A review of current models for initiating injectable therapy for people with type 2 diabetes in primary care

Abstract

Aims: To systematically identify and describe models of injectable therapy initiation for people with type 2 diabetes mellitus (T2DM) in primary care. Methods: Eight electronic databases and the grey literature were searched. Studies examining models of injectable therapy initiation for adults with T2DM in primary care settings were included. Results: Successful models included: 1) Nurse-led one-to-one approach; 2) Nurse-led group sessions; and 3) Providing education to GPs and nurses. Conclusions: Few robust studies were found. Studied models were mainly in general practices, with limited evidence documented about starting people with T2DM on an injectable in the home setting.

Keywords

• Injectable therapy
• Type two diabetes
• Insulin initiation
• Nurse-led models of care
• Primary care