Clinical inertia in management of T2DM

Prim Care Diabetes. 2010 Dec;4(4):203-7. doi: 10.1016/j.pcd.2010.07.003. Epub 2010 Aug 16.


Diabetes is highly prevalent and serious chronic debilitating disease and reported to be the fourth main cause of death in Europe. Despite extensive evidence of benefits of tight glycemic control, large proportions of people with diabetes do not achieve target glycemic control. One major reason for this is clinical inertia which is "recognising the problem but failure to act" by health care professionals in primary care. The key issues in the management of people with T2DM include early detection of problems, realistic goal setting, improved patient adherence, better knowledge and understanding of pharmacotherapeutic treatment options and prompt intervention. Health care professionals must need to overcome clinical inertia and need to intensify therapy in an appropriate and timely manner.

Publication types

  • Review

MeSH terms

  • Attitude of Health Personnel
  • Blood Glucose / metabolism
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / therapy*
  • Early Diagnosis
  • Guideline Adherence
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians'*
  • Primary Health Care*
  • Treatment Outcome


  • Blood Glucose