title: Barriers and bridges to insulin therapy: bio psychosocial classification.
abstract: Barriers to insulin therapy are a major challenge to optimal practice of primary care diabetes. The primary care practitioner has to contend with multiple barriers while trying to initiate appropriate insulin therapy in a timely manner. Proper understanding of these barriers allows for efficient bridging of them. This article proposes a bio psychosocial classification of the potential barriers to insulin therapy, and possible bridges which can be built to overcome them.
authors.affiliation: Department of Endocrinology, Bharti Hospital, Karnal,India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kalra
authors.affiliation: Department of Medicine, Nightingale Hospital, Kolkata, India.
authors.forename: Samit
authors.initials: S
authors.lastname: Ghosal
mesh_terms: D003920:Diabetes Mellitus / Q000188:drug therapy / Q000523:psychology; D006801:Humans; D007328:Insulin / Q000627:therapeutic use*; D055118:Medication Adherence / Q000523:psychology*; D008960:Models, Psychological; D010817:Physician-Patient Relations; D011584:Psychology
chemical_list: D007328:Insulin
keywords: Diabetes, Insulin, Insulin analogues, Patient related barriers, Physician related barriers, Drug related barriers.