the impact of improve control training program was evaluated by a non - interventional study and validated by a physician perception questionnaire . from a survey on 1086 physicians providing diabetes care in india , we report their practices and perceptions about diabetes care and insulin therapy . majority [ 558 ( 51.4% ) ] of the physicians accepted the ada defined hba1c target of < 7% as the standard for good glycemic control in their practice . however , 541 ( 49.8% ) of the physicians agreed that only 20 - 40% of their patients were able to achieve this target . for patients who do not achieve the glycemic control with oral anti - diabetic drugs ( oads ) within 6 months of initiation of therapy , initiation of an optimal insulin regimen was the preferred choice for 492 ( 45.3% ) of the participating physicians . premixed insulin was preferred for initiating insulin therapy in patients with type 2 diabetes , by 676 ( 62.2% ) of the participants [ as compared to basal by 375 ( 34.5% ) participants ] . once daily premixed insulin , intensified to twice daily was preferred as most optimal insulin regimen for initiation and subsequent intensification of insulin therapy [ 487 ( 44.8% ) participants ] . most of the participants preferred adopting a multi - targeted approach for treating diabetes , hypertension , and dyslipidemia . physicians prefer treatment goals similar to those recommended in the current guidelines of the american diabetes association for managing their patients with diabetes .
introduction : the impact of improve control training program was evaluated by a non - interventional study and validated by a physician perception questionnaire . from a survey on 1086 physicians providing diabetes care in india 
 , we report their practices and perceptions about diabetes care and insulin therapy.materials and methods : the responses were collected using a questionnaire validated by the improve control steering committee.results:majority [ 558 ( 51.4% ) ] of the physicians accepted the ada defined hba1c target of < 7% as the standard for good glycemic control in their practice . 
 however , 541 ( 49.8% ) of the physicians agreed that only 20 - 40% of their patients were able to achieve this target . for patients who do not achieve the glycemic control with oral anti - diabetic drugs ( oads ) within 6 months of initiation of therapy , initiation of an optimal insulin regimen was the preferred choice for 492 ( 45.3% ) of the participating physicians . 
 premixed insulin was preferred for initiating insulin therapy in patients with type 2 diabetes , by 676 ( 62.2% ) of the participants [ as compared to basal by 375 ( 34.5% ) participants ] . 
 once daily premixed insulin , intensified to twice daily was preferred as most optimal insulin regimen for initiation and subsequent intensification of insulin therapy [ 487 ( 44.8% ) participants ] . 
 most of the participants preferred adopting a multi - targeted approach for treating diabetes , hypertension , and dyslipidemia.conclusions:physicians prefer treatment goals similar to those recommended in the current guidelines of the american diabetes association for managing their patients with diabetes . 
 premixed insulin is preferred for initiation and intensification of insulin therapy .