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Can primary care team-based transition to insulin improve outcomes in adults with type 2 diabetes: the stepping up to insulin cluster randomized controlled trial protocol

Furler, JS, Young, D, Best, J, Patterson, E, O'Neal, D, Liew, D, Speight, J, Segal, L, May, C, Manski-Nankervis, JA, Holmes-Truscott, E, Ginnivan, L and Blackberry, ID 2014, Can primary care team-based transition to insulin improve outcomes in adults with type 2 diabetes: the stepping up to insulin cluster randomized controlled trial protocol, Implementation Science, vol. 9, no. 1, Article number 20, pp. 1-8, doi: 10.1186/1748-5908-9-20.

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Title Can primary care team-based transition to insulin improve outcomes in adults with type 2 diabetes: the stepping up to insulin cluster randomized controlled trial protocol
Author(s) Furler, JS
Young, D
Best, J
Patterson, E
O'Neal, D
Liew, D
Speight, JORCID iD for Speight, J orcid.org/0000-0002-1204-6896
Segal, L
May, C
Manski-Nankervis, JA
Holmes-Truscott, EORCID iD for Holmes-Truscott, E orcid.org/0000-0001-9139-4663
Ginnivan, L
Blackberry, ID
Journal name Implementation Science
Volume number 9
Issue number 1
Season Article number 20
Start page 1
End page 8
Total pages 8
Publisher BioMed Central
Place of publication London, England
Publication date 2014-02
ISSN 1748-5908
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
Type 2 diabetes
Primary care
Nursing
Randomized trial
Insulin
Implementation
Australia
Health services research
GLYCEMIC CONTROL
CLINICAL INERTIA
THERAPY
INITIATION
MANAGEMENT
RESISTANCE
GLARGINE
AGENTS
HYPERGLYCEMIA
HEMOGLOBIN
Summary Type 2 diabetes (T2D) brings significant human and healthcare costs. Its progressive nature means achieving normoglycaemia is increasingly difficult, yet critical to avoiding long term vascular complications. Nearly one-half of people with T2D have glycaemic levels out of target. Insulin is effective in achieving glycaemic targets, yet initiation of insulin is often delayed, particularly in primary care. Given limited access to specialist resources and the size of the diabetes epidemic, primary care is where insulin initiation must become part of routine practice. This would also support integrated holistic care for people with diabetes. Our Stepping Up Program is based on a general practitioner (GP) and practice nurse (PN) model of care supported appropriately by endocrinologists and credentialed diabetes educator-registered nurses. Pilot work suggests the model facilitates integration of the technical work of insulin initiation within ongoing generalist care.
Language eng
DOI 10.1186/1748-5908-9-20
Field of Research 179999 Psychology and Cognitive Sciences not elsewhere classified
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, Biomed Central
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30068264

Document type: Journal Article
Collections: School of Psychology
Open Access Collection
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Scopus Citation Count Cited 6 times in Scopus
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Created: Tue, 16 Dec 2014, 12:23:25 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.