Practice and Some Factors Related to Practice of Autulin Insulin for People With Disease Type 2 in 2020

Abstract

Diabetes (diabetes mellitus) is a metabolic endocrine disease that is considered a «silent killer» because of its rapid growth and increased mortality due to dangerous complications of the disease. Target: Description of self-insulin injection practice of type 2 diabetes outpatient at the National Hospital of Endocrinology, 2020. Factors related to insulin self-injection practice of outpatients at the National Hospital of Endocrinology. Objects and methods: Cross-sectional descriptive studies, 250 Type 2 Diabetes Outpatient Treatment in On-Demand Clinic, National Hospital of Endocrinology from January 2020 -06/2020. Process: ITAS-scale interviews, questions about treatment costs, awareness of insulin self-injection practices. Results: 62.8% male, 68% urban area. Psychological factors group with mean age 61.45 ± 10.43, HbA1C 7.29 ± 1.55, durations of diabetes 11.72 ± 6.47, 184 patients (73.6%) had psychological insulin resistance (PIR). The rate of patients afraid of hypoglycemia 83.2%, seeing treatment failure 80%, patients situation getting worse 69.6%, difficult to determine the correct number and timing of injection 58%. Medical expenses covered by health insurance 91.2%. Age and duration of disease in the group of patients having PIR higher than in the group of patients don’t have PIR, HbA1C in the group with PIR lower than in the group without PIR. Over 190 patients self-injected insulin with injection pen: 100% preserved correctly; 97.6% determined the correct injection site; 97.6% had the correct injection time; 98% know how to change injection sites. Elderly age and prolonged illness reduce knowledge about dose compliance and post-use needle disposal. The group with psychological factors has higher understanding of needle flow and needle reuse. Conclude: Psychology and practice of self-insulin injection is a major factor affecting the effectiveness and compliance of insulin injection in patients with type 2 diabetes, which should be considered for counseling.. Keywords: Type 2 diabetes, insulin injection, psychological factors when using insulin, ITAS score.