title: Refractory diabetes: Focus on the obvious.
abstract: Refractory diabetes, characterized by poor glycaemic control despite adequate treatment, is an important entity. In this condition, even the best therapeutic regimes tailored for rapid symptomatic relief and attainment of glycaemic goals may not work. The need is to revive the clinical angle of endocrinology, including a detailed history, thorough examination, judicious use of investigations and patient specific management plan, along with quality control by self and peer assessment.
authors.affiliation: Department of Endocrinology, Bharti Hospital, Karnal, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kalra
authors.affiliation: Department of Endocrinology, Golden Hospital, Jalandhar, India.
authors.forename: Vipin
authors.initials: V
authors.lastname: Talwar
mesh_terms: D003695:Delivery of Health Care; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D058007:Physicians, Primary Care
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: clinical inertia, modern insulin, modern medication, type 2 diabetes.