Overcoming clinical inertia in insulin initiation in primary care for patients with type 2 diabetes: 24-month follow-up of the Stepping Up cluster randomised controlled trial

Abstract

Aim To examine the two-year impact of Stepping Up, a general practice based model of care intervention for insulin initiation and titration in Australia. Methods 266 participants from 74 general practices participated in the Stepping Up cluster randomised controlled trial between 2012–2014. Control practices received training in the model of care on completion of the 12-month trial. Patients were followed for 24 months. Participant baseline characteristics, insulin and non-insulin medication use were summarised for each study group. Linear mixed-effects models with random intercepts were used to estimate differences in mean outcome (HbA1c and weight) between the study groups using restricted..