Abstract:
OBJECTIVE:To explore patients' and health professionals' experiences of initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) randomized controlled trial. RESEARCH DESIGN AND METHODS:Interviews were conducted with 45 trial participants and 21 health professionals and thematically analyzed. RESULTS:Patients were generally psychologically insulin receptive when approached to participate in the 4-T trial. Their receptiveness arose largely from their personal experiences observing intensifying prior treatments and deteriorating blood glucose control over time, which led them to engage with and accept the idea that their diabetes was progressive. Health professionals also fostered receptiveness by drawing on their clinical experience to manage patients' anxieties about initiating insulin. CONCLUSIONS:Previous studies may have overemphasized the problem of psychological insulin resistance and overlooked factors and treatment experiences that may promote insulin receptiveness among type 2 patients.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Jenkins N,Hallowell N,Farmer AJ,Holman RR,Lawton Jdoi
10.2337/dc10-0494subject
Has Abstractpub_date
2010-10-01 00:00:00pages
2178-80issue
10eissn
0149-5992issn
1935-5548pii
dc10-0494journal_volume
33pub_type
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