[acb-diabetics] It's as easy as 1 2 3. Or is it?

[Patricia LaFrance-Wolf]

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This article originally posted 29 January, 2010 and appeared in  

Issue 506

 

It's as Easy as 1-2-3 Injections a Day -- Or Is It? 

 

Dave_Joffe

Dave Joffe, BSPharm, CDE, FACA

 

Editor, Diabetes In Control 

 

According to a study published in the February 2010 issue of Diabetes Care,
57% of the study participants reported omitting insulin injections, with 20%

doing so on a regular basis. The study, "Correlates of Insulin Injection
Omission by Peyrot, et.al." included several noteworthy statements.

 

Their study suggests that insulin omission is affected by the perceived
burden of insulin therapy (i.e., having to plan life around insulin
injections and

feeling that the insulin regimen interferes with activities of daily living
such as social activities, work-related activities, and family care-giving

responsibilities). They offer one caveat regarding the findings; they do not
believe that the behavior of planning a patient's day around insulin
injections

actually increases the level of insulin injection omission, but they do
believe that feeling that you have to plan around injections is associated
with

higher frequency of skipping insulin injections. That is, when there is a
conflict between scheduling of treatment and life activities, a patient can
either

plan activities in a way that reduces this conflict or deal with the
conflict by ignoring treatment needs. Reducing the perceived burden of
insulin injections

may require more effort ffrom healthcare providers. As the authors suggested
elsewhere, providers must find out what the specific issues are for each
patient

and work with that patient to develop solutions that work for the patient.

 

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