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Comparison of Insulin Dose Adjustments by Primary Care Physicians and Endocrinologists.


ABSTRACT: IN BRIEF Insulin dose adjustment decisions in 20 simulated patients by nine primary care physicians (PCPs) and nine endocrinologists were compared to the algorithms used in a diabetes program in a large safety-net clinic. The number of dose changes was similar in the PCP and endocrinologist groups; however, the amounts of the dose changes in the PCP group were significantly closer to the diabetes program algorithms than the amounts in the endocrinologist group. Time constraints, rather than lack of ability, seem to be the major barrier to PCPs treating patients with insulin.

SUBMITTER: Davidson MB 

PROVIDER: S-EPMC5775011 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Comparison of Insulin Dose Adjustments by Primary Care Physicians and Endocrinologists.

Davidson Mayer B MB   Duran Petra P   Davidson S Joshua SJ   Lee Martin M  

Clinical diabetes : a publication of the American Diabetes Association 20180101 1


<b>IN BRIEF</b> Insulin dose adjustment decisions in 20 simulated patients by nine primary care physicians (PCPs) and nine endocrinologists were compared to the algorithms used in a diabetes program in a large safety-net clinic. The number of dose changes was similar in the PCP and endocrinologist groups; however, the amounts of the dose changes in the PCP group were significantly closer to the diabetes program algorithms than the amounts in the endocrinologist group. Time constraints, rather th  ...[more]

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