ArticleDiabetes epidemiology and management
Characteristics of insulin prescriptions and their association with glycemic control in adults with type 2 diabetes mellitus.
Article in Diabetes epidemiology and management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: We assessed the association between insulin prescription characteristics and glycemic control. Methods: Electronic health records (2017-2023) were used to identify adults with type 2 diabetes prescribed insulin from outpatient visits on the same day as a hemoglobin A1c (HbA1c) result in a Midwest US region. Insulin prescription characteristics were total daily dose, providing a maximum dose, and instruction types (dosing frequency, carbohydrate (carb) counting, correction, and sliding scale). Mixed-effects linear and logistic regression modeled HbA1c and meeting HbA1c target (<7 for age18-64 and <8 for age ≥ 65). Results: Among 11,179 subjects, mean age was 53; 49 % were male, and 58 % White. Overall cohort glycemic control was low, median HbA1c was 9.3; 16 % met HbA1c target; mean HbA1c at last follow-up was 8.7 %. Instruction types were 88 % dosing frequency, 7 % correction, 3 % sliding scale, and 1 % carb counting. HbA1c reduction was associated with carb counting (-0.4, Conclusion: Insulin instruction type was associated with glycemic control, but control was low.
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