Staff View: Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region

Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region

The rising prevalence of type 2 diabetes (T2D) is posing major challenges for the healthcare systems of many countries, particularly in the Asia-Pacific Region, in which T2D can present at younger ages and lower body mass index when compared with Western nations. There is an important role for insul...

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Main Authors:	Chen, Roger, Aamir, Azizul Hasan, Feroz Amin, Mohammod, Bunnag, Pongamorn, Chan, Siew Pheng, Guo, Lixin, Khamseh, Mohammad E., Mohan, Viswanathan, Nicodemus Jr, Nemencio, Roberts, Anthony, Tarigan, Tri Juli Edi, Won, Kyu-Chang, Mehta, Roopa
Format:	Article
Published:	Springer Heidelberg 2024
Subjects:	R Medicine
Online Access:	http://eprints.um.edu.my/45306/ https://doi.org/10.1007/s13300-024-01568-9
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spelling	my.um.eprints.453062024-10-08T02:34:26Z http://eprints.um.edu.my/45306/ Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region Chen, Roger Aamir, Azizul Hasan Feroz Amin, Mohammod Bunnag, Pongamorn Chan, Siew Pheng Guo, Lixin Khamseh, Mohammad E. Mohan, Viswanathan Nicodemus Jr, Nemencio Roberts, Anthony Tarigan, Tri Juli Edi Won, Kyu-Chang Mehta, Roopa R Medicine The rising prevalence of type 2 diabetes (T2D) is posing major challenges for the healthcare systems of many countries, particularly in the Asia-Pacific Region, in which T2D can present at younger ages and lower body mass index when compared with Western nations. There is an important role for insulin therapy in the management of T2D in these nations, but available evidence suggests that insulin is under-utilized and often delayed, to the detriment of patient prognosis. The authors of this article gathered as an advisory panel (representative of some of the larger Asia-Pacific nations) to identify their local barriers to insulin use in T2D, and to discuss ways in which to address these barriers, with their outputs summarized herein. Many of the key barriers identified are well-documented issues of global significance, including a lack of healthcare resources or of an integrated structure, insufficient patient education, and patient misconceptions about insulin therapy. Barriers identified as more innate to Asian countries included local inabilities of patients to afford or gain access to insulin therapy, a tendency for some patients to be more influenced by social media and local traditions than by the medical profession, and a willingness to switch care providers and seek alternative therapies. Strategies to address some of these barriers are provided, with hypothetical illustrative case histories. Springer Heidelberg 2024-06 Article PeerReviewed Chen, Roger and Aamir, Azizul Hasan and Feroz Amin, Mohammod and Bunnag, Pongamorn and Chan, Siew Pheng and Guo, Lixin and Khamseh, Mohammad E. and Mohan, Viswanathan and Nicodemus Jr, Nemencio and Roberts, Anthony and Tarigan, Tri Juli Edi and Won, Kyu-Chang and Mehta, Roopa (2024) Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region. Diabetes Therapy, 15 (6). pp. 1261-1277. ISSN 1869-6953, DOI https://doi.org/10.1007/s13300-024-01568-9 <https://doi.org/10.1007/s13300-024-01568-9>. https://doi.org/10.1007/s13300-024-01568-9 10.1007/s13300-024-01568-9
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine
spellingShingle	R Medicine Chen, Roger Aamir, Azizul Hasan Feroz Amin, Mohammod Bunnag, Pongamorn Chan, Siew Pheng Guo, Lixin Khamseh, Mohammad E. Mohan, Viswanathan Nicodemus Jr, Nemencio Roberts, Anthony Tarigan, Tri Juli Edi Won, Kyu-Chang Mehta, Roopa Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region
description	The rising prevalence of type 2 diabetes (T2D) is posing major challenges for the healthcare systems of many countries, particularly in the Asia-Pacific Region, in which T2D can present at younger ages and lower body mass index when compared with Western nations. There is an important role for insulin therapy in the management of T2D in these nations, but available evidence suggests that insulin is under-utilized and often delayed, to the detriment of patient prognosis. The authors of this article gathered as an advisory panel (representative of some of the larger Asia-Pacific nations) to identify their local barriers to insulin use in T2D, and to discuss ways in which to address these barriers, with their outputs summarized herein. Many of the key barriers identified are well-documented issues of global significance, including a lack of healthcare resources or of an integrated structure, insufficient patient education, and patient misconceptions about insulin therapy. Barriers identified as more innate to Asian countries included local inabilities of patients to afford or gain access to insulin therapy, a tendency for some patients to be more influenced by social media and local traditions than by the medical profession, and a willingness to switch care providers and seek alternative therapies. Strategies to address some of these barriers are provided, with hypothetical illustrative case histories.
format	Article
author	Chen, Roger Aamir, Azizul Hasan Feroz Amin, Mohammod Bunnag, Pongamorn Chan, Siew Pheng Guo, Lixin Khamseh, Mohammad E. Mohan, Viswanathan Nicodemus Jr, Nemencio Roberts, Anthony Tarigan, Tri Juli Edi Won, Kyu-Chang Mehta, Roopa
author_facet	Chen, Roger Aamir, Azizul Hasan Feroz Amin, Mohammod Bunnag, Pongamorn Chan, Siew Pheng Guo, Lixin Khamseh, Mohammad E. Mohan, Viswanathan Nicodemus Jr, Nemencio Roberts, Anthony Tarigan, Tri Juli Edi Won, Kyu-Chang Mehta, Roopa
author_sort	Chen, Roger
title	Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region
title_short	Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region
title_full	Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region
title_fullStr	Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region
title_full_unstemmed	Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region
title_sort	barriers to the use of insulin therapy and potential solutions: a narrative review of perspectives from the asia-pacific region
publisher	Springer Heidelberg
publishDate	2024
url	http://eprints.um.edu.my/45306/ https://doi.org/10.1007/s13300-024-01568-9
_version_	1814047537836851200
score	13.211869

Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region

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