Prevalence and determinants of psychological insulin resistance among type 2 diabetic patients in Kinshasa, Democratic Republic of Congo
Afr. j. prim. health care fam. med. (Online)
; 11(1): 1-5, 2019. ilus
Article
in En
| AIM
| ID: biblio-1257671
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ABSTRACT
Background:
Psychological insulin resistance (PIR) is a common but unappreciated phenomenon by health care providers with a negative impact on the control of type 2 diabetes mellitus.Aim:
To determine the frequency of PIR and its determinants in patients with type 2 diabetes.Setting:
This study was conducted in Kinshasa in three health centres providing management of diabetic patients.Methods:
This study was a multicentric, cross-sectional study conducted from 01 November 2017 to 31 March 2018 in Kinshasa among 213 type 2 diabetic patients who were taking oral anti-diabetic drugs. A standardised questionnaire, the Chinese Attitudes to Starting Insulin Questionnaire (Ch-ASIQ), was used for data collection.Results:
The average age of participants was 59.8 ± 11.1 years with a male to female ratio of 1.5. The prevalence of PIR was 42.7%; and its main determinants were 50 years of age (odds ratios [OR] adjusted 2.05; 95% confidence interval [CI] 1.984.27; p = 0.045), the presence of complications (OR adjusted 3.33; 95% CI 1.686.60; p = 0.001), lack of knowledge about insulin therapy (OR adjusted 1.96; 95% CI 1.033.71; p = 0.040) and the high cost of insulin (OR adjusted 2.32; 95% CI 1.084.95; p = 0.030).Conclusion:
The study showed that almost half of type 2 diabetic patients had PIR with the main determinant factors related to the patient and the health system. The establishment of a therapeutic education programme, improved 'providerpatient' communication and the development of approaches to increase access to drugs are crucial to reduce the prevalence of PIR
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Main subject:
Insulin Resistance
Type of study:
Clinical_trials
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Language:
En
Journal:
Afr. j. prim. health care fam. med. (Online)
Year:
2019
type:
Article