WHY ARE TYPE 2 DIABETICS REFUSING INSULIN? A HOSPITAL BASED STUDY TO FIND THE FACTORS INFLUENCING THE PATIENT'S READINESS FOR INSULIN.

DR TARANPREET KAUR; DR ARUNA DUBEY; DR BK AGRAWAL

Volume : VII, Issue : IV, April - 2018

WHY ARE TYPE 2 DIABETICS REFUSING INSULIN? A HOSPITAL BASED STUDY TO FIND THE FACTORS INFLUENCING THE PATIENT'S READINESS FOR INSULIN.

Dr Taranpreet Kaur, Dr Aruna Dubey, Dr Bk Agrawal

Abstract :

INTRODUCTION: Insulin is one of the vital component in diabetes management but it is often refused by most of the patients whenever it has to be initiated.This study was aimed to study the factors affecting the patient�s readiness for Insulin. METHODS: A total of 500 Type 2 Diabetics in whom Insulin was to be started were given a 20 point ITAS questionnaire to analyse their readiness for Insulin. RESULTS: Only 14%patients were willing to start Insulin. Acceptance for Insulin was found more among males(χ2=7.668,p=.006) and urban residents(χ2=12.82,p<.001) but no significant difference was found among literate and illiterate population(χ2=4.96,p=.026). Also elderly and those with longer duration of diabetes were more receptive for insulin. CONCLUSION: Better glycemic control is the key to keep the complications of diabetes in check. Nevertheless, once the complications sets in then the patient becomes ready for Insulin but it is too late by then. So like nipping the evil in bud, it is important to educate the patients regarding diabetes, its complications and role of Insulin which can go a long way in preventing diabetes related morbidity and mortality.