Barriers to insulin therapy:
Physician related factors:
Most of the physicians were reluctant to initiate insulin therapy because they feared complications of insulin, mainly the risk of hypoglycemia. Physicians also had concerns with starting insulin in elderly patients, who do not have assistance with care provided at home, most of the elderly have low vision and injecting themselves with the correct does is difficult for them especially when there is no social support provided for them. Because provider attitudes are crucial for patient acceptance of insulin, it is important to determine whether “clinician inertia” is affecting your practice. Lack of confidence is one o)f the most commonly mentioned barriers; some physicians interviewed had no idea of when to consider insulin therapy and the proper administration of insulin without the instructions of a senior fellow. (Ward ET all, 2015
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