Abstract

Therapeutic inertia is the failure of health-care providers to initiate or intensify therapy when therapeutic goals are not reached. Few studies have compared insulin initiation delay times with their expected negative effect on health outcomes. Our study quantifies the effects of delaying the start of insulin for patients with Type 2 Diabetes Mellitus (T2DM) on future A1c values, medical costs, and development of new T2D-related complications.

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