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 indepth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analys...
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| Main Authors: | , , |
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| Format: | Article |
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BMJ Publishing Group
2015
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| Subjects: | |
| Online Access: | http://eprints.um.edu.my/19531/ http://dx.doi.org/10.1136/bmjopen-2014-006407 |
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| Institution: | Universiti Malaya |
| Summary: | Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin. Research design: A qualitative method comprising indepth 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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