Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers
Objective. To investigate factors associated with insulin adherence in subjects with type 2 diabetes mellitus (T2D) attending a tertiary care centre in Mexico City. Material and Methods. Cross-sectional study, including 200 patients. Adherence to insulin therapy was measured with a medication adhere...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2018/3190849 |
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| author | Janneth Bermeo-Cabrera Paloma Almeda-Valdes Josefa Riofrios-Palacios Carlos A. Aguilar-Salinas Roopa Mehta |
| author_facet | Janneth Bermeo-Cabrera Paloma Almeda-Valdes Josefa Riofrios-Palacios Carlos A. Aguilar-Salinas Roopa Mehta |
| author_sort | Janneth Bermeo-Cabrera |
| collection | DOAJ |
| description | Objective. To investigate factors associated with insulin adherence in subjects with type 2 diabetes mellitus (T2D) attending a tertiary care centre in Mexico City. Material and Methods. Cross-sectional study, including 200 patients. Adherence to insulin therapy was measured with a medication adherence questionnaire. Sociodemographic data and factors related to insulin omission were collected and compared between the nonadherent and adherent groups. Results. We categorized 117 (58.5%) patients as nonadherent and 83 (41.5%) as adherent. Among the adherent, only 22 patients (11%) had excellent adherence to insulin therapy. The following factors were associated with nonadherence: lack of planning of daily activities (46.1%), fear of hypoglycemia (41%), economic factors (15.4%), and number of insulin applications (2.31 versus 1.76 applications per day). Conclusions. In this study, patients with type 2 diabetes attending a tertiary care referral centre showed inadequate adherence to insulin therapy. The principal factors associated with insulin omission were low socioeconomic status, fear of hypoglycemia, and a greater number of insulin applications per day. |
| format | Article |
| id | doaj-art-0835e2943a9340429ecb73f58719540c |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-0835e2943a9340429ecb73f58719540c2025-02-03T05:43:38ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/31908493190849Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and BarriersJanneth Bermeo-Cabrera0Paloma Almeda-Valdes1Josefa Riofrios-Palacios2Carlos A. Aguilar-Salinas3Roopa Mehta4Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoDepartamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoObjective. To investigate factors associated with insulin adherence in subjects with type 2 diabetes mellitus (T2D) attending a tertiary care centre in Mexico City. Material and Methods. Cross-sectional study, including 200 patients. Adherence to insulin therapy was measured with a medication adherence questionnaire. Sociodemographic data and factors related to insulin omission were collected and compared between the nonadherent and adherent groups. Results. We categorized 117 (58.5%) patients as nonadherent and 83 (41.5%) as adherent. Among the adherent, only 22 patients (11%) had excellent adherence to insulin therapy. The following factors were associated with nonadherence: lack of planning of daily activities (46.1%), fear of hypoglycemia (41%), economic factors (15.4%), and number of insulin applications (2.31 versus 1.76 applications per day). Conclusions. In this study, patients with type 2 diabetes attending a tertiary care referral centre showed inadequate adherence to insulin therapy. The principal factors associated with insulin omission were low socioeconomic status, fear of hypoglycemia, and a greater number of insulin applications per day.http://dx.doi.org/10.1155/2018/3190849 |
| spellingShingle | Janneth Bermeo-Cabrera Paloma Almeda-Valdes Josefa Riofrios-Palacios Carlos A. Aguilar-Salinas Roopa Mehta Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers Journal of Diabetes Research |
| title | Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers |
| title_full | Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers |
| title_fullStr | Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers |
| title_full_unstemmed | Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers |
| title_short | Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers |
| title_sort | insulin adherence in type 2 diabetes in mexico behaviors and barriers |
| url | http://dx.doi.org/10.1155/2018/3190849 |
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