Insulin Myths and Impact of Round-Tree Group Education Programme on Acceptance of Insulin in Persons with Diabetes: A Study from the Himalayas

Autor: Jatinter, Mokta, Kiran, Mokta, Parmod, Sinha, Asha, Ranjan, Deepika, Rahul, Gupta
Rok vydání: 2019
Zdroj: The Journal of the Association of Physicians of India. 65(12)
ISSN: 0004-5772
Popis: Insulin is the natural treatment of diabetes mellitus. It is the oldest, most potent and natural therapy of diabetes mellitus; if used timely and in appropriate doses. Most diabetic patients either do not receive it or do not receive it timely. This study was conducted to assess the myths about insulin therapy among type 2 diabetes patients and the impact of open-air discussion on its acceptance in the rural areas of Himachal Pradesh.Study was conducted in 21 rural areas of the state. 909 non-pregnant diabetic adults were surveyed through 32 diabetes camps organized between April 2008 to August 2013. The date and place of camp decided one month in advance. Group education programmes, including 'lectures' and "round tree" discussions conducted.The mean age was 53.94 ± 6.87 years (27-84 years). 49.91 % (279) were eligible for insulin therapy (59.49% male) based on A1C9 %, and/or7% despite maximum doses of oral hypoglycemic drugs. Only 7.88% (13males and 9 females) agreed to take insulin at first suggestion. Economic status and educational standard inversely related to the acceptance of insulin. After this educational activity, 34.76% (67 males and 30 females) more patients agreed for insulin therapy, increasing total number to 42.65%.This study reveals the myths regarding insulin and suggests that community-based group education programs help increase in acceptance of insulin. Sensitization of local health care providers is necessary to ensure persistence with insulin therapy.
Databáze: OpenAIRE