View Article

  • An Interventional Study To Assess Knowledge On Insulin Self Administration Among Diabetic Patients In Tertiary Care Hospital Of Dakshina Kannada
  • 1Department of Pharmacy Practice, Srinivas College of Pharmacy, Manglore, Karnataka, INDIA
    2Department of Pharmacy Practice, Srinivas College of Pharmacy, Manglore, Karnataka, INDIA

Abstract

Hyperglycemia is the defining characteristic of diabetes mellitus (DM) caused by abnormalities in insulin secretion, insulin action or both. In order to prevent complications, optimal glycemic management is necessary to lower DM morbidity and mortality. The technique for injecting insulin is one of the areas where mistakes are most likely to occur. Correct administration of insulin is associated with better management of diabetes and eventually a good quality of life. An interventional study was carried out for subjects who were on insulin of either gender for a period of 6 months with a validated questionnaire to assess the knowledge on insulin self-administration. A total of 100 patients were interviewed, of which 54% were male and 46% were female. Among the 100 participants, only 41% had adequate knowledge regarding insulin before intervention. Knowledge regarding self-administration of insulin was assessed and it was found that 33% of the individuals didn’t know the complications of insulin therapy were low blood sugar levels and insulin resistance. Only 26% of the participants had knowledge on correct angle for the administration of insulin whereas 74% were not aware of the correct angle of insulin administration. There was a significant difference between the correct responses of the participants before and after intervention. In the study, suboptimal responses to insulin delivery were reported. Patients knowledge was enhanced by education regarding insulin self-administration. Therefore, during each hospital visit, barriers should be filled by instructing patients on how to inject insulin.

Keywords

Diabetes, Insulin self-administration, Knowledge

Reference

  1. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus.Diabetic care 20.2009;32(1):62-7.
  2. Artasensi A, Pedretti A, Vistoli G, Fumagalli L. Type 2 Diabetes Mellitus: A Review of Multi-Target Drugs. Molecules. Journal of Food Science.2020;25(8):1987-99
  3. Shrivastava B R S, Shrivastava S P, Ramasamy J.Role of self-care in management of diabetes mellitus.Journal of Diabetes and Metabolic Disorder.2013;12:14-25.
  4. Adu M D, Malabu U, Malau-Aduli O E A, Malau-Aduli S B. Enablers and barriers to effective diabetes self- management : A multi –national investigation.PLoS ONE.2019;14(6):1-22.
  5. Thota S, Akbar A. Insulin: Continuing Education activity.StatPearls.2022;1(1):1-8.
  6. Nasir B, Buseir M, Muhammed O. Knowledge, attitude and practice towards insulin self-administration and associated factors among diabetic patients at Zewditu Memorial Hospital, Ethiopia. PLoS ONE.2021;16(2):5-20.
  7. David M, Nathan, John B, Buse, Mayer B, Davisdson, Ferrannini E, Rury R. Holman, Sherwin R. Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy.American Diabetes Association,Diabetes Care.2009;32(1):193-203.
  8. Dhatariya K, Corsino L, Umpierrez GE. Management of Diabetes and Hypoglycemia in Hospitalised Patients.Endotex.2020;1(1):1-20.
  9. Yosef T. Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia. Journal of Diabetes Research.2019;1(1):1-7.
  10. Boels AM, Rutten G, Cleveringa F, van Avendonk M, Vos R.Insulin Therapy in Type 2 Diabetes Is Associated with barriers to activity and worse Health Status:A Cross Sectional Study in primary care.Front.Endocrino.2021;12:5-20.
  11. Liang K, Xie Q, Nie j, Deng J. Study on the effect of education for insulin injection in diabetic patients with new simulation tools.Medicine.2021;100(14):25-38
  12. Netere A, Ashete E, Gebreyohannes E, Belachew S. Evaluations of knowledge, skills and practices of insulin storage and injection handling techniques of diabetic patients in Ethiopian primary hospitals. BMC Public Health.2020;20(1):2-10.
  13. Hazra A, Choudhury S, Das S. Survey of knowledge-attitude-practice concerning insulin use in adult diabetic patients in eastern India. Indian Journal of Pharmacology. 2014;46(4):5-20.
  14. Shrestha D, Basnet S, Prajuli P, Baral D, Badhu A. Knowledge regarding self- administration of insulin among the diabetic patients attending the diabetic clinic of tertiary care center of Eastern Nepal. Jour of Diab and Endo Assoc of Nepal. 2018; 2(1):9-16.
  15. Dinesh PV, Kulkarni AG, Gangadhar NK. Knowledge and self-care practices regarding diabetes among patients with Type 2 diabetes in Rural Sullia, Karnataka: A community- based, cross-sectional study. J Family Med Prim Care. 2016; 5(4): 847-52
  16. Bezawada Shravani, Anuradha H. V., PramilaKalra.Assessment of knowledge, attitude and practice of insulin injection among subjects with diabetes mellitus.International journal of basic and clinical pharmacology.2021:08-24.
  17. Jasper US, Opara MC, Pyiki EB, Akinrolie O. Knowledge of insulin use and its determination among Nigerian insulin requiring diabetes patients. Journal of diabetes and metabolic disorder.2014;13:10-25
  18. Gerensea H, Moges A, Shumiyee B, Abrha F, Yesuf M. Type One Diabetic Paitents Knowledge and Attitude on Insulin Self Administration in Mekele Tigray, Ethiopia.Journal of diabetic complications and Medicine.2016;1:104.

Photo
Yashaswini Borkar
Corresponding author

Department of Pharmacy Practice, Srinivas College of Pharmacy, Manglore, Karnataka, INDIA

Photo
Ramakrishna Shabaraya A.
Co-author

Department of Pharmacy Practice, Srinivas College of Pharmacy, Manglore, Karnataka, INDIA

Photo
Suchetha Kumari
Co-author

Department of Pharmacy Practice, Srinivas College of Pharmacy, Manglore, Karnataka, INDIA

Ramakrishna Shabaraya A., Yashaswini Borkar, Suchetha Kumari, An Interventional Study To Assess Knowledge On Insulin Self Administration Among Diabetic Patients In Tertiary Care Hospital Of Dakshina Kannada, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 11, 118-126. https://doi.org/10.5281/zenodo.10071182

More related articles
Analytical Method Development And Validation For S...
Kartik A. Bhatkar, V. M. Waghulkar, M. P. Jadhao, M. D. Game, S. ...
Effective Ayurvedic Treatment For Alcohol Related ...
Neeraj K. Pathak, Gyan P. Sharma, Achala R. Kumawat, ...
New Therapeutic approaches for Migraine: A brief overview...
Dipali V. Mane, Rashmi R. Balkate , Vanita H. Shinde, ...
Drug Effectiveness Through Clinical Drug Evaluation Recent Study ...
Tejas S. kapase , Yashraj Narake, Omkar Gongane, Sourabh patil, Sachin Navale, Nilesh Chougule, ...
Liposomes, Protein and Peptide Drug Delivery Systems...
Pratik S. Dhone, Priyanka Shelke, Gajan Sanap, ...
Related Articles
Review: Biopharmaceutical Classification System...
Kalyani J. Bhor, Rashid Azeez, Vinod A. Bairagi, ...
A Review on Diabetes Mellitus...
Jagruti G. Musale, Dikshita D. Wagh, Rishikesh S. Bachhav, Smita S. Aher, ...
CRISPR Technology: Transformative Applications in Medicine and Agriculture...
Diksha Belwal, Debangana Mukherjee, Beenu Kumar, ...
CRISPR Technology: Transformative Applications in Medicine and Agriculture...
Diksha Belwal, Debangana Mukherjee, Beenu Kumar, ...
Analytical Method Development And Validation For Simultaneous Estimation Of Anti...
Kartik A. Bhatkar, V. M. Waghulkar, M. P. Jadhao, M. D. Game, S. G. Jawarkar, ...
More related articles
Analytical Method Development And Validation For Simultaneous Estimation Of Anti...
Kartik A. Bhatkar, V. M. Waghulkar, M. P. Jadhao, M. D. Game, S. G. Jawarkar, ...
Effective Ayurvedic Treatment For Alcohol Related Liver Diseases A Case Study...
Neeraj K. Pathak, Gyan P. Sharma, Achala R. Kumawat, ...