Instauration d'une insulinothérapie chez le patient diabétique de type 2 en médecine générale: Comparaison de l’étude belge InsuStar avec quelques études françaises et internationales ; Initiating and intensifying insulin therapy in general practice: InsuStar, an observational Belgian prospective study in type 2 diabetes

peer reviewed ; Initiating insulin therapy is often considered as a challenge in general practice, thus leading to a delay in the shift to insulin. We compare the results of the observational prospective Belgian study InsuStar with those of several French and international studies. In most studies, initiating insulin therapy is proposed in patients with glycated hemoglobin (HbA1c) around 9% (75 mmol/mol). The initiation of insulin therapy, in most cases using basal insulin (NPH, or glargine), is associated with a mean HbA1c reduction of about 1.5%, but only around one third of the patients rea... Mehr ...