for insulin motivation at the pre-initiation, initiation, titration and intensification stages of insulin therapy.
Conclusions
In the management of DM, bringing in positive behavioral change by motivating the patient to improve treatment adherence helps overcome insulin distress and achieve treatment goals. |
| doi_str_mv | 10.1007/s13300-020-00764-7 |
| format | Article |
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To develop an evidence-based expert group opinion on the role of insulin motivation to overcome insulin distress during different stages of insulin therapy and to propose a practitioner’s toolkit for insulin motivation in the management of diabetes mellitus (DM).
Background
Insulin distress, an emotional response of the patient to the suggested use of insulin, acts as a major barrier to insulin therapy in the management of DM. Addressing patient-, physician- and drug-related factors is important to overcome insulin distress. Strengthening of communication between physicians and patients with diabetes and enhancing the patients' coping skills are prerequisites to create a sense of comfort with the use of insulin. Insulin motivation is key to achieving targeted goals in diabetes care. A group of endocrinologists came together at an international meeting held in India to develop tool kits that would aid a practitioner in implementing insulin motivation strategies at different stages of the journey through insulin therapy, including pre-initiation, initiation, titration and intensification. During the meeting, emphasis was placed on the challenges and limitations faced by both physicians and patients with diabetes during each stage of the journey through insulinization.
Review Results
After review of evidence and discussions, the expert group provided recommendations on strategies for improved insulin acceptance, empowering behavior change in patients with DM, approaches for motivating patients to initiate and maintain insulin therapy and best practices for insulin motivation at the pre-initiation, initiation, titration and intensification stages of insulin therapy.
Conclusions
In the management of DM, bringing in positive behavioral change by motivating the patient to improve treatment adherence helps overcome insulin distress and achieve treatment goals.</description><identifier>ISSN: 1869-6953</identifier><identifier>EISSN: 1869-6961</identifier><identifier>DOI: 10.1007/s13300-020-00764-7</identifier><identifier>PMID: 31981212</identifier><language>eng</language><publisher>Cheshire: Springer Healthcare</publisher><subject>Cardiology ; Care and treatment ; Complications and side effects ; Diabetes ; Dosage and administration ; Drug therapy ; Endocrinology ; Evidence-based medicine ; Insulin ; Internal Medicine ; Medicine ; Medicine & Public Health ; Methods ; Patient compliance ; Patients ; Review ; Type 2 diabetes</subject><ispartof>Diabetes therapy, 2020-03, Vol.11 (3), p.585-606</ispartof><rights>The Author(s) 2020</rights><rights>COPYRIGHT 2020 Springer</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-6aa4695fe514d3386e80be34e69b8152bf51fd898e53adb935d6129d398fddbf3</citedby><cites>FETCH-LOGICAL-c541t-6aa4695fe514d3386e80be34e69b8152bf51fd898e53adb935d6129d398fddbf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048897/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048897/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,27911,27912,41107,42176,51563,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31981212$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kalra, Sanjay</creatorcontrib><creatorcontrib>Bajaj, Sarita</creatorcontrib><creatorcontrib>Sharma, Surendra Kumar</creatorcontrib><creatorcontrib>Priya, Gagan</creatorcontrib><creatorcontrib>Baruah, Manash P.</creatorcontrib><creatorcontrib>Sanyal, Debmalya</creatorcontrib><creatorcontrib>Das, Sambit</creatorcontrib><creatorcontrib>Chaudhury, Tirthankar</creatorcontrib><creatorcontrib>Gangopadhyay, Kalyan Kumar</creatorcontrib><creatorcontrib>Das, Ashok Kumar</creatorcontrib><creatorcontrib>Sethi, Bipin</creatorcontrib><creatorcontrib>Ayyar, Vageesh</creatorcontrib><creatorcontrib>Shaikh, Shehla</creatorcontrib><creatorcontrib>Shah, Parag</creatorcontrib><creatorcontrib>Jindal, Sushil</creatorcontrib><creatorcontrib>Deshmukh, Vaishali</creatorcontrib><creatorcontrib>Dave, Joel</creatorcontrib><creatorcontrib>Amod, Aslam</creatorcontrib><creatorcontrib>Joshi, Ansumali</creatorcontrib><creatorcontrib>Pokharel, Sunil</creatorcontrib><creatorcontrib>Pathan, Faruque</creatorcontrib><creatorcontrib>Afsana, Faria</creatorcontrib><creatorcontrib>Prasad, Indrajit</creatorcontrib><creatorcontrib>Murad, Moosa</creatorcontrib><creatorcontrib>Soelistijo, Soebagijo Adi</creatorcontrib><creatorcontrib>Purwoto, Johanes</creatorcontrib><creatorcontrib>Hussein, Zanariah</creatorcontrib><creatorcontrib>Horn, Lee Chung</creatorcontrib><creatorcontrib>Sahay, Rakesh</creatorcontrib><creatorcontrib>Somasundaram, Noel</creatorcontrib><creatorcontrib>Antonypillai, Charles</creatorcontrib><creatorcontrib>Sumanathilaka, Manilka</creatorcontrib><creatorcontrib>Bulugahapitiya, Uditha</creatorcontrib><title>A Practitioner’s Toolkit for Insulin Motivation in Adults with Type 1 and Type 2 Diabetes Mellitus: Evidence-Based Recommendations from an International Expert Panel</title><title>Diabetes therapy</title><addtitle>Diabetes Ther</addtitle><addtitle>Diabetes Ther</addtitle><description>Aim
To develop an evidence-based expert group opinion on the role of insulin motivation to overcome insulin distress during different stages of insulin therapy and to propose a practitioner’s toolkit for insulin motivation in the management of diabetes mellitus (DM).
