Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes Mellitus
To achieve tight glycemic control in diabetic patients, it may be necessary to introduce insulin therapy much earlier in the disease course. Poor glycemic control is a risk factor for the development of diabetic complications. Many patients require insulin therapy after several years of disease in...
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Tehran University of Medical Sciences
2013-08-01
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doaj-d0f938fdba3042a2941e109c2aac54432020-11-25T03:53:10ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942013-08-015184344Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes MellitusAkram Ghadiri-Anari0Zahra Fazaelipoor1Seyed Mohammad Mohammadi2Yazd Diabetes Research Center, Shahid Sadoughi University of Medical Science, Yazd, Iran.Yazd Diabetes Research Center, Shahid Sadoughi University of Medical Science, Yazd, Iran.Yazd Diabetes Research Center, Shahid Sadoughi University of Medical Science, Yazd, Iran. To achieve tight glycemic control in diabetic patients, it may be necessary to introduce insulin therapy much earlier in the disease course. Poor glycemic control is a risk factor for the development of diabetic complications. Many patients require insulin therapy after several years of disease in order to maintain good glycemic control and prevent complications. But many patients do not receive insulin therapy in a timely manner because of a negative appraisal of this treatment. Understanding the cause of this negative attitudes is necessary for better evaluation to overcome for this problem. The purpose of this study was to evaluate the reasons for insulin refusal among patients with type 2 diabetes. This is a descriptive cross-sectional study from Yazd Diabetes Research Center. 400 patients with type 2 diabetes who had an HbA1c ≥8.0% despite optimal oral therapy were identified that participated in this study. Data were obtained by patient interview using validated questionnaires. This study showed that Insulin refusal was common. 77% of participant reported being unwilling to take insulin if prescribed. Fear of injection is an important cause for insulin refusal among patients. Insulin refusal is an important problem among our patients with type 2 diabetes mellitus. Findings of this study suggest that interventions aimed at increasing insulin use should focus on injection-related concerns, education and correction of misconceptions. https://acta.tums.ac.ir/index.php/acta/article/view/4391Diabetes mellitusInsulin therapyQuestionnaire |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Akram Ghadiri-Anari Zahra Fazaelipoor Seyed Mohammad Mohammadi |
spellingShingle |
Akram Ghadiri-Anari Zahra Fazaelipoor Seyed Mohammad Mohammadi Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes Mellitus Acta Medica Iranica Diabetes mellitus Insulin therapy Questionnaire |
author_facet |
Akram Ghadiri-Anari Zahra Fazaelipoor Seyed Mohammad Mohammadi |
author_sort |
Akram Ghadiri-Anari |
title |
Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes Mellitus |
title_short |
Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes Mellitus |
title_full |
Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes Mellitus |
title_fullStr |
Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes Mellitus |
title_full_unstemmed |
Insulin Refusal in Iranian Patients with Poorly Controlled Type 2 Diabetes Mellitus |
title_sort |
insulin refusal in iranian patients with poorly controlled type 2 diabetes mellitus |
publisher |
Tehran University of Medical Sciences |
series |
Acta Medica Iranica |
issn |
0044-6025 1735-9694 |
publishDate |
2013-08-01 |
description |
To achieve tight glycemic control in diabetic patients, it may be necessary to introduce insulin therapy much earlier in the disease course. Poor glycemic control is a risk factor for the development of diabetic complications. Many patients require insulin therapy after several years of disease in order to maintain good glycemic control and prevent complications. But many patients do not receive insulin therapy in a timely manner because of a negative appraisal of this treatment. Understanding the cause of this negative attitudes is necessary for better evaluation to overcome for this problem. The purpose of this study was to evaluate the reasons for insulin refusal among patients with type 2 diabetes. This is a descriptive cross-sectional study from Yazd Diabetes Research Center. 400 patients with type 2 diabetes who had an HbA1c ≥8.0% despite optimal oral therapy were identified that participated in this study. Data were obtained by patient interview using validated questionnaires. This study showed that Insulin refusal was common. 77% of participant reported being unwilling to take insulin if prescribed. Fear of injection is an important cause for insulin refusal among patients. Insulin refusal is an important problem among our patients with type 2 diabetes mellitus. Findings of this study suggest that interventions aimed at increasing insulin use should focus on injection-related concerns, education and correction of misconceptions.
|
topic |
Diabetes mellitus Insulin therapy Questionnaire |
url |
https://acta.tums.ac.ir/index.php/acta/article/view/4391 |
work_keys_str_mv |
AT akramghadirianari insulinrefusaliniranianpatientswithpoorlycontrolledtype2diabetesmellitus AT zahrafazaelipoor insulinrefusaliniranianpatientswithpoorlycontrolledtype2diabetesmellitus AT seyedmohammadmohammadi insulinrefusaliniranianpatientswithpoorlycontrolledtype2diabetesmellitus |
_version_ |
1724479649801568256 |