title: Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study.
abstract: OBJECTIVE
  To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin.
  
  
  METHODS
  A qualitative method comprising in-depth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analysed using a thematic approach.
  
  
  METHODS
  Seventeen people with type 2 diabetes using insulin with glycated haemoglobin (HbA1c) ≥9% for >1 year.
  
  
  METHODS
  The Primary Care Clinic and Diabetes Clinic in the University of Malaya Medical Centre (UMMC), Malaysia.
  
  
  RESULTS
  Data analysis uncovered four themes: lifestyle challenges in adhering to medical recommendations; psychosocial and emotional hurdles; treatment-related factors; lack of knowledge about and self-efficacy in diabetes self-care.
  
  
  CONCLUSIONS
  Factors that explain the poor glycaemic control in people with type 2 diabetes using insulin were identified. Healthcare providers could use these findings to address patients' concerns during consultations and help to improve glycaemic control.
authors: Faculty of Medicine, Department of Primary Care Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: Wen Ting
authors: http://orcid.org/0000-0002-9081-191X
authors: WT
authors: Tong
authors: Faculty of Medicine, Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: Shireene Ratna
authors: SR
authors: Vethakkan
authors: Faculty of Medicine, Department of Primary Care Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: Chirk Jenn
authors: CJ
authors: Ng
mesh_terms: D000328:Adult; D000368:Aged; D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy* / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D008019:Life Style; D008296:Malaysia; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D036301:Qualitative Research; D012307:Risk Factors; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin
keywords: PREVENTIVE MEDICINE; PRIMARY CARE; PUBLIC HEALTH; SOCIAL MEDICINE
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