What primary care physicians think about insulin initiation in type 2 diabetes:a field-based study

Abstract

Background/aim: A significant number of patients with type 2 diabetes mellitus require insulin and little is known about the possible physician-related factors that could cause a delay in the initiation of insulin treatment in patients with type 2 diabetes. This study aimed to evaluate those factors.Materials and methods: A total of 87 family physicians working at 36 family health centers in urban Malatya participated in our study on a voluntary basis. A self-administered survey form was structured to gather the views of the primary care physicians. The survey was developed based on a review of the literature. The survey consisted of Likert scale item questions regarding knowledge about the disease of diabetes mellitus and the views of the primary care physicians regarding insulin initiation for type 2 diabetic patients.Results: Almost half of the participants (42.5%, n = 37) felt incompetent in the starting dosage adjustment and 40.2% (n = 35) of the participants felt incompetent in maintaining the appropriate dosage adjustment. In terms of sex, female family physicians were found to be more uncertain about the timing of initiating insulin treatment for diabetic patients. Conclusion:This study shows the necessity of continuous education activities and interventions to promote motivation in family physicians to improve care of diabetic patients in primary care.

Factors influencing insulin usage among type 2 diabetes mellitus patients: A study in Turkish primary care

“…As patient training is critical regarding DM follow-up and treatment, we believe that primary care physicians should provide guidance tailored to individual patient needs; multidisciplinary teams including nurses and specialists working in primary care clinics have successfully increased the initiation levels of insulin therapy. [24] The DM patients of the cited study stated that they commenced insulin therapy because their physicians gave them confidence, and explained how insulin worked. Insulin acceptance studies have shown that DM patients who refused insulin lacked knowledge on what insulin achieved.…”

“…Insulin acceptance studies have shown that DM patients who refused insulin lacked knowledge on what insulin achieved. [24] It is common for DM patients to lack information on insulin, or to be misinformed when insulin is first recommended. [25] Most DM patients manage their disease poorly and do not understand the significance of their condition or the effects of treatment.…”