RT Journal Article T1 Attitudes towards insulin initiation in type 2 diabetes patients among healthcare providers: A survey research. A1 Escalada, Javier A1 Orozco-Beltran, Domingo A1 Morillas, Carlos A1 Alvarez-Guisasola, Fernando A1 Gomez-Peralta, Fernando A1 Mata-Cases, Manel A1 Palomares, Rafael A1 Iglesias, Rosario A1 Carratalá-Munuera, Concepción K1 Diabetes mellitus K1 Disease management K1 General practice K1 Insulin K1 Time-to-treatments K1 Type 2 AB To describe the views of healthcare providers about starting insulin in patients with type 2 diabetes and to determine the specific factors that contribute to delay insulin initiation. Two-phases observational descriptive study. In the quantitative phase we conducted a cross-sectional survey of a sample of 380 healthcare professionals (general practitioners (GPs), endocrinologists, internists and nurses). In the qualitative phase, a discussion group reviewed the results of the survey to propose solutions. In poorly controlled patients, 46% of GPs vs. 43.2% of internists and 31.3% of endocrinologists waited 3-6months before starting insulin, and 71.4% of GPs vs. 66.7% of internists vs. 58.8% of endocrinologists need to confirm twice the HbA1c levels. The upper level of basal glucose more frequently considered as good control is 130mg/dL for GPs (35.7%), and 120mg/dL for internists (35.8%) and endocrinologists (37.5%). In patients without comorbidities, 32.5% of endocrinologists vs. 27.2% of internists vs. 17.9% of GPs initiated insulin when HbA1c was >7% while 26.3% of endocrinologists vs. 28.4% of internists vs. 38.4% of GPs initiated insulin when HbA1c was >8%. The interference of the therapy with the patient' social life and the need for time management were the most accepted barriers to initiate insulin. There are significant differences between GPs and endocrinologists regarding the insulin initiation and GPs and internists felt less empowered to manage patients with diabetes. Specific training for professionals and joint work with patients could improve the glycemic control. YR 2016 FD 2016-10-14 LK http://hdl.handle.net/10668/10577 UL http://hdl.handle.net/10668/10577 LA en DS RISalud RD Apr 17, 2025