Abstract

ADHERENCE TO INSULIN THERAPY AND BARRIERS TO NON-ADHERENCE

Dr. Dinesh Raj Neupane*, Dr. Jaiji Thomas, Dr. Natish Belbase, Dr. Rini Ponnachan, Dr. Alvin Shaji George, Dr. Raj Narayan Prasad Patel

ABSTRACT

Background: Type 2 DM is a silent epidemic characterized by increased blood glucose level resulting in undesirable metabolic disorders. The chronic behavior of diabetes requires multifactorial strategies for its management. Failure or non- adherence to therapeutic strategies may leads to microvascular and macrovascular complications. To improve patient’s quality of life, non- adherence of insulin therapy should be sorted out. Methods: The study was cross sectional conducted for 3 months from November 2020 to January 2021 in out patient department and endocrine department of Tertiary care hospital. Results: Total number of participants were (n=100).Out of which 54(54%) were male and 46(46%) were female. It is found that 68 participants(68%) were low adherent among which male were 33(48.5%) and female were 35(51.4%). Similarly 21 people(21%) were medium adherent with 8(38%) and 13(62%) comprising male and female participants respectively. The participants who were having high adherence were very few i.e 11(11%) where male were 8(72%) and female were 3(27%), where as the prominent barriers to non-adherence were low income, pain and hypoglycemia. Conclusion: The study concludes that the adherence to insulin was low specially in case of females where they lacked proper knowledge. Moreover, there were various factors to low or non-adherent where the low income, pain, alcoholism and hypoglycemia were the dominating one.

Keywords: Insulin, Adherence, Barriers.