Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study
Document Type
Article
Publication Date
1-1-2015
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.
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
Divisions
fac_med
Funders
University of Malaya, Malaysia: (reference: PV109-2012A)
Publication Title
BMJ Open
Volume
5
Issue
1
Publisher
BMJ Publishing Group