Knowledge, attitude and practice of insulin use and its adverse effects in adult diabetic population
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20174783Keywords:
Awareness, Attitude, Diabetes, Insulin, Knowledge, PracticeAbstract
Background: Diabetes is a disease when left untreated, leads to many complications. India is emerging as a diabetic capital of the world. Insulin is widely used as a therapeutic option, and hence this study was conducted to assess the awareness of Insulin use and its adverse effects in diabetic population.
Methods: The study was a questionnaire survey conducted in adult patients with diabetes who are on Insulin therapy. The participants’ knowledge, attitude and practice were assessed by using a questionnaire consisting of 32 questions. Scores were allotted to each question, and evaluated after applying appropriate statistical tests.
Results: The mean age of the participants was 57.26±11.24 years. About 54% were males. 46% belonged to rural areas. The mean knowledge score was 17.53±4.40, mean attitude score 7.42±4.85 and the mean practice score was 6.56±1.91. 40% responded that they will return the expired insulin vials to the pharmacy. The most common reason for non adherence was economical constraints (60%). The females had better knowledge (17.60±4.43 vs. 17.45±4.40, p>0.88), attitude (8.21±3.84 vs. 6.58±5.56, p>0.09) and practice (6.97±1.84 vs. 6.13±1.92, p<0.02) of insulin use than males. Also, the urban population had better knowledge (17.58±3.64 vs. 17.32±4.97, p>0.297), attitude (8.70±3.95 vs. 6.06±5.37, p <0.002) and practice scores (6.92±1.89 vs. 6.38±1.92, p>1.395) than the rural counterparts.
Conclusions: There exists a gap between knowledge attitude and practice of insulin use. This can be overcome by conducting awareness programmes by health care providers, to sensitise people about the proper use, side effects and the methods of disposal of insulin vials.
Metrics
References
Pearson ER, McCrimmon RJ. Diabetes Mellitus. In: Brian Wlker R, Nicki Colledge R, Stuart Ralston H and Ian Penman D, eds: Davidson's principles and practice of medicine. 22nd ed. Edinburgh, Churchill Livingstone Elsevier; 2014:800-802.
Shuldiner A. Causes of diabetes, 2014. Available at: http://www.niddk.nih.gov/health-information/health-topics/Diabetes/causesdiabetes/ Pages/index.aspx. Accessed 29 November 2016.
Ozougwu, JC, Obimba, KC, Belonwu, CD, Unakalamba CB. The pathogenesis and pathophysiology of Type-1 and Type- 2 Diabetes mellitus. Academic Journals- Journals on physiology and Pathology. 2013;4(4):46-57.
International Diabetes Federation. IDF diabetes atlas, 2012. Available at: http://www.idf.org/sites/default/files/5E_IDFAtlasPoster_2012_EN.pdf. Accessed November 15 2013.
Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research–INdia DIABetes (ICMR–INDIAB) study. Diabetologia. 2011;54(12):3022-27.
Fowler MJ. Microvascular and macrovascular complications of diabetes. Clinical Diabetes. 2008;26:77-82.
United States Centers for Disease Control and Prevention. Diabetes data and trends: Age-adjusted percentage of adults with diabetes using diabetes medication, by type of medication, 2013. Available at: http://www.cdc.gov/diabetes/statistics/meduse/fig2.htm. Accessed 20 November 2013.
Vimalavanthi R, Agarwal SM, Gitanjali B. Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence. Int J Diabetes Dev Ctries. 2008;28(3):86-90.
Choudhary SD, Das SK, Hazra A. Survey of knowledge-attitude-practice concerning insulin use in adult diabetic patients in eastern India. Indian J Pharmacol. 2014;46(4):425-29.
Tripathy JP, Thakur JS, Gursimer J, Chawla S, Jain S, Arnab Pal, et al. Prevalence and risk factors of diabetes in a large community‑based study in North India: results from a STEPS survey in Punjab, India. Diabetol Metab Syndr. 2017;9(8):1-8.
Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research–INdiaDIABetes (ICMR–INDIAB) study. Diabetologia. 2011;54:3022-27.
Faerch, Kristine. Gender and T2DM. Diapedia, 2014. Available at: https://doi.org/10.14496/dia.3104972816.10. Accessed 13 August 2014.
Barik A, Mazumdar S, Chowdhury A, Rai RK. Physiological and behavioral risk factors of type 2 diabetes mellitus in rural India. BMJ Open Diabetes Research and Care. 2016;255:1-8.
Cheema A, Adeloye D, Sidhu S, Sridhar D, Chan KY. Urbanization and prevalence of type 2 diabetes in Southern Asia: A systematic analysis. Journal of global health. 2014;4(1):1-8.
Ghorpade AG, Majgi SM, Sarkar S, Kar SS, Roy G, Ananthanarayanan PH, et al. Diabetes in rural Pondicherry, India: a population-based study of the incidence and risk factors. WHO South-East Asia Journal of Public Health. 2013;2(3-4):149-55.
Mekuria AB, Gebresillassie BM, Erku DA, Haile KT, Birru EM. Knowledge and Self-Reported Practice of Insulin Injection Device Disposal among Diabetes Patients in Gondar Town, Ethiopia: A Cross-Sectional Study. J of Dia Res. 2016;1-7.
Peyrot M, Barnett AH, Meneghini LF, Schumm-Draeger PM. Insulin adherence behaviours and barriers in the multinational Global Attitudes of Patients and Physicians in Insulin Therapy study. Diabetic Medicine. 2012;683-89.
Deepa M, Bhansali A, Anjana RM, Pradeepa R, Joshi SR, Joshi PP, et al. Knowledge and awareness of diabetes in urban and rural India: The Indian Council of Medical Research India Diabetes Study (Phase I): Indian Council of Medical Research India Diabetes 4. Indian Journal of Endocrinology and Metabolism. 2014;18(3):379-85.
Siddiqui MA, Khan MF, Carline TE. Gender Differences in Living with Diabetes Mellitus. Mat Soc Med. 2013;25(2):140-42.2.
Downloads
Published
How to Cite
Issue
Section