Background
Insulin distress, an emotional response of the patient to the suggested use of insulin, acts as a major barrier to insulin therapy in the management of DM. Addressing patient-, physician- and drug-related factors is important to overcome insulin distress. Strengthening of communication between physicians and patients with diabetes and enhancing the patients' coping skills are prerequisites to create a sense of comfort with the use of insulin. Insulin motivation is key to achieving targeted goals in diabetes care. A group of endocrinologists came together at an international meeting held in India to develop tool kits that would aid a practitioner in implementing insulin motivation strategies at different stages of the journey through insulin therapy, including pre-initiation, initiation, titration and intensification. During the meeting, emphasis was placed on the challenges and limitations faced by both physicians and patients with diabetes during each stage of the journey through insulinization.
Review Results
After review of evidence and discussions, the expert group provided recommendations on strategies for improved insulin acceptance, empowering behavior change in patients with DM, approaches for motivating patients to initiate and maintain insulin therapy and best practices for insulin motivation at the pre-initiation, initiation, titration and intensification stages of insulin therapy.
Conclusions
In the management of DM, bringing in positive behavioral change by motivating the patient to improve treatment adherence helps overcome insulin distress and achieve treatment goals.</description><subject>Cardiology</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Diabetes</subject><subject>Dosage and administration</subject><subject>Drug therapy</subject><subject>Endocrinology</subject><subject>Evidence-based medicine</subject><subject>Insulin</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>Review</subject><subject>Type 2 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Sanjay</creator><creator>Bajaj, Sarita</creator><creator>Sharma, Surendra Kumar</creator><creator>Priya, Gagan</creator><creator>Baruah, Manash P.</creator><creator>Sanyal, Debmalya</creator><creator>Das, Sambit</creator><creator>Chaudhury, Tirthankar</creator><creator>Gangopadhyay, Kalyan Kumar</creator><creator>Das, Ashok Kumar</creator><creator>Sethi, Bipin</creator><creator>Ayyar, Vageesh</creator><creator>Shaikh, Shehla</creator><creator>Shah, Parag</creator><creator>Jindal, Sushil</creator><creator>Deshmukh, Vaishali</creator><creator>Dave, Joel</creator><creator>Amod, Aslam</creator><creator>Joshi, Ansumali</creator><creator>Pokharel, Sunil</creator><creator>Pathan, Faruque</creator><creator>Afsana, Faria</creator><creator>Prasad, Indrajit</creator><creator>Murad, Moosa</creator><creator>Soelistijo, Soebagijo Adi</creator><creator>Purwoto, Johanes</creator><creator>Hussein, Zanariah</creator><creator>Horn, Lee Chung</creator><creator>Sahay, Rakesh</creator><creator>Somasundaram, 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Adults with Type 1 and Type 2 Diabetes Mellitus: Evidence-Based Recommendations from an International Expert Panel</title><author>Kalra, Sanjay ; Bajaj, Sarita ; Sharma, Surendra Kumar ; Priya, Gagan ; Baruah, Manash P. ; Sanyal, Debmalya ; Das, Sambit ; Chaudhury, Tirthankar ; Gangopadhyay, Kalyan Kumar ; Das, Ashok Kumar ; Sethi, Bipin ; Ayyar, Vageesh ; Shaikh, Shehla ; Shah, Parag ; Jindal, Sushil ; Deshmukh, Vaishali ; Dave, Joel ; Amod, Aslam ; Joshi, Ansumali ; Pokharel, Sunil ; Pathan, Faruque ; Afsana, Faria ; Prasad, Indrajit ; Murad, Moosa ; Soelistijo, Soebagijo Adi ; Purwoto, Johanes ; Hussein, Zanariah ; Horn, Lee Chung ; Sahay, Rakesh ; Somasundaram, Noel ; Antonypillai, Charles ; Sumanathilaka, Manilka ; Bulugahapitiya, Uditha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-6aa4695fe514d3386e80be34e69b8152bf51fd898e53adb935d6129d398fddbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cardiology</topic><topic>Care and treatment</topic><topic>Complications and side effects</topic><topic>Diabetes</topic><topic>Dosage and administration</topic><topic>Drug therapy</topic><topic>Endocrinology</topic><topic>Evidence-based medicine</topic><topic>Insulin</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Patient compliance</topic><topic>Patients</topic><topic>Review</topic><topic>Type 2 diabetes</topic><toplevel>online_resources</toplevel><creatorcontrib>Kalra, Sanjay</creatorcontrib><creatorcontrib>Bajaj, Sarita</creatorcontrib><creatorcontrib>Sharma, Surendra Kumar</creatorcontrib><creatorcontrib>Priya, 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Aslam</au><au>Joshi, Ansumali</au><au>Pokharel, Sunil</au><au>Pathan, Faruque</au><au>Afsana, Faria</au><au>Prasad, Indrajit</au><au>Murad, Moosa</au><au>Soelistijo, Soebagijo Adi</au><au>Purwoto, Johanes</au><au>Hussein, Zanariah</au><au>Horn, Lee Chung</au><au>Sahay, Rakesh</au><au>Somasundaram, Noel</au><au>Antonypillai, Charles</au><au>Sumanathilaka, Manilka</au><au>Bulugahapitiya, Uditha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Practitioner’s Toolkit for Insulin Motivation in Adults with Type 1 and Type 2 Diabetes Mellitus: Evidence-Based Recommendations from an International Expert Panel</atitle><jtitle>Diabetes therapy</jtitle><stitle>Diabetes Ther</stitle><addtitle>Diabetes Ther</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>11</volume><issue>3</issue><spage>585</spage><epage>606</epage><pages>585-606</pages><issn>1869-6953</issn><eissn>1869-6961</eissn><abstract>Aim
To develop an evidence-based expert group opinion on the role of insulin motivation to overcome insulin distress during different stages of insulin therapy and to propose a practitioner’s toolkit for insulin motivation in the management of diabetes mellitus (DM).
Background
Insulin distress, an emotional response of the patient to the suggested use of insulin, acts as a major barrier to insulin therapy in the management of DM. Addressing patient-, physician- and drug-related factors is important to overcome insulin distress. Strengthening of communication between physicians and patients with diabetes and enhancing the patients' coping skills are prerequisites to create a sense of comfort with the use of insulin. Insulin motivation is key to achieving targeted goals in diabetes care. A group of endocrinologists came together at an international meeting held in India to develop tool kits that would aid a practitioner in implementing insulin motivation strategies at different stages of the journey through insulin therapy, including pre-initiation, initiation, titration and intensification. During the meeting, emphasis was placed on the challenges and limitations faced by both physicians and patients with diabetes during each stage of the journey through insulinization.
Review Results
After review of evidence and discussions, the expert group provided recommendations on strategies for improved insulin acceptance, empowering behavior change in patients with DM, approaches for motivating patients to initiate and maintain insulin therapy and best practices for insulin motivation at the pre-initiation, initiation, titration and intensification stages of insulin therapy.
Conclusions
In the management of DM, bringing in positive behavioral change by motivating the patient to improve treatment adherence helps overcome insulin distress and achieve treatment goals.</abstract><cop>Cheshire</cop><pub>Springer Healthcare</pub><pmid>31981212</pmid><doi>10.1007/s13300-020-00764-7</doi><tpages>22</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1869-6953 |
| ispartof | Diabetes therapy, 2020-03, Vol.11 (3), p.585-606 |
| issn | 1869-6953 1869-6961 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7048897 |
| source | DOAJ Directory of Open Access Journals; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Cardiology Care and treatment Complications and side effects Diabetes Dosage and administration Drug therapy Endocrinology Evidence-based medicine Insulin Internal Medicine Medicine Medicine & Public Health Methods Patient compliance Patients Review Type 2 diabetes |
| title | A Practitioner’s Toolkit for Insulin Motivation in Adults with Type 1 and Type 2 Diabetes Mellitus: Evidence-Based Recommendations from an International Expert Panel |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T01%3A39%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Practitioner%E2%80%99s%20Toolkit%20for%20Insulin%20Motivation%20in%20Adults%20with%20Type%201%20and%20Type%202%20Diabetes%20Mellitus:%20Evidence-Based%20Recommendations%20from%20an%20International%20Expert%20Panel&rft.jtitle=Diabetes%20therapy&rft.au=Kalra,%20Sanjay&rft.date=2020-03-01&rft.volume=11&rft.issue=3&rft.spage=585&rft.epage=606&rft.pages=585-606&rft.issn=1869-6953&rft.eissn=1869-6961&rft_id=info:doi/10.1007/s13300-020-00764-7&rft_dat=%3Cgale_pubme%3EA651345787%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2512385753&rft_id=info:pmid/31981212&rft_galeid=A651345787&rfr_iscdi=true |