Assessment of patient knowledge, practice and adverse events of insulin administration and storage techniques in patients with diabetes
Abstract
Diabetes mellitus is a group of metabolic disorder characterised by hyperglycaemia. For effective therapy, correct injection procedures, adequate storage, insulin dose adjustment, meal timing, site rotation, and compliance. The aim of this work is to assess the knowledge and practice of insulin administration and storage techniques in diabetes patients. It is a survey based cross sectional study conducted through both online and offline modes among diabetic patients consuming insulin in Ernakulam district. 213 cases were included and it consist of diabetic patients on insulin therapy. About 54.4% of patients were males and 45.6% patients were females. Majority 57.3% experienced hypoglycaemia and 17.3% never experienced it. 51.6% patients were educated by nurse, 25.6% by doctors and only 17.6% were educated by pharmacist. The study presented an insight into the practices of insulin administration and awareness to the diabetic patients, study also extended to other health care professionals in the society.
Keywords:
Recombinant DNA technology, Routine aspiration, HbA1C, Ultralente insulin, NPH, Lipodystrophy
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References
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22. Manjula MJ, Nalini GK, Bindu CB. Study to assess insulin injection practices and awareness among type 2 diabetic patients in a government tertiary care center. National Journal of Physiology, Pharmacy and Pharmacology. 2021;11(7):715-20.
23. Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC research notes. 2019 Dec;12(1):1-7.
24. Poudel RS, Shrestha S, Piryani RM, Basyal B, Kaucha K, Adhikari S. Assessment of insulin injection practice among diabetes patients in a tertiary healthcare centre in Nepal: a preliminary study. Journal of diabetes research. 2017 Jan 1;2017.
25. Kalra S, Mithal A, Sahay R, John M, Unnikrishnan AG, Saboo B, Ghosh S, Sanyal D, Hirsch LJ, Gupta V, Strauss KW. Indian injection technique study: population characteristics and injection practices. Diabetes Therapy. 2017 Jun;8(3):637-57.
26. Venkataraman AP, Kamath L, Shankar S. Knowledge, Attitude and Practice of Insulin Use of Diabetic Patients in India. medical care. 2020 Apr 21;5:6.
27. Mahdy AY, Alhojele MF. Exploring Local Insulin Injection Complication & Patients Knowledge and Practice and Offer Recommendation for Patient.
2. https://www.thewellproject.org/hiv-information/diabetes
3. https://www.thehindu.com/sci-tech/health/india-has-second-largest-number-of-people-with-diabetes/article29975027.ece
4. Ramachandran A. Know the signs and symptoms of diabetes. The Indian journal of medical research. 2014 Nov;140(5):579.
5. American Diabetes Association. Insulin administration. Diabetes Care. 2004 Jan 1;27(suppl 1):s106-7.
6. Netere AK, Ashete E, Gebreyohannes EA, Belachew SA. Evaluations of knowledge, skills and practices of insulin storage and injection handling techniques of diabetic patients in Ethiopian primary hospitals. BMC public health. 2020 Dec; 20(1):1-0.
7. DeWitt DE, Hirsch IB. Outpatient insulin therapy in type 1 and type 2 diabetes mellitus: scientific review. JAMA. 2003 May 7;289(17):2254-64. doi: 10.1001/jama.289.17.2254. PMID: 12734137
8. Kapoor U, Ramasamy G, Selvaraj K, Sahoo JP, Kar SS. Does one-to-one demonstration with insulin pads by health-care providers improves the insulin administration techniques among diabetic patients of a Tertiary Care Teaching Hospital in South India? Indian journal of endocrinology and metabolism. 2016 Nov;20(6):767.
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 Dec 14;2019.
10. Trief PM, Cibula D, Rodriguez E, Akel B, Weinstock RS. Incorrect insulin administration: a problem that warrants attention. Clinical Diabetes. 2016 Jan 1;34(1):25-33.
11. Konstantinos Papatheodorou, Maciej Banach, Michael Edmonds, Nikolaos Papanas, Dimitrios Papazoglou, "Complications of Diabetes", Journal of Diabetes Research, vol. 2015, Article ID 189525, 5 pages, 2015. https://doi.org/10.1155/2015/189525
12. Xu WL, von Strauss E, Qiu CX, Winblad B, Fratiglioni L. Uncontrolled diabetes increases the risk of Alzheimer’s disease: a population-based cohort study. Diabetologia. 2009 Jun;52(6):1031-9.
13. Konstantinos Papatheodorou, Maciej Banach, Eleni Bekiari, Manfredi Rizzo, Michael Edmonds, "Complications of Diabetes 2017", Journal of Diabetes Research, vol. 2018, Article ID 3086167, 4 pages, 2018. https://doi.org/10.1155/2018/3086167
14. Chakrabarti A, Das A, Mandal J, Shivaprakash MR, George VK, Tarai B, Rao P, Panda N, Verma SC, Sakhuja V. The rising trend of invasive zygomycosis in patients with uncontrolled diabetes mellitus. Sabouraudia. 2006 Jun;44(4):335-42.
15. Baruah MP, Kalra S, Bose S, Deka J. An audit of insulin usage and insulin injection practices in a large Indian cohort. Indian journal of endocrinology and metabolism. 2017 May;21(3):443.
16. Shafi I, Parveen K, Hussain M, et al. Knowledge and practice on self-insulin administration among diabetic patients in tertiary care hospital Lahore. J Intensive Crit Care Nurs. 2020;3(3):1-7.
17. Alhindi Y, Sharaf S, Almeflahi A, Felemban R, Hamza E, Aljehani A, Mukhtar S. Investigating The Effect of Pharmacist Educational Intervention on the Proper Use of Insulin Pen in Older Patients with Type 2 Diabetes Mellitus in Primary Health Care and Diabetic Centers in Makkah Al-Mukarramah, Saudi Arabia. Indian Journal of Public Health Research & Development. 2020 Dec 1;11(12).
18. Gupta M, Verma S, Agarwal S. Knowledge, attitude, and practices of insulin use among type 1 diabetes patients in North India–A cross-sectional study. Eastern Journal of Medical Sciences. 2021 Jan 18.
19. Ghosh K, Dhillon P, Agrawal G. Prevalence and detecting spatial clustering of diabetes at the district level in India. Journal of Public Health. 2020 Oct;28(5):535-45.
20. Vijayakumar G, Manghat S, Vijayakumar R, Simon L, Scaria LM, Vijayakumar A, Sreehari GK, Kutty VR, Rachana A, Jaleel A. Incidence of type 2 diabetes mellitus and prediabetes in Kerala, India: results from a 10-year prospective cohort. BMC public health. 2019 Dec;19(1):1-0.
21. Priscilla S, Malarvizhi S, Das AK, Natarajan V. The level of knowledge and attitude on insulin therapy in patients with diabetes mellitus in a teaching hospital of southern India. Journal of family medicine and primary care. 2019 Oct;8(10):3287.
22. Manjula MJ, Nalini GK, Bindu CB. Study to assess insulin injection practices and awareness among type 2 diabetic patients in a government tertiary care center. National Journal of Physiology, Pharmacy and Pharmacology. 2021;11(7):715-20.
23. Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC research notes. 2019 Dec;12(1):1-7.
24. Poudel RS, Shrestha S, Piryani RM, Basyal B, Kaucha K, Adhikari S. Assessment of insulin injection practice among diabetes patients in a tertiary healthcare centre in Nepal: a preliminary study. Journal of diabetes research. 2017 Jan 1;2017.
25. Kalra S, Mithal A, Sahay R, John M, Unnikrishnan AG, Saboo B, Ghosh S, Sanyal D, Hirsch LJ, Gupta V, Strauss KW. Indian injection technique study: population characteristics and injection practices. Diabetes Therapy. 2017 Jun;8(3):637-57.
26. Venkataraman AP, Kamath L, Shankar S. Knowledge, Attitude and Practice of Insulin Use of Diabetic Patients in India. medical care. 2020 Apr 21;5:6.
27. Mahdy AY, Alhojele MF. Exploring Local Insulin Injection Complication & Patients Knowledge and Practice and Offer Recommendation for Patient.
Published
30/11/2023
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Tom, A. A., Antony, N., Ashok, P., PS, M. A. K., & Jojo, J. (2023). Assessment of patient knowledge, practice and adverse events of insulin administration and storage techniques in patients with diabetes. Journal of Innovations in Applied Pharmaceutical Science (JIAPS), 8(3-S), 42-46. https://doi.org/10.37022/jiaps.v8i3-S.520
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