Predictors and Consequences of Delayed Insulin Initiation: A 20-year Retrospective Cohort Study on Diabetes Complications in Southern Thailand
Delayed insulin initiation is common and linked to identifiable clinical characteristics and adverse outcomes, including increased risk of amputation and earlier microvascular complications. Prioritizing timely insulin initiation is essential to reduce long-term complications and preserve limb health, particularly in high-risk individuals.
Authors
- Kittisakdi Choomalee
- Padiporn Limumpornpetch (ORCID: https://orcid.org/0000-0003-2205-3616)
- Phoomjai Sornsenee (ORCID: https://orcid.org/0000-0001-6992-033X)
- Prapatsorn Saelim
- Aina Wang-ae
Institutions
- Prince of Songkla University (TH)
Publication Details
- Journal
- Diabetes Metabolic Syndrome and Obesity
- Published
- 2026-02-01
- DOI
- https://doi.org/10.2147/dmso.s575632
- Primary Topic
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Prince of Songkla University
- Faculty of Medicine, Prince of Songkla University