title: [Perception of insulin therapy in uncontrolled patients with type 2 diabetes mellitus].
abstract: OBJECTIVE
  To determine the perception of insulin therapy by patients with uncontrolled type2 diabetes mellitus, who have been treated with oral hypoglycaemic agents or insulin.
  
  
  METHODS
  Prospective comparative cross-sectional study.
  
  
  METHODS
  Family Medicine Unit No. 53 León, Guanajuato of Mexican Institute of Social Security.
  
  
  METHODS
  Patients between 40 and 80years old with uncontrolled type2 mellitus diabetes, treated with insulin or oral hypoglycaemic agents.
  
  
  METHODS
  Perception was assessed using the insulin treatment appraisal scale (ITAS). The rating of the survey is from 20 to 100 points, as such that when score increases the greater is the negative opinion.
  
  
  RESULTS
  A sample of 459 diabetes patients were interviewed and split into 2 groups of patients according to their treatment. The OH group were patients treated with oral hypoglycaemic drugs only (56.9%), and the IN group were patients treated with insulin alone or combined with an oral hypoglycaemic (43.1%). Perception score was significantly higher in OH group (56.95±7.78 versus 49.55±8.89 points) than in the IN group (P<.001).
  
  
  CONCLUSIONