Numerous clinical studies have shown that optimizing metabolic control in patients with diabetes may reduce the risk of micro and macrovascular complications related to the disease. The main concern about this epidemics is the growing number of people who develop diabetes-related complications. Globally, in 2017, people with type 2 diabetes were about 425 million and it has been estimated that in 2045 there will be about 629 million diabetics. To date it is a public health problem, as the incidence and prevalence of diabetes are constantly increasing worldwide, particularly in developing countries. Our main goal is the identification of the causes of clinical inertia in diabetology, and the quantification of its social and health-related consequences through the adoption of appropriate indicators, in an effort to advance possible solutions and proposals to fight and possibly overcome clinical inertia, thus improving health outcomes and quality of care.ĭiabetes mellitus is a chronic degenerative disease characterized by high risk of complications and high social, economic and health burden. In the present manuscript, we have documented the issue of inertia in its complexity, assessing its dimensions, its epidemiological weight, and its burden over the effectiveness of care. The phenomenon of clinical inertia in diabetology, defined as the failure to start a therapy or its intensification/de-intensification when appropriate, has been studied for almost 20 years, and it is not limited to diabetes care, but also affects other specialties. Nonetheless, many population studies show that glycemic control in diabetic patients is often inadequate. Numerous studies have shown that optimizing metabolic control may reduce the risk of micro and macrovascular complications related to the disease, and the algorithms suggest that an appropriate and timely step of care intensification should be proposed after 3 months from the failure to achieve metabolic goals. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.ĭiabetes mellitus is a chronic disease characterized by high social, economic and health burden, mostly due to the high incidence and morbidity of diabetes complications. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
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