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The Proportion of Type 2 Diabetic Patients Achieving Treatment Goals and the Survey of Patients’ Attitude Towards Insulin Initiation in Patients with Inadequate Glycaemic Control with Oral Anti-diabetic Drugs

Author(s):

Shivashankara Bhat, Mukta Chowta*, Nithyananda Chowta, Rajeshwari Shastry and Priyanka Kamath   Pages 1 - 9 ( 9 )

Abstract:


Background: Type 2 diabetic patients often require insulin therapy for better glycaemic control. However, many of these patients do not receive insulin or do not receive it in a timely manner.

Objective: The study was planned to assess the proportion of type 2 diabetic patients attaining treatment goals as per the ADA 2018 guidelines. In addition, patient’s perception on insulin therapy assessed and compared between insulin naïve and insulin initiated type 2 diabetic patients.

Methods: The study was conducted in type 2 diabetic patients. Data on their demographics, medical history, duration of diabetes, history of diabetes related complications, the current antidiabetic medication received, most recent glycaemic parameters were noted. Patient’s perception on insulin initiation was recorded through structured interview.

Results: A total of 129 patients were included in the study. Around 76.7% patients achieved HbA1c target (<7%). Duration of the disease is much higher in patients who did not meet the HBA1c target. A good number of patients felt that insulin injection would be physically painful (56.5%). Majority of the patients also felt that insulin will make their life less flexible (64.8%). Many patients are having the opinion that insulin is required for life long (73.2%). More number of patients on insulin agreed with the statement ‘Leads to good short-term outcomes as well as long-term benefits’ compared to insulin naïve patients.

Conclusion: The results highlight that the proportion of patients achieving recommended glycaemic target is not satisfactory. Many patients who are inadequately controlled with oral antidiabetic drugs were reluctant to initiate insulin.

Keywords:

Glycaemic control, Initiation of insulin, Oral antidiabetic drugs

Affiliation:

Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnayaka, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnayaka, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnayaka, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnayaka, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnayaka



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