RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE

Objective: To evaluate factors resulting in reluctance of initiation of insulin therapy in patients with type 2 diabetes mellitus. Study Design: Cross sectional study. Place and Duration of Study: Medical OPD of a private tertiary care multi-specialty hospital in Islamabad, from Apr to Jul 201...

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Autores principales:	Umair Ali, Muhammad Wajid Munir, Jahanzeb Maqsood, Mahwash Jamil, Syed Saif Ur Rehman, Abida Mateen Ansari
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	psychological insulin resistance hypoglycemia insulin compliance diabetes mellitus Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/012648d3716643e7863c1137e0d79d3e
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spelling	oai:doaj.org-article:012648d3716643e7863c1137e0d79d3e2021-12-02T18:01:40ZRELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE0030-96482411-884210.51253/pafmj.v71i2.4137https://doaj.org/article/012648d3716643e7863c1137e0d79d3e2021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/4137https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate factors resulting in reluctance of initiation of insulin therapy in patients with type 2 diabetes mellitus. Study Design: Cross sectional study. Place and Duration of Study: Medical OPD of a private tertiary care multi-specialty hospital in Islamabad, from Apr to Jul 2019. Methodology: Patients with diabetes mellitus between age of 30-70 years, who had poor glycaemic control on two oral antidiabetic drugs having HbA1c>9% and were insulin naïve, were included in this study. A validated questionnaire was developed which had two sections; first including the demographic data of the study populations and second having closedended dichotomous questions which were asked from patients by the treating physicians Results: A total of 180 patients with diabetes mellitus eligible for insulin therapy were included in the study, among them 52 (28.9%) were agreed to initiate the insulin. Negative attitude and beliefs include painful way of administration 85 (66.4%), difficult insulin storage 98 (76.6%), risk of hypoglycemia 82 (64.1%).The mean negative perception Score was 7.35 (SD 0.98). Conclusion: Psychological insulin resistance is present in significant diabetic population, and it is a big obstacle in insulin therapy initiation and compliance.Umair AliMuhammad Wajid MunirJahanzeb MaqsoodMahwash JamilSyed Saif Ur RehmanAbida Mateen AnsariArmy Medical College Rawalpindiarticlepsychological insulin resistancehypoglycemiainsulincompliancediabetes mellitusMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 602-05 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	psychological insulin resistance hypoglycemia insulin compliance diabetes mellitus Medicine R Medicine (General) R5-920
spellingShingle	psychological insulin resistance hypoglycemia insulin compliance diabetes mellitus Medicine R Medicine (General) R5-920 Umair Ali Muhammad Wajid Munir Jahanzeb Maqsood Mahwash Jamil Syed Saif Ur Rehman Abida Mateen Ansari RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE
description	Objective: To evaluate factors resulting in reluctance of initiation of insulin therapy in patients with type 2 diabetes mellitus. Study Design: Cross sectional study. Place and Duration of Study: Medical OPD of a private tertiary care multi-specialty hospital in Islamabad, from Apr to Jul 2019. Methodology: Patients with diabetes mellitus between age of 30-70 years, who had poor glycaemic control on two oral antidiabetic drugs having HbA1c>9% and were insulin naïve, were included in this study. A validated questionnaire was developed which had two sections; first including the demographic data of the study populations and second having closedended dichotomous questions which were asked from patients by the treating physicians Results: A total of 180 patients with diabetes mellitus eligible for insulin therapy were included in the study, among them 52 (28.9%) were agreed to initiate the insulin. Negative attitude and beliefs include painful way of administration 85 (66.4%), difficult insulin storage 98 (76.6%), risk of hypoglycemia 82 (64.1%).The mean negative perception Score was 7.35 (SD 0.98). Conclusion: Psychological insulin resistance is present in significant diabetic population, and it is a big obstacle in insulin therapy initiation and compliance.
format	article
author	Umair Ali Muhammad Wajid Munir Jahanzeb Maqsood Mahwash Jamil Syed Saif Ur Rehman Abida Mateen Ansari
author_facet	Umair Ali Muhammad Wajid Munir Jahanzeb Maqsood Mahwash Jamil Syed Saif Ur Rehman Abida Mateen Ansari
author_sort	Umair Ali
title	RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE
title_short	RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE
title_full	RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE
title_fullStr	RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE
title_full_unstemmed	RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE
title_sort	reluctance of patients with diabetes mellitus to insulin therapy; psychological insulin resistance
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/012648d3716643e7863c1137e0d79d3e
work_keys_str_mv	AT umairali reluctanceofpatientswithdiabetesmellitustoinsulintherapypsychologicalinsulinresistance AT muhammadwajidmunir reluctanceofpatientswithdiabetesmellitustoinsulintherapypsychologicalinsulinresistance AT jahanzebmaqsood reluctanceofpatientswithdiabetesmellitustoinsulintherapypsychologicalinsulinresistance AT mahwashjamil reluctanceofpatientswithdiabetesmellitustoinsulintherapypsychologicalinsulinresistance AT syedsaifurrehman reluctanceofpatientswithdiabetesmellitustoinsulintherapypsychologicalinsulinresistance AT abidamateenansari reluctanceofpatientswithdiabetesmellitustoinsulintherapypsychologicalinsulinresistance
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RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE

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