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Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres

BACKGROUND: Insulin therapy is necessary for patients with type 2 diabetes mellitus (T2DM) to reach the targeted glycaemic level and prevent complications. This study aimed to determine the proportion of adherence to insulin therapy and the associated factors in patients with T2DM. METHODS: A cross-...

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Autores principales: AZRI, Nasruddin, NORSA’ADAH, Bachok, HASSAN, Norul Badriah, NAING, Nyi Nyi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Penerbit Universiti Sains Malaysia 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8715880/
https://www.ncbi.nlm.nih.gov/pubmed/35002492
http://dx.doi.org/10.21315/mjms2021.28.6.8
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author AZRI, Nasruddin
NORSA’ADAH, Bachok
HASSAN, Norul Badriah
NAING, Nyi Nyi
author_facet AZRI, Nasruddin
NORSA’ADAH, Bachok
HASSAN, Norul Badriah
NAING, Nyi Nyi
author_sort AZRI, Nasruddin
collection PubMed
description BACKGROUND: Insulin therapy is necessary for patients with type 2 diabetes mellitus (T2DM) to reach the targeted glycaemic level and prevent complications. This study aimed to determine the proportion of adherence to insulin therapy and the associated factors in patients with T2DM. METHODS: A cross-sectional study was conducted among 249 patients with T2DM who had been on insulin therapy for at least 2 months in primary care centres of the Ministry of Health in Klang, Malaysia. A validated insulin adherence questionnaire for diabetes mellitus (DM) was used to assess insulin adherence. Data on the sociodemographic characteristics, disease-related factors, treatment-related factors and clinical parameters were extracted from medical records and interviews with patients. RESULTS: The adherence to insulin therapy was 8.43%. The factors associated with insulin adherence were self-monitoring of blood glucose (SMBG) (adjusted odds ratio [AOR]: 5.39; 95% confidence interval (CI): 1.20, 24.13; P = 0.028), exercise (AOR: 3.38; 95% CI: 1.37, 10.03; P = 0.029) and the number of daily insulin injections (AOR: 1.63; 95% CI: 1.09, 2.44; P = 0.017). CONCLUSION: The adherence to insulin therapy in primary health care centres in Malaysia was very poor. Patients who practiced SMBG, exercised and frequent daily insulin injections were significantly more adherent to insulin therapy.
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spelling pubmed-87158802022-01-07 Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres AZRI, Nasruddin NORSA’ADAH, Bachok HASSAN, Norul Badriah NAING, Nyi Nyi Malays J Med Sci Original Article BACKGROUND: Insulin therapy is necessary for patients with type 2 diabetes mellitus (T2DM) to reach the targeted glycaemic level and prevent complications. This study aimed to determine the proportion of adherence to insulin therapy and the associated factors in patients with T2DM. METHODS: A cross-sectional study was conducted among 249 patients with T2DM who had been on insulin therapy for at least 2 months in primary care centres of the Ministry of Health in Klang, Malaysia. A validated insulin adherence questionnaire for diabetes mellitus (DM) was used to assess insulin adherence. Data on the sociodemographic characteristics, disease-related factors, treatment-related factors and clinical parameters were extracted from medical records and interviews with patients. RESULTS: The adherence to insulin therapy was 8.43%. The factors associated with insulin adherence were self-monitoring of blood glucose (SMBG) (adjusted odds ratio [AOR]: 5.39; 95% confidence interval (CI): 1.20, 24.13; P = 0.028), exercise (AOR: 3.38; 95% CI: 1.37, 10.03; P = 0.029) and the number of daily insulin injections (AOR: 1.63; 95% CI: 1.09, 2.44; P = 0.017). CONCLUSION: The adherence to insulin therapy in primary health care centres in Malaysia was very poor. Patients who practiced SMBG, exercised and frequent daily insulin injections were significantly more adherent to insulin therapy. Penerbit Universiti Sains Malaysia 2021-12 2021-12-22 /pmc/articles/PMC8715880/ /pubmed/35002492 http://dx.doi.org/10.21315/mjms2021.28.6.8 Text en © Penerbit Universiti Sains Malaysia, 2021 https://creativecommons.org/licenses/by/4.0/This work is licensed under the terms of the Creative Commons Attribution (CC BY) (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Original Article
AZRI, Nasruddin
NORSA’ADAH, Bachok
HASSAN, Norul Badriah
NAING, Nyi Nyi
Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres
title Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres
title_full Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres
title_fullStr Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres
title_full_unstemmed Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres
title_short Insulin Adherence and Associated Factors in Patients with Type 2 Diabetes Mellitus Treated in Klang Primary Health Care Centres
title_sort insulin adherence and associated factors in patients with type 2 diabetes mellitus treated in klang primary health care centres
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8715880/
https://www.ncbi.nlm.nih.gov/pubmed/35002492
http://dx.doi.org/10.21315/mjms2021.28.6.8
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