Audit of insulin prescription patterns and associated burden among diabetics in a tertiary health institution in Nigeria

Autor: Akinyemi T Akinlade, Michael Adeyemi Olamoyegun, Oluwabukola Ayodele Ala
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
medicine.medical_treatment
Nigeria
030209 endocrinology & metabolism
Audit
burden
insulin injection
Medication Adherence
03 medical and health sciences
0302 clinical medicine
Diabetes clinic
omission
Internal medicine
Diabetes mellitus
Health care
medicine
Human insulin
Diabetes Mellitus
Humans
Hypoglycemic Agents
Insulin
030212 general & internal medicine
Prospective Studies
Medical prescription
Insulin injection
Aged
Glycated Hemoglobin
diabetes
business.industry
Drug Administration Routes
Adherence
diabetes
burden
insulin injection
omission
General Medicine
Articles
Middle Aged
medicine.disease
Drug Utilization
Injection Site Reaction
Cross-Sectional Studies
Socioeconomic Factors
Adherence
Drug Therapy
Combination
Female
business
Zdroj: African Health Sciences
African Health Sciences; Vol 18, No 4 (2018); 852-864
ISSN: 1729-0503
1680-6905
Popis: Background: Insulin is one of the most important anti-diabetic agents in the management of diabetes even among type 2 diabetic. Objective: There was need to assess insulin adherence, mode of insulin delivery and burden of insulin usage among diabetics. Methods: A cross-sectional, prospective questionnaire, orally administered at a Diabetes Clinic of a University Teaching Hospital, SouthWest, Nigeria. Participants were consecutive patients with diabetes who were 18 years or older presently on insulin either alone or in combination with other anti-diabetic agents for at least 3 months. Baseline demographic and insulin treatment information were obtained. Results: Two hundred and thirteen (213) participants were studied. Of these, 21 (9.9%) had T1DM and 192 (90.1%) had T2DM, (means age, 58.6 ± 13.1 years, mean duration of diabetes, 7.0 ± 6.9 years). Insulin adherence was noted in 72.8% with better adherence among those who self-injected insulin compared to those who were injected by health care professionals (HCPs) or relations. Among the respondents, 80.8% were on human insulin and pre-mixed insulin was the most commonly used form of insulin (52.6%). Most participants (52.6%) were taking 10-20 units per day, only 22 (10.3%) were on >40units/day. Reuse of insulin needle was found in 74.6% of the participants. Major reasons for insulin omission were non-availability of insulin and patients being tired of insulin injection. Conclusion: The insulin adherence among diabetics in this study was high. Non-availability of insulin, insulin injection pain and being tired of continual insulin usage were some of the reasons for non-adherent to insulin usage. Keywords: Adherence, diabetes, burden, insulin injection, omission.
Databáze: OpenAIRE
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