Navigation Links
Study finds doctors have exaggerated fears when starting patients on insulin
Date:4/4/2012

TORONTO, Ont. April 2, 2012 Doctors are more reluctant to start their patients on insulin than the patients are themselves, according to a new study led by researchers at St. Michael's Hospital.

"It is well-known that insulin is effective in lowering blood sugar," said Dr. Catherine Yu, a researcher at the hospital's Keenan Research Centre and senior author of the paper. "But there are no clear recommendations on the safest and most effective way to start patients on it, and so physicians are often hesitant to do so."

Dr. Yu and colleagues analyzed past studies to find out what barriers existed to starting patients on insulin, and how insulin compared to other blood sugar lowering medications in terms of its effect on blood sugars and weight. They then made recommendations for physicians and other health care providers based on evidence from the past studies.

Their findings were published in today's online edition of the Canadian Medical Association Journal.

They found that doctor's fears of common side effects such as weight gain and low blood sugar were amplified compared to their patient's fears, and that doctors were also more concerned than their patients about the possibility of injection-related pain and anxiety.

"When some physicians think of the side effects of insulin and the barriers to starting it, they're often thinking about the older types of insulin and older delivery systems," Dr. Yu said. "So a lot of the hesitation may be that their way of thinking about the drug has not changed along with the new types of insulin that are used."

She said better insulin is now used in smarter ways, and that it acts more like the insulin we manufacture in our bodies resulting in less risk for low blood sugar and weight gain.

"Everyone knows that insulin works, but the key point here is that it's safe and can be straightforward to use too," Dr. Yu said.

When Dr. Yu and colleagues compared the best ways to start patients on insulin, they found one insulin injection a day was just as effective as other regimens, caused less severe side-effects and was more manageable for physicians and the health care team.

Patients on one injection a day therapy typically gain about 2.2lb.-3.3lb. less than those receiving insulin twice a day or multiple times a day, which each average 0.6lb-14lb. in weight gain.

For patients already on pills to lower their blood sugar that also need insulin, combination therapy continuing the oral medication when starting insulin is more effective in eliminating side effects and requires a lower insulin dose for the same effectiveness.

Dr. Yu warns it's important to watch out for the type of needle that's used. She published research last month showing that using safety insulin needles with retractable shield often used to protect health care providers should be used with caution. In some patient types, delivery of insulin can be inconsistent, leading to unpredictable blood sugar levels and an increased risk of diabetic emergencies.


'/>"/>

Contact: Kate Taylor
TaylorKa@smh.ca
647-393-7527
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. Berries, Tea May Cut Mens Odds for Parkinsons: Study
2. Soy may alleviate hot flashes in menopause, large-scale study finds
3. Sexual objectification of female artists in music videos exists regardless of race, MU study finds
4. Narcissists Often Ace Job Interviews, Study Finds
5. Early Study Finds Some Promise for Lung Cancer Vaccine
6. Reported Decline in U.S. Pneumonia Deaths May Be False: Study
7. No Added Cancer Risk From Hip Replacement Materials: Study
8. Veggies Like Broccoli, Cabbage May Help Fight Breast Cancer: Study
9. Lower GI problems plague many with rheumatoid arthritis, Mayo Clinic study finds
10. Coffee Drinking in Pregnancy Wont Lead to Sleepless Baby: Study
11. Study reveals how cancer drug causes diabetic-like state
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... While it’s often important to take ... an inventor from Austin, Texas, has identified a solution. , She developed a prototype ... restricted lighting. As such, it eliminates the need to turn on a light when ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... Pharmacy (SOP) alumni Hannah Randall, PharmD ‘17, and Jennifer Huggins, PharmD ’17, ... guideline updates for the primary prevention of cardiovascular diseases during the 15th ...
(Date:10/13/2017)... ... ... The Visiting Nurse Association (VNA) of Somerset Hills is proud to host ... items from across the nation, this holiday-themed event will raise funds and awareness for ... The boutique will be open Saturday, November 4 (10:00 a.m. – 5:00 p.m.) ...
(Date:10/13/2017)... , ... October 13, 2017 , ... ... be giving viewers the lowdown on sciatica in a new episode of "Success ... focuses on current events and innovation and investigates each subject in-depth with passion ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... services for healthcare compliance program management, will showcase a range of technology and ... for Assisted Living (NCAL) Convention and Expo to be held October 14–18, 2017 ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... 11, 2017  Caris Life Sciences ® , a ... promise of precision medicine, today announced that St. Jude ... Oncology Alliance™ (POA) as its 17 th member. ... Jude Crosson Cancer Institute will help develop standards of ... tumor profiling, making cancer treatment more precise and effective. ...
(Date:10/7/2017)... IRVING, Texas , Oct. 6, 2017   ... industry with more than $100 billion in purchasing power, ... industry news and information. The Newsroom is ... chain and industry trends, infographics, expert bios, news releases, ... Besides having access to a wealth of resources at ...
(Date:10/2/2017)... -- Diplomat Pharmacy, Inc. (NYSE: DPLO ) ... , and named its founder as Diplomat,s chief information ... Tennessee , will operate under Diplomat subsidiary Envoy ... for health care partners to include IT outsourcing, consulting, ... "In an interoperable world, technology delivers comprehensive insight and ...
Breaking Medicine Technology: