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

作者：Tong Wen Ting^*; Vethakkan Shireene Ratna; Ng Chirk Jenn

来源：BMJ Open, 2015, 5(1): e006407.

DOI：10.1136/bmjopen-2014-006407

Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin.
Research design: A qualitative method comprising in-depth 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.

• 出版日期2015