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

Umair Ali; Muhammad Wajid Munir; Jahanzeb Maqsood; Mahwash Jamil; Syed Saif Ur Rehman; Abida Mateen Ansari

doi:10.51253/pafmj.v71i2.4137

Authors

Umair Ali Combined Military Hospital Abbottabad/National University of Medical Sciences (NUMS) Pakistan
Muhammad Wajid Munir Al-Nafees Medical College and Hospital, Islamabad Pakistan
Jahanzeb Maqsood Al-Nafees Medical College and Hospital, Islamabad Pakistan
Mahwash Jamil HITEC Institute of Medical Sciences, Taxilla/National University of Medical Sciences (NUMS) Pakistan
Syed Saif Ur Rehman Al-Nafees Medical College and Hospital, Islamabad Pakistan
Abida Mateen Ansari Al-Nafees Medical College and Hospital, Islamabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i2.4137

Keywords:

Psychological Insulin Resistance, Hypoglycemia, Insulin, Compliance, Diabetes mellitus

Abstract

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.