Psychological insulin resistance among patients with diabetes mellitus in Botswana
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Psychological insulin resistance among patients with diabetes mellitus in Botswana | |
| Creator | Bitsang, Engemadzo Tsima, Billy M. Motlhatlhedi, Keneilwe | |
| Description | Background: Timely initiation of insulin therapy is vital in patients with type 2 diabetes mellitus. However, insulin initiation may be delayed because of psychological insulin resistance (PIR).Aim: This study aims to determine the prevalence of PIR and factors that contribute to PIR in adults with type 2 diabetes mellitus at a diabetes clinic in Botswana.Setting: The study was conducted in a diabetes clinic, one of the two large centres in the country that manage diabetes mellitus. It is situated on the south eastern part of Botswana.Methods: This was a cross-sectional study among patients with type 2 diabetes mellitus. We included participants aged between 18 and 80 years old and diagnosed with type 2 diabetes mellitus for more than 1 year. Patients’ attitudes towards insulin therapy were assessed using the Insulin Treatment Appraisal Scale (ITAS).Results: The prevalence of PIR was 82.9% (95% confidence interval [CI]: 78.0 – 87.8) out of the 228 respondents. Factors significantly associated with PIR were gender (odds ratio [OR] adjusted 0.44; 95% confidence interval 0.211 – 0.921; p = 0.029) and treatment type (OR adjusted 1.58; 95% confidence interval 1.067 – 2.341; p = 0.023).Conclusion: Significant factors associated with psychological insulin resistance were patient and health system-related. It is therefore pivotal to improve patient and healthcare provider communication and to ensure that patient education is thoroughly performed at the diagnosis of disease.Contribution: This study highlights the importance of patient education at diagnosis and during treatment continuum of diabetes mellitus. | |
| Publisher | AOSIS | |
| Date | 2025-04-22 | |
| Identifier | 10.4102/phcfm.v17i1.4752 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 7 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/4752/8154
https://phcfm.org/index.php/phcfm/article/view/4752/8155
https://phcfm.org/index.php/phcfm/article/view/4752/8156
https://phcfm.org/index.php/phcfm/article/view/4752/8157
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