Overbasalization: Addressing Hesitancy in Treatment Intensification Beyond Basal Insulin

摘要

The proportion of patients with type 2 diabetes achieving recommended treatment goals remains suboptimal despite advances in diabetes care (1). Only 30% of patients with type 2 diabetes who use basal insulin achieve an A1C <7%, with the probability of doing so diminishing greatly if not achieved within 1 year of insulin initiation (2–6). Factors underlying these delays are complex and may involve therapeutic inertia, which is defined as failure to intensify or deintensify therapy when appropriate (7).