Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study

Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin. Research design: A qualitative method comprising indepth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analys...

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Main Authors: Tong, W.T., Vethakkan, S.R., Ng, C.J.
Format: Article
Published: BMJ Publishing Group 2015
Subjects:
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author Tong, W.T.
Vethakkan, S.R.
Ng, C.J.
author_facet Tong, W.T.
Vethakkan, S.R.
Ng, C.J.
author_sort Tong, W.T.
collection UM
description Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin. Research design: A qualitative method comprising indepth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analysed using a thematic approach. Participants: Seventeen people with type 2 diabetes using insulin with glycated haemoglobin (HbA1c) ≥9% for >1 year. Setting: The Primary Care Clinic and Diabetes Clinic in the University of Malaya Medical Centre (UMMC), Malaysia. Results: Data analysis uncovered four themes: lifestyle challenges in adhering to medical recommendations; psychosocial and emotional hurdles; treatment-related factors; lack of knowledge about and self-efficacy in diabetes self-care. Conclusions: Factors that explain the poor glycaemic control in people with type 2 diabetes using insulin were identified. Healthcare providers could use these findings to address patients' concerns during consultations and help to improve glycaemic control.
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spelling um.eprints-195312018-10-02T05:19:28Z http://eprints.um.edu.my/19531/ Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study Tong, W.T. Vethakkan, S.R. Ng, C.J. R Medicine Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin. Research design: A qualitative method comprising indepth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analysed using a thematic approach. Participants: Seventeen people with type 2 diabetes using insulin with glycated haemoglobin (HbA1c) ≥9% for >1 year. Setting: The Primary Care Clinic and Diabetes Clinic in the University of Malaya Medical Centre (UMMC), Malaysia. Results: Data analysis uncovered four themes: lifestyle challenges in adhering to medical recommendations; psychosocial and emotional hurdles; treatment-related factors; lack of knowledge about and self-efficacy in diabetes self-care. Conclusions: Factors that explain the poor glycaemic control in people with type 2 diabetes using insulin were identified. Healthcare providers could use these findings to address patients' concerns during consultations and help to improve glycaemic control. BMJ Publishing Group 2015 Article PeerReviewed Tong, W.T. and Vethakkan, S.R. and Ng, C.J. (2015) Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study. BMJ Open, 5 (1). e006407-e006407. ISSN 2044-6055, DOI https://doi.org/10.1136/bmjopen-2014-006407 <https://doi.org/10.1136/bmjopen-2014-006407>. http://dx.doi.org/10.1136/bmjopen-2014-006407 doi:10.1136/bmjopen-2014-006407
spellingShingle R Medicine
Tong, W.T.
Vethakkan, S.R.
Ng, C.J.
Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study
title Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study
title_full Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study
title_fullStr Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study
title_full_unstemmed Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study
title_short Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study
title_sort why do some people with type 2 diabetes who are using insulin have poor glycaemic control a qualitative study
topic R Medicine
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