Katie Weinger|Elizabeth A. Beverly
Barriers to Achieving Glycemic Targets: Who Omits Insulin and Why?
Joslin Diabetes Center|Harvard University|Joslin Diabetes Center|Harvard University
improved glycemic control people diabetes delays onset progression severe microvascular complications diabetes 12 despite advances pharmacotherapy diabetes treatment devices emphasis placed treatment adherence last decade national health nutrition examination survey nhanes data showed 45 patients diabetes achieve glycemic targets 7 3 although patients diabetes may undertreated eg inappropriate treatment regimens psychosocial issues require adjustment therapeutic targets one reason poor glycemic control patients difficulty following treatment prescriptions recommendations diabetes selfcarethe number diabetes medications prescribed number people using diabetes medications increased exponentially result increasing prevalence rates type 2 diabetes insulin extremely effective glucoselowering treatment medical requirement type 2 diabetes pancreas fails approximately 27 people diabetes take insulin 4 surprisingly little known factors related adherence medication prescriptions specifically intentional insulin omission underlying motivations insulin omission differ type diabetesa recent study issue diabetes care peyrot et al 5 brings issue forefront purpose study explore frequency intentional insulin omission factors associated behavior sample 502 us adults selfidentified taking insulin injection treat either type 1 type 2 diabetes fiftyseven percent respondents reported omitting insulin injections 20 omitting insulin injections regularly regression analyses identified older age lower income education type 2 diabetes poor diet adherence frequently prescribed injections interference daily activities pain embarrassment independent risk factors intentional insulin omission