Skip to main content

Main menu

  • About Us
    • Leadership
    • Our Team
    • Vision, Mission and Values
    • Health and Economic Impact
    • Research Impact Video
    • Strategic Plan
  • Our Research
    • Research Focus
      • Brain Health
      • Cancer
      • Digital Health and Artificial Intelligence
      • Heart Health
      • Healthy Aging and Mobility
      • Immune System
      • Injury and Rehabilitation
      • Lung Health
      • Mental Health and Substance Use
    • Research Centres and Programs
      • BC Centre on Substance Use
      • Centre for Aging SMART
      • Centre for Cardiovascular Innovation
      • Centre for Clinical Epidemiology and Evaluation
      • Centre for Lung Health
      • Djavad Mowafaghian Centre for Brain Health
      • Immunity and Infection Research Centre
      • International Collaboration On Repair Discoveries
      • M. H. Mohseni Institute of Urologic Sciences
      • Ovarian Cancer Research Centre
      • Community Research Program
      • Emergency Medicine Research Program
      • Hematology Research Program
      • Skin Research Program
      • Other Research Focus Areas
    • News and Stories
    • Researcher Directory
    • Events and Workshops
  • Research Services
    • New to VCHRI
      • Working at VCHRI
      • Regulations and Training
      • Membership with VCHRI
      • Learning and Development
    • Starting Your Project
      • Research Facilitation
      • Awards and Funding
      • Grant Management
      • Operational Approval
      • CST Cerner
    • Developing Your Project
      • Clinical Trials Administration
      • Clinical Research Unit
      • Research Privacy
      • Financial Policies and Procedures
    • Additional Support
      • Indigenous Health Research Unit
      • VCH-VCHRI AI Hub
      • Communications and Media Relations
      • Study Recruitment Support
      • Innovation and Industry Partnership
    • Internal Awards
    • Clinical Research
    • Indigenous Research
  • Participate in Research
    • Reasons to Participate
    • Participant Stories
    • Find a Study
    • Recruitment Support

User menu

  • Log in

Breadcrumb

  1. Home
  2. Our Research
  3. News and Stories
  4. Regular doctor visits are good medicine for insulin-dependent type 2 diabetics

Regular doctor visits are good medicine for insulin-dependent type 2 diabetics

Stories Aug 25, 2020 3 minutes

Researchers have found a link between the number and frequency of visits and reduced time spent in hospital.

People with insulin-dependent type 2 diabetes may benefit from meeting with their general practitioner (GP) regularly, even when their symptoms seem to be under control. This recommendation stems from a nationally representative research study out of Vancouver Coastal Health Research Institute (VCHRI) that found visiting a GP at least once per year significantly reduced in-hospital time.

“Patients and health care providers want to prevent hospitalizations wherever possible, and in the case of individuals who have type 2 diabetes and use insulin, regular check-ins with their family physician could have a protective effect, particularly against insulin-related adverse events,” says study lead, Maeve Wickham. 

Maeve E. Wickham is a doctoral candidate in the School of Population and Public Health at the University of British Columbia (UBC) and a researcher at the Centre for Clinical Epidemiology and Evaluation (C2E2) at VCHRI.

Administering insulin to type 2 diabetic patients requires precision and care. There are a host of potential complications, such as neurological injury or even death, that can ensue if the high-risk yet essential medication is not properly managed. 

In collaboration with VCHRI researcher, Dr. Corinne Hohl, Wickham assessed 2,203 patient records from the 2013-2014 cycle of the Canadian Community Health Survey of individuals over the age of 12. Their study results were published in the journal Canadian Family Physician in early 2020. 

"Insulin dosing is a complex art. Careful monitoring of insulin levels are essential to protect against adverse drug events.” - Dr. Corinne Hohl

Study results show that insulin-dependent individuals with type 2 diabetes who visited a family physician between one and five times per year spent a mean of 6.9 nights in-hospital over the course of that year. 

Patients who saw a physician over six times throughout the year spent a mean of 10.1 nights in-hospital, while patients who did not visit their GP that year spent just over 18 nights in-hospital. 

“Patients who did not visit their family physician at all spent almost three times as much time in hospital as those who saw their GP one to five times.”

“We believe that when patients visit their family physicians more regularly, they build a better relationship with them and may receive more tailored education on how to manage their diabetes for their specific context, condition and any comorbidities,” says Wickham.

A team effort is needed to manage the growing challenge of type 2 diabetes 

Approximately one in three Canadians currently lives with diabetes—caused by the body’s inability to effectively use insulin to regulate blood glucose levels—or prediabetes—higher than normal blood sugar levels—according to Diabetes Canada.

Among current diabetics, 90-95 per cent have type 2 diabetes, and many are prescribed insulin.  

In their study, Wickham and Hohl note that 80 per cent of the costs associated with the disease—around $6,741 per person per year in Canada—are related to mismanagement and disease complications. According to their study results, GPs could play an important role in intercepting morbidity associated with insulin to avert hospitalization.  

Dr. Corinne Hohl is an attending physician at Vancouver General Hospital, an associate professor in the UBC Department of Emergency Medicine and an associate member of C2E2 at VCHRI.

“There has been some discussion about whether GPs should play a guiding role in type 2 diabetes disease management in addition to excellent patient education and enhanced self-management,” notes Wickham. Current guidelines recommend collaboration between patients, caregivers, primary care physicians and any specialists involved in the delivery of care, she adds. 

“Our study suggests that follow-ups with a primary care doctor may be protective against hospitalization, which supports the idea that the condition is well-managed in primary care.” 

While additional research is still needed, guidelines about how often patients should connect with their family physician and specialists are areas for further investigation and development, says Wickham. 

 

Researchers

Corinne Hohl

Related Articles

Timely wrap-around support for people with type 1 diabetes

Ask an expert: How can I manage my type 1 diabetes?

Personalized support could lead to better management of type 2 diabetes

Share:

  • Facebook
  • Linkedin
  • Twitter
  • Email

Related Research Centres/Programs

Centre for Clinical Epidemiology and Evaluation

Get the latest research headlines in your inbox

Subscribe

Recent News and Stories

Type
Announcement

Celebrating the life and distinguished career of Dr. Marcel Dvorak

May 14, 2025
Type
Stories

More equitable representation needed in Parkinson’s research

May 9, 2025 parkinsons, patient engagement, women
Type
Stories

Gamified stroke recovery improves arm function

May 8, 2025 stroke, rehabilitation
See more news

Get updates!

Join our newsletter mailing list to stay up to date on features and releases.

Subscribe

Quick Links

  • News and Stories
  • Careers
  • Events
  • Media Enquiries

Follow Us

  • LinkedIn
  • X
  • YouTube

© 2025 VCHRI. All rights reserved.

  • Contact
  • Privacy Policy