Ronnie Aronson
The Role of Comfort and Discomfort in Insulin Therapy
LMC Diabetes & Endocrinology (Canada)
despite recognized importance optimal insulin therapy patient adherence insulin therapy ongoing clinical care challenge insulin omission continues frequent underestimated correlated poorer glycemic control increased rates diabetesrelated complications insulin users consistently indentify multiple factors contribute insulin injectionrelated anxiety nonadherence injectionrelated discomfort continues bear significant contribution last decade advances needle manufacturing technology shorter narrower needles associated progressively improving patient selfrating injection discomfort consequently patient surveys insulin users show discomfort rank bottom third significant contributors prevalence however healthcare providers hcp family member care providers continue demonstrate high level anticipated perceived pain patient hcp anxiety pain anticipation associated patient anxiety may therefore play significant contributing role patient nonadherence