Anthonia O Ogbera|S. F. Kuku
Insulin use, prescription patterns, regimens and costs.-a narrative from a developing country
Lagos State University Teaching Hospital
achieving good glycemic control paramount importance reduction diabetes mellitus dm associated morbidity mortality insulin plays key role management dm unfortunately whilst healthcare providers present insulin treatment last resort patients insulin often insulin related issues needle phobias fear hypoglycaemia weight gain developing countries costs report aims assessing insulin prescription pattern insulin costs issues associated adherencethis crosssectional observation study whereby 160 patients dm insulin solely combination oral hypoglycaemic agents recruited 6 month period information obtained study subjects pertained histories dm types insulin insulin costs adherence issues insulin delivery devices long short term glycaemic control determined evaluated possible relation insulin adherence test statistics used chi square test binary regressioninsulin adherence noted 12377 study subjects comparable persons type 1 dm type 2 dm mean glycosylated haemoglobin values significantly higher admitted non insulin adherence compared adhered insulin regimen 97 23 vs 86 21 p 001 reasons proffered respondents non insulin adherence included high costs1541 inconvenience 15 41 needle pain7918 greater proportion persons self injected insulin adhered insulin prescriptions compared self inject thus better glycaemic control shorter duration dm older age found predictors adherence insulin prescriptionthe monthly mean costs insulin earned income 52128 nigerian naira equivalent 331 us dollars estimated persons minimum wage would spend 29 monthly income procurement insulinhealth related costs age duration dm insulin associated side effects factors implicated adherence insulin prescription