One of the major barriers to best practice diabetes care is therapeutic inertia – failure to increase therapy when goals are unmet. An ‘active’ approach to routine diabetes care can greatly help in the control of complication risk factors and diabetic complications.
- Therapeutic inertia – the failure to increase therapy when goals are unmet – is a major barrier to best practice diabetes care and treating to target in patients with type 2 diabetes.
- Most patients with type 2 diabetes are not achieving the targets of diabetes management (the ABCss – controlling glycosylated haemoglobin, blood pressure and cholesterol levels [ABC], quitting smoking [s] and taking salicylates [s]). Moving closer on all these targets has a dramatic therapeutic effect.
- Doctors should be active and insistent about achieving and maintaining target values of the main risk factors of diabetic complications, detecting problems early and intervening promptly.
- Patients should be informed about their diabetes and the required self-care and medical care, including adopting a healthy lifestyle, practising preventive care and, like doctors, being active and insistent about achieving and maintaining target values.