Mark Peyrot|Richard R. Rubin|Davida F. Kruger|Luther B. Travis
Correlates of Insulin Injection Omission
Loyola University Maryland|Johns Hopkins University|Johns Hopkins University|Henry Ford Health System|The University of Texas Medical Branch at Galveston
purpose study assess factors associated patient frequency intentionally skipping insulin injectionsdata obtained internet survey 502 us adults selfidentified taking insulin injection treat type 1 type 2 diabetes multiple regression analysis assessed independent associations various demographic disease injectionspecific factors insulin omissionintentional insulin omission reported half respondents regular omission reported 20 significant independent risk factors insulin omission younger age lower income higher education type 2 diabetes following healthy diet taking daily injections interference injections daily activities injection pain embarrassment risk factors differed type 1 type 2 diabetic patients diet nonadherence prominent type 1 diabetes age education income pain embarrassment prominent type 2 diabeteswhereas patients report regular intentional omission insulin injections substantial number findings suggest important identify patients intentionally omit insulin aware potential risk factors identified patients report injectionrelated problems interference daily activities injection pain embarrassment providers consider recommending strategies tools addressing problems increase adherence prescribed insulin regimens could improve clinical outcomes