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Feature Articles

Patients With Type 2 Diabetes Are Willing to Do More to Overcome Therapeutic Inertia: Results From a Double-Blind Survey

  1. Steven V. Edelman1,
  2. Richard Wood2,
  3. Michelle Roberts3 and
  4. Jay H. Shubrook4
  1. 1University of California San Diego Veterans Affairs Medical Center, San Diego, CA
  2. 2dQ&A, San Francisco, CA
  3. 3Sanofi US, Bridgewater, NJ
  4. 4College of Osteopathic Medicine, Touro University California, Vallejo, CA
  1. Corresponding author: Steven V. Edelman, svedelman{at}vapop.ucsd.edu
Clinical Diabetes 2020 Jul; 38(3): 222-229. https://doi.org/10.2337/cd19-0067
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  • FIGURE 1
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    FIGURE 1

    Patients and physicians reporting discussing A1C goal-setting and timing expectations at basal insulin initiation.

  • FIGURE 2
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    FIGURE 2

    Patients’ willingness to make changes to reach their A1C goal. *P <0.01. Not all percentages sum to 100 because of rounding.

  • FIGURE 3
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    FIGURE 3

    Patients’ frustration levels over time. PHYS, physician; PT, patient. *P <0.0001. Not all percentages sum to 100 because of rounding.

Tables

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  • TABLE 1

    Patient and Physician Demographic Characteristics

    CharacteristicPatients, % (n = 305)
    Age, years
     <4022
     40–4917
     50–5922
     ≥6039
    Sex
     Male43
     Female57
    Race/ethnicity
     White77
     Black8
     Hispanic14
     Asian1
    Metro type
     Urban34
     Suburban41
     Rural25
    U.S. geographic region
     Northeast16
     Midwest23
     South44
     West17
    Insurance (multi-response)
     Private/employer41
     Private/self-paid11
     Medicare41
     Medicaid16
     Veterans6
     No insurance4
     Other2
    CharacteristicPhysicians, % (n = 240)
    Specialty
     PCP (n = 160)67
     Endocrinologist (n = 80)33
    Practice years post-residency
     2–1028
     11–2044
     21–3528
    Practice setting
     Office-based practice or clinic45
     Private group practice46
     Private independent practice10
    Metro type
     Urban33
     Suburban50
     Rural17
  • TABLE 2

    Diabetes Management Priorities of Patients and Physicians for Patients on Basal Insulin

    Priorities (up to three responses)Patients, %Physicians, %
    Maintaining your A1C goal over the long term6245
    Staying healthy for your family4428
    Not gaining weight4335
    Taking your medications as prescribed3626
    Making sure you can afford your medication2953
    Avoiding side effects (hypoglycemia)2755
    Achieving your A1C goal quickly2327
    Being able to keep working1316
    Maintaining an active social life1314
    Other11
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Clinical Diabetes: 38 (3)

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July 2020, 38(3)
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Patients With Type 2 Diabetes Are Willing to Do More to Overcome Therapeutic Inertia: Results From a Double-Blind Survey
Steven V. Edelman, Richard Wood, Michelle Roberts, Jay H. Shubrook
Clinical Diabetes Jul 2020, 38 (3) 222-229; DOI: 10.2337/cd19-0067

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Patients With Type 2 Diabetes Are Willing to Do More to Overcome Therapeutic Inertia: Results From a Double-Blind Survey
Steven V. Edelman, Richard Wood, Michelle Roberts, Jay H. Shubrook
Clinical Diabetes Jul 2020, 38 (3) 222-229; DOI: 10.2337/cd19-0067
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