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