Bastian Michael D, Wolters Nicholas E, Bright David R
The Raabe College of Pharmacy, Ohio Northern University, Ada, Ohio.
Consult Pharm. 2011 Jun;26(6):426-9. doi: 10.4140/TCP.n.2011.426.
Insulin therapy is crucial to the treatment of many patients with diabetes mellitus. Therefore, it is important for pharmacists to consider the clinical and economic implications of the decision between insulin pens and insulin vials and syringes. Clinically, insulin pens show an advantage through improved adherence and reduced hypoglycemic events. Furthermore, overall health care costs were either unchanged or improved in insulin pen users as compared with those using insulin vials and syringes, although little economic advantage was observed when switching from insulin vials to insulin pens. Patients tend to prefer insulin pen use based on patient satisfaction and ease of use. Through an understanding of the advantages and disadvantages of insulin pens and vials and syringes, pharmacists can help to advocate for the most appropriate insulin-delivery method to maximize clinical outcomes and to reduce overall health care spending.
胰岛素治疗对于许多糖尿病患者的治疗至关重要。因此，药剂师考虑胰岛素笔与胰岛素瓶和注射器之间选择的临床和经济影响很重要。在临床上，胰岛素笔通过提高依从性和减少低血糖事件显示出优势。此外，与使用胰岛素瓶和注射器的患者相比，胰岛素笔使用者的总体医疗保健成本要么没有变化，要么有所改善，尽管从胰岛素瓶改用胰岛素笔时几乎没有观察到经济优势。基于患者满意度和易用性，患者倾向于更喜欢使用胰岛素笔。通过了解胰岛素笔以及胰岛素瓶和注射器的优缺点，药剂师可以帮助倡导最合适的胰岛素给药方法，以最大限度地提高临床疗效并减少总体医疗保健支出。
