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Insulin initiation for type 2 diabetes mellitus in primary care

Enhanced insulin initiation in primary care is associated with improvements in glycaemic control without deterioration in emotional well-being, according to recent results from an Australian randomized controlled trial of a novel model of care that incorporates theory-based change and an enhanced role for nurse practitioners.

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Acknowledgements

The authors acknowledge support from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care — East Midlands (NIHR CLAHRC — EM), the Leicester Clinical Trials Unit and the NIHR Leicester–Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, which is a partnership between University Hospitals of Leicester NHS Trust, Loughborough University and the University of Leicester.

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Correspondence to Melanie J. Davies.

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Competing interests

M.J.D. has acted as consultant, advisory board member and speaker for AstraZeneca, Boehringer Ingelheim, Janssen, Lilly, Merck Sharp & Dohme, Novo Nordisk and Sanofi-Aventis; as an advisory board member for Servier; and as a speaker for Mitsubishi Tanabe Pharma Corporation and Takeda Pharmaceuticals International. She has received grants in support of investigator and investigator-initiated trials from Boehringer Ingelheim, Janssen, Lilly, Novo Nordisk and Sanofi-Aventis and speaker fees, educational funding or both from Astra Zeneca, Boehringer Ingelheim, Eli Lilly, Janssen and Novo Nordisk. S.C. has received speaker fees, educational funding or both from Astra Zeneca, Boehringer Ingelheim, Eli Lilly, Janssen and Novo Nordisk; and grants in support of investigator-initiated trials from Boehringer Ingelheim and Janssen.

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Davies, M., Chatterjee, S. Insulin initiation for type 2 diabetes mellitus in primary care. Nat Rev Endocrinol 13, 317–318 (2017). https://doi.org/10.1038/nrendo.2017.41

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