Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study

Tong, W.T. and Vethakkan, S.R. and Ng, C.J. (2015) Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study. BMJ Open, 5 (1). e006407-e006407. ISSN 2044-6055, DOI https://doi.org/10.1136/bmjopen-2014-006407.

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Official URL: http://dx.doi.org/10.1136/bmjopen-2014-006407

Abstract

Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin. Research design: A qualitative method comprising indepth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analysed using a thematic approach. Participants: Seventeen people with type 2 diabetes using insulin with glycated haemoglobin (HbA1c) ≥9% for >1 year. Setting: The Primary Care Clinic and Diabetes Clinic in the University of Malaya Medical Centre (UMMC), Malaysia. Results: Data analysis uncovered four themes: lifestyle challenges in adhering to medical recommendations; psychosocial and emotional hurdles; treatment-related factors; lack of knowledge about and self-efficacy in diabetes self-care. Conclusions: Factors that explain the poor glycaemic control in people with type 2 diabetes using insulin were identified. Healthcare providers could use these findings to address patients' concerns during consultations and help to improve glycaemic control.

Item Type: Article
Funders: University of Malaya, Malaysia: (reference: PV109-2012A)
Uncontrolled Keywords: Adult; Aged; Blood Glucose Self-Monitoring; Diabetes Mellitus, Type 2; Female; Health Knowledge, Attitudes, Practice; Hemoglobin A, Glycosylated; Humans; Hypoglycemic Agents; Insulin; Life Style; Malaysia; Male; Medication Adherence; Middle Aged; Qualitative Research; Risk Factors; Self Care; Self Efficacy; Surveys and Questionnaires; Young Adult
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 02 Oct 2018 05:19
Last Modified: 02 Oct 2018 05:19
URI: http://eprints.um.edu.my/id/eprint/19531

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