Knowledge, Attitude and Practice of Insulin Use of Diabetic Patients in India

Venkataraman A P, Laxminarayana Kamath, Samhita Shankar

Abstract



 Diabetes mellitus (DM) is a group of common metabolic disorders that share the phenotype of hyperglycemia. India is emerging as the world diabetic capital. Insulin is a therapeutic option to treat either type 1 and type 2 DM. Inadequate awareness about the use of insulin is likely to influence its acceptance and adherence. The present study was done to assess the knowledge, attitude, and practice regarding insulin use among diabetic patients at Victoria Hospital, Bangalore, India. Knowledge, attitude, and practice of sixty diabetic patients (either inpatients or outpatients) were assessed by using a validated questionnaire consisting of 24 items. Scores were allotted to each question and evaluated after applying appropriate statistical tests. The mean age of the patients was 53.51±6.48 years (58.33% males). The mean knowledge score was 9.06±1.88 out of 22, attitude score was 4.78±1.37 out of 12 and practice score was 7.75±1.24 out of 11. The mean score of attitude was better in females compared to male patients (5.32±1.34 vs. 4.4±1.28). Male patients scored 38.57% compared to female patients (41.33%) for the question regarding symptoms of hypoglycemia. 57.14% of male patients and 72% of female patients carried simple carbohydrates when going out. Despite good practice scores, the knowledge and attitude scores regarding insulin use were inadequate. Potential adverse effects of insulin can be avoided and better knowledge, attitude, and practice can be achieved by providing proper education to patients. 

Keywords: knowledge, attitude, practice, diabetic, insulin 


Keywords


Knowledge; Attitude; Practice; Diabetes; Insulin.

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References


Powers A C. Diabetes Mellitus: Diagnosis, Classification, and Pathophysiology. In: Lango D, Kasper DL, James Jl, Fausi AS, Hauser SL, Loscalzo J. editors. In: Harrison’s principles of internal medicine. 19th Ed. New York: McGraw- Hill; 2012. p. 2399–435.

Powers A C, D’Alessio D. Endocrine Pancreas and Pharmacotherapy of Diabetes Mellitus and Hypoglycemia. In:Brunton LL, Chabner BA, Knollmann BC, editors. Goodman and Gilman’s, The Pharmacological Basis of Therapeutics. 12th Ed. New York: McGraw-Hill; 2011. p. 1237-271.

Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabetic Medicine: A Journal of the British Diabetic Assosiation.1998;15(7):539-53.

UK Prospective Diabetes Study Group. Effect of intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS). Lancet 1998;35(2):837-53.

Colwell. J.A Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UK Prospective Diabetes Study Group. British Medical Journal.1998;317:703-713.

Fuster. V.Robert.A. Orourke. R. Alexander. W Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes UK Prospective Diabetes Study Group. Lancet.1998;352:837-853.

Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian Journal of Medical Research.2007;125:217-307.

Anjana RM, Deepa M, Pradeepa R, Mahanta J, Narain K, Das HK, et al. Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study. The Lancet Diabetes & Endocrinology [Internet]. 2017;5(8):585–96. Available from: 10.1016/s2213-8587(17)30174-2.

United States Centers for Disease Control and Prevention. Diabetes data and trends: Age-adjusted percentage of adults with diabetes using diabetes medication, by type of medication, 2013. Available at: http://www.cdc.gov/diabetes/statistics/meduse/fig2.htm.

Siminerio L, Kulkarni K, Pearson T, Rodbard H, Meece J, Lavernia F, et al. Strategies for Insulin InjectionTherapy in Diabetes Self-Management: American Association of Diabetes Educators.2011. Available from :http://www.diabeteseducator.org/export/sites/aade/_resources/pdf/research/AADE_Me Ed.pdf.

Behera SK, Behera RR, Thakur H. A study of knowledge and practices in prevention of type 2 diabetes mellitus among Bhilai steel plant employees. Indian Journal of Medical Specialities.2012;3:143-8.

Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research–INdiaDIABetes (ICMR–INDIAB) study. Diabetologia.2011;54:3022-27.

Nordström* A, Hadrévi J, Olsson T, Franks PW, Nordström P. Higher Prevalence of Type 2 Diabetes in Men Than in Women Is Associated With Differences in Visceral Fat Mass. The Journal of Clinical Endocrinology & Metabolism .2016;101(10):3740–6.

Tripathy JP, Thakur JS, Gursimer J, Chawla S, Jain S, Arnab Pal, et al. Prevalence and risk factors of diabetes in a large community based study in North India: results from a STEPS survey in Punjab, India. Diabetol Metabolic Syndrome.2017;9(8):1-8.

Nivethitha T, Manickavasagam S, Paramasivam M, Thaejasvi SG. Knowledge, attitude and practice of insulin use and its adverse effects in adult diabetic population. International Journal of Basic Clinical Pharmacology.2017;6:2651-7.

Jagadeesh A, Ravi Shankar K, Krishnakanth K. Study of knowledge concerning insulin usage in diabetic patients in tertiary care hospital in India. International Journal of Basic Clinical Pharmacology. 2018;7:59-62.

Choudhary S D, Das S K, Hazra A. Survey of knowledge-attitude-practice concerning insulin use in adult diabetes patients in eastern India. Indian Journal of Pharmacology. 2014;46(4):425-429.

Shafiee G, Mohajeri-Tehrani M, Pajouhi M, Larijani B. The importance of hypoglycemia in diabetic patients. Journal of Diabetes & Metabolic Disorders. 2012, 11:17

Priyanka Raj CK, Angadi MM. Hospital-based KAP study on diabetes in Bijapur, Karnataka. Indian Journal of Medical Specialities. 2010;1:80-3.

Gawand K S, Gawali U P, Kesari H V. A Study To Assess Knowledge, Attitude And Practice Concerning Insulin Use In Adult Patients With Diabetes Mellitus In Tertiary Care Centre. Indian Journal of Medical Research and Pharmaceutical Sciences.2016;3(9).




DOI: https://doi.org/10.15416/pcpr.v5i1.26564

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