Management of insulin therapy in France. Results from the scheme survey.

Insulin therapy was analysed among 1260 type 1 or type 2 diabetic patients during a national transversal survey. A total of 934 MDs, mostly diabetolog ists, agreed to participate in this study, among which about half sent ques tionnaire forms back. The number of different insulin therapy schemes was a s high as 36, glucose control was not related with the number of shots. Usu al management regarding injection and glucose self-monitoring is described in this population which mostly relies on a diabetologist follow-up. One th ird of patients featured an HbA1c < 7,5 %. Overall, glucose control remains unsatisfactory and too many patients do not benefit from an optimized insu lin therapy.