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Tackling Therapeutic Inertia: Why Providers Delay in Diabetes Care

A female doctor discusses HbA1c results with a male patient in a clinical office; the computer screen displays a chart with the message "HbA1c > 8% – ACTION NEEDED," while medical devices and a "Follow-up Needed" folder sit on the desk.

In diabetes care, “therapeutic inertia” refers to the failure to escalate or modify treatment when a patient’s glucose control is suboptimal. Even now — when newer, more effective treatments and monitoring tools are widely available — therapeutic inertia in diabetes remains a stubborn barrier. Providers often wait too long before …

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The Case for Early Insulin: Rethinking Delayed Initiation in Type 2 Diabetes

A female doctor explains insulin injection using a pen device to a middle-aged male patient, with a glucose monitor and tablet displaying a blood sugar graph on the table.

Starting insulin early in the course of type 2 diabetes may seem counter‑intuitive. After all, many patients and clinicians treat insulin as a “last resort.” Yet what if early insulin initiation could actually change the trajectory of the disease — preserving pancreatic function, improving long‑term control, and reducing complications? In …

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