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Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur

Introduction: The number of patients with poor glycaemic control who refuse insulin therapy is alarming. Factors that contribute to insulin refusal are important to study to identify high risk groups so that appropriate measures can be taken to prevent progression of uncontrolled diabetes. The objec...

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Main Authors: Simon, Puvanese Rebecca Pillai, Md Said, Salmiah, Azman, Ahmad Zaid Fattah, Shah, Shamsul Azhar
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019
Online Access:http://psasir.upm.edu.my/id/eprint/69558/1/2019060311333112_MJMHS_June_2019.pdf
http://psasir.upm.edu.my/id/eprint/69558/
https://medic.upm.edu.my/upload/dokumen/2019060311333112_MJMHS_June_2019.pdf
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spelling my.upm.eprints.695582019-07-04T04:59:24Z http://psasir.upm.edu.my/id/eprint/69558/ Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur Simon, Puvanese Rebecca Pillai Md Said, Salmiah Azman, Ahmad Zaid Fattah Shah, Shamsul Azhar Introduction: The number of patients with poor glycaemic control who refuse insulin therapy is alarming. Factors that contribute to insulin refusal are important to study to identify high risk groups so that appropriate measures can be taken to prevent progression of uncontrolled diabetes. The objective of this study is to determine the risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur, Malaysia. Methods: A case control study was conducted among 216 cases and 230 controls using stratified sampling method. Cases were defined as patients with HbA1C more than 7.5% but not on insulin therapy despite being offered by the doctor whereas controls consist of patients with HbA1C of more than 7.5% but already on insulin therapy. Data was collected from April until May 2018, using a self-administered questionnaire. Analysis was done via IBM SPSS version 23.0. Results: Response rate for cases was 93.9% and response rate for controls was 100%. Risk factors of insulin refusal among poor glycaemic control includes age above 60 years old, tertiary level education, duration of diabetes less than 10 years, poor level of knowledge on insulin, fear on injection pain and fear to bruising due to injections. Conclusion: Hence, efforts must be taken to tackle the modifiable factors such as knowledge on insulin and diabetes, and fear on injections and bruises. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/69558/1/2019060311333112_MJMHS_June_2019.pdf Simon, Puvanese Rebecca Pillai and Md Said, Salmiah and Azman, Ahmad Zaid Fattah and Shah, Shamsul Azhar (2019) Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur. Malaysian Journal of Medicine and Health Sciences, 15 (2). pp. 84-92. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2019060311333112_MJMHS_June_2019.pdf
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Introduction: The number of patients with poor glycaemic control who refuse insulin therapy is alarming. Factors that contribute to insulin refusal are important to study to identify high risk groups so that appropriate measures can be taken to prevent progression of uncontrolled diabetes. The objective of this study is to determine the risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur, Malaysia. Methods: A case control study was conducted among 216 cases and 230 controls using stratified sampling method. Cases were defined as patients with HbA1C more than 7.5% but not on insulin therapy despite being offered by the doctor whereas controls consist of patients with HbA1C of more than 7.5% but already on insulin therapy. Data was collected from April until May 2018, using a self-administered questionnaire. Analysis was done via IBM SPSS version 23.0. Results: Response rate for cases was 93.9% and response rate for controls was 100%. Risk factors of insulin refusal among poor glycaemic control includes age above 60 years old, tertiary level education, duration of diabetes less than 10 years, poor level of knowledge on insulin, fear on injection pain and fear to bruising due to injections. Conclusion: Hence, efforts must be taken to tackle the modifiable factors such as knowledge on insulin and diabetes, and fear on injections and bruises.
format Article
author Simon, Puvanese Rebecca Pillai
Md Said, Salmiah
Azman, Ahmad Zaid Fattah
Shah, Shamsul Azhar
spellingShingle Simon, Puvanese Rebecca Pillai
Md Said, Salmiah
Azman, Ahmad Zaid Fattah
Shah, Shamsul Azhar
Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur
author_facet Simon, Puvanese Rebecca Pillai
Md Said, Salmiah
Azman, Ahmad Zaid Fattah
Shah, Shamsul Azhar
author_sort Simon, Puvanese Rebecca Pillai
title Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur
title_short Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur
title_full Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur
title_fullStr Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur
title_full_unstemmed Risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at Tanglin Health Clinic, Kuala Lumpur
title_sort risk factors of insulin refusal among type 2 diabetes mellitus patients with poor glycaemic control at tanglin health clinic, kuala lumpur
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/69558/1/2019060311333112_MJMHS_June_2019.pdf
http://psasir.upm.edu.my/id/eprint/69558/
https://medic.upm.edu.my/upload/dokumen/2019060311333112_MJMHS_June_2019.pdf
_version_ 1643839521856421888
score 13.211869

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