Practice and Attitude of Insulin Therapy Initiation for Type 2 Diabetes Mellitus Patients among General Practitioners and Family Physicians in Primary Health‑Care Setting in Al‑Ahsa
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 8
Abstract
Introduction: Many patients with Type 2 diabetes mellitus (T2DM) in Saudi Arabia have inadequate glycemic control. Still, some primary health‑care (PHC) physicians show hesitancy regarding the initiation of insulin. Aim: This study aims to assess the practices and attitudes of insulin initiation by primary care physicians (PCPs) and to determine the factors that contribute to delay insulin initiation for Type 2 diabetic patients in PHC setting in Al‑Ahsa. Methodology: A cross‑sectional study was done using a self‑administered anonymous online questionnaire, distributed among a convenient sample of PCPs from various PHC centers belonging to the ministry of health in Al‑Ahsa city, between February and May 2018. Results: A total of 164 physicians have participated in the study with a response rate of 100%. Insulin initiation was found to be affected by years of practice and experience in the management of T2DM. The majority of participants (73.1%) showed positive confidence regarding their ability to initiate insulin therapy for T2DM when it is needed, while half of the PCPs who do not have the competency to start insulin admitted that the primary barrier preventing them from initiating insulin is lack of experience. Most of the PCPs (86.6%) believe that the level of HbA1C is considered the leading indicator to start insulin therapy. 84.1% of the participants agreed that most worrying issue for the patients regarding insulin initiation is the fear of injection. Conclusion: Many PCPs aware of the importance of insulin therapy initiation in the PHC setting, and they are confident enough to implement that in their practice. However, clinical experience and years of practice play significant roles in the initiation of insulin among PCPs.
Authors and Affiliations
Hasan Mohammad Al‑Haddad, Sadiq Ahmed Al‑Ali, Ali Mohammad Al‑Drees, Abdullah Mahdi Al‑Ramdhan
Keywords
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