Knowledge, attitude and practices of insulin therapy among patients with type 2 diabetes: a cross-sectional study

Abstract

ObjectivesThis study aimed to assess the knowledge, attitude and practices of patients with type 2 diabetes on insulin regarding insulin therapy.DesignA cross-sectional study.SettingThis study was conducted at the Dubai Diabetes Center from 1 December 2018 to 1 March 2020.ParticipantsFace-to-face interviews were conducted for 350 participants with type 2 diabetes at the Dubai Diabetes Center. Interviews followed the structured format of a questionnaire designed to obtain demographic details and score participants on knowledge, attitude and practices. We included patients aged >18 years and receiving insulin therapy. Patients with type 1 diabetes, pregnant women with gestational diabetes, those aged <18 years or those with a history of dementia were excluded.ResultsThe median age of participants was 61 years (first quartile, 53 years; third quartile, 67 years); 35.7% were male individuals and 64.3% were female individuals. The median percentage scores for knowledge, attitude and practices were 62.5% (62.5%, 75%), 85.7% (71.4%, 100%) and 77.7% (66.6%, 88.8%), respectively. Highly educated participants had a high level of knowledge. Significant negative correlations were found between the percentage knowledge scores and participants’ age and between the participants’ percentage attitude scores and haemoglobin A1C levels; Spearman’s correlations were −0.182 (p<0.001) and −0.14 (p=0.008), respectively. A significant positive Spearman’s correlation of 0.123 (p=0.021) was found between the percentage knowledge and percentage practice scores. No correlations were found among knowledge levels, participants’ haemoglobin A1c levels and duration of insulin use.ConclusionPatients with type 2 diabetes receiving insulin therapy and attending the Dubai Diabetes Center had adequate knowledge, a positive attitude and correct practice regarding insulin therapy. However, knowledge of specific facts did not always translate into correct behaviours and practices.

Conocimiento que tiene el paciente con Diabetes Mellitus tipo 2 sobre su enfermedad: revisión sistemática

“…Ghannadi, 2016 (40) Media: 7.02 ± 1.16 % ---Cuestionario propio PMC: 59.90 ± 11.23 % Edad: r = -0.284 HbA1c: r = -0.438 FPG: r = -0.277 Riaz, 2023 (41) ------DKQ-24 adaptada † (0-19) PMC: 30.4 % Edad ‡ Nivel educativo ‡ Ingresos mensuales ‡ Almheiri, 2024 (42) Media: 7.8 % ---Cuestionario propio (0-24) 62.5 % Edad: r = -0.14 Practicas: r = 0.123 Wang, 2023 (43) ------DKN modificado (0-20)…”