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. 2015 Jan 29;5(1):e006407.
doi: 10.1136/bmjopen-2014-006407.

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

Wen Ting Tong  1 , Shireene Ratna Vethakkan  2 , Chirk Jenn Ng  1
Affiliations

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

Wen Ting Tong et al. BMJ Open. .

Abstract

Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin.

Research design: A qualitative method comprising in-depth 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: PREVENTIVE MEDICINE; PRIMARY CARE; PUBLIC HEALTH; SOCIAL MEDICINE.

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Figures

Figure 1
Figure 1
Conceptual framework of study. OHA, oral hypoglycaemic agent; SMBG, self-monitoring of blood glucose.
See this image and copyright information in PMC

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