Insulin therapy in the hospital setting: a time for a change?

The number of people with diabetes mellitus worldwide is expected to be more than double from 171 million in 2000 to 366 million in 2030. Approximately 25% of all hospital inpatient days are affected by diabetes. In Italy there are more than 12,000 hospitalizations excesses for 100,000 people per ye...

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Main Authors: Ada Maffettone, Massimo Rinaldi, Luigi Ussano, Andrea Fontanella
Format: Article
Language:English
Published: PAGEPress Publications 2016-03-01
Series:Italian Journal of Medicine
Subjects:
Online Access:http://www.italjmed.org/index.php/ijm/article/view/576
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author Ada Maffettone
Massimo Rinaldi
Luigi Ussano
Andrea Fontanella
author_facet Ada Maffettone
Massimo Rinaldi
Luigi Ussano
Andrea Fontanella
author_sort Ada Maffettone
collection DOAJ
description The number of people with diabetes mellitus worldwide is expected to be more than double from 171 million in 2000 to 366 million in 2030. Approximately 25% of all hospital inpatient days are affected by diabetes. In Italy there are more than 12,000 hospitalizations excesses for 100,000 people per year, with a huge economic impact. Ever since its discovery in the 1920s, insulin has been the milestone of type 1 diabetes treatment and its use is increasingly necessary for the successful management of type 2 diabetes. Often patients believe that injecting insulin can be painful, inconvenient and embarrassing; generally they are afraid of gaining weight and of hypoglycemia. On the other side, physician’s concerns regarding insulin administration include potential dosing errors and patient non-compliance. Ever since its discovery in the mid-1920s, insulin was administered subcutaneously using a vial and syringe. In 1985 the first pen device was launched. Currently disposable insulin pens are the most used and preferred by patients in the daily use, but are not routinely used for diabetic inpatients. In this paper we will focus on the pros and cons of insulin administration with pens in the hospital setting.
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spelling doaj.art-e71048bee9454554a3f436621977cb772023-12-02T21:22:17ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522016-03-01101232810.4081/itjm.2016.576538Insulin therapy in the hospital setting: a time for a change?Ada Maffettone0Massimo Rinaldi1Luigi Ussano2Andrea Fontanella3Cardiovascular and Metabolic Medicine Unit, Monaldi Hospital, NapoliCardiovascular and Metabolic Medicine Unit, Monaldi Hospital, NapoliCardiovascular and Metabolic Medicine Unit, Monaldi Hospital, NapoliDepartment of Medicine and Emergency, Buon Consiglio Fatebenefratelli Hospital, NapoliThe number of people with diabetes mellitus worldwide is expected to be more than double from 171 million in 2000 to 366 million in 2030. Approximately 25% of all hospital inpatient days are affected by diabetes. In Italy there are more than 12,000 hospitalizations excesses for 100,000 people per year, with a huge economic impact. Ever since its discovery in the 1920s, insulin has been the milestone of type 1 diabetes treatment and its use is increasingly necessary for the successful management of type 2 diabetes. Often patients believe that injecting insulin can be painful, inconvenient and embarrassing; generally they are afraid of gaining weight and of hypoglycemia. On the other side, physician’s concerns regarding insulin administration include potential dosing errors and patient non-compliance. Ever since its discovery in the mid-1920s, insulin was administered subcutaneously using a vial and syringe. In 1985 the first pen device was launched. Currently disposable insulin pens are the most used and preferred by patients in the daily use, but are not routinely used for diabetic inpatients. In this paper we will focus on the pros and cons of insulin administration with pens in the hospital setting.http://www.italjmed.org/index.php/ijm/article/view/576Diabetes mellitusinsulin therapyinsulin pen devicepatient’ adherencediabetes costs.
spellingShingle Ada Maffettone
Massimo Rinaldi
Luigi Ussano
Andrea Fontanella
Insulin therapy in the hospital setting: a time for a change?
Italian Journal of Medicine
Diabetes mellitus
insulin therapy
insulin pen device
patient’ adherence
diabetes costs.
title Insulin therapy in the hospital setting: a time for a change?
title_full Insulin therapy in the hospital setting: a time for a change?
title_fullStr Insulin therapy in the hospital setting: a time for a change?
title_full_unstemmed Insulin therapy in the hospital setting: a time for a change?
title_short Insulin therapy in the hospital setting: a time for a change?
title_sort insulin therapy in the hospital setting a time for a change
topic Diabetes mellitus
insulin therapy
insulin pen device
patient’ adherence
diabetes costs.
url http://www.italjmed.org/index.php/ijm/article/view/576
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AT massimorinaldi insulintherapyinthehospitalsettingatimeforachange
AT luigiussano insulintherapyinthehospitalsettingatimeforachange
AT andreafontanella insulintherapyinthehospitalsettingatimeforachange