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The lack of intensification could be due to moderate wind shear and entrainment over the Gulf of Mexico.
The lack of intensification of diabetes management in people with poorly controlled diabetes has been referred to as 'clinical inertia' [ 58].
Recent evidence suggests that lack of intensification of diabetes medications in a timely fashion is a powerful explanatory factor (4– 6, 9– 11).
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When the lack of significant intensification became apparent, a tropical storm warning was added for much of the Yucatán Peninsula and later for a portion of the Mexican coast along the Bay of Campeche.
Another study identified physicians' lack of proactive intensification of therapy as an important barrier to optimal management of diabetes [ 12].
Lack of treatment intensification or 'clinical inertia' has been recognized as a frequent cause of uncontrolled blood pressure in hypertensive patients managed in primary care [ 3].
Lack of treatment intensification by clinicians may be equally, if not more, important than medication adherence in attributing to poor control in hypertensive patients.
A number of authors insisted that the lack of treatment intensification for a patient who did not reach the target BP could actually reflect appropriate care.
To evaluate the possible lack of treatment intensification in older patients (age >70 years at diagnosis of diabetes) and in patients with history of CVD and renal diseases, logistic regression models were fitted.
In particular, the reported lack of difference between intensified and conventional treatment groups in the Diabetes Control and Complications Trial (15) is likely to be "attributable to the limitations of the measure rather than to any real lack of impact of intensification of treatment on QoL" (16).
One main reason for poor control is the lack of timely treatment intensification such as initiation of insulin therapy [ 14].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com