Abstract: Worldwide, 415 million of adult people live with diabetes (one out of eleven), also there are 5 million die from diabetes every year(1). Saudi Arabia is now classified by the International Diabetes Federation to be among the top 10 countries globally with the highest prevalence of diabetes in 2015 (17.6%)(1). Even KSA has the highest prevalence rate of diabetes in the Middle East region(1).
Objectives: To investigate the magnitude and determinants of the problem of refusing insulin therapy among poorly controlled type II diabetic patients despite of having the maximum dose of oral hypoglycemic medications.
Subjects and Methods: The study conducted at the diabetic centers, belonging to Ministry of Health, Taif city. Diabetic center has four clinics dealing with all problems of diabetic patients. It is a descriptive, cross sectional study, facility based included adult patients with type 2 diabetes during the study period will constitute the target population for the study. Self-administered Arabic questionnaire was used for collecting data. It included socio-demographic, duration of type 2 diabetes and last HbA1c reading, their willingness to start insulin therapy if it was recommended by doctor and their concerns and beliefs about. It is rated on a 5-point likert scale from “strongly agree” to “strongly disagree”. Statistical Package for Social Sciences (SPSS) software version 22 was used for data entry and analysis.
Results: One hundred fifty respondents were included in the study. The age of more than half of them (76%) were aged between 50 to less than 70 years, (54.7%) were male, (55.3%) were married, (62%) not working, (65.3%) live in Taif, and (52.7%) had less than secondary level of education. Majority of respondents 64 (442.7%) experience DM 5 to 10 years duration and the mean of last reading of HbA1c% was 9.461. More than half of respondents were unwilling to start insulin. Majority of respondents 84 (56%) have negative attitude, while 66 (44%) have positive attitude towards insulin therapy.
Conclusion: Respondents have negative attitude toward insulin therapy. So, it important to explore reasons for their reluctance to commence insulin can address his/her specific concerns and beliefs, and promote the future uptake of insulin therapy.
Keywords: type 2 diabetic patients, diabetic centers, insulin therapy, International Diabetes Federation.
Title: Refusal of insulin therapy among poorly controlled type 2 diabetic patients in Taif city: Prevalence and reasons
Author: Dr. Hanadi Aljohani, Dr. Noha Saleh Mohammed
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Research Publish Journals
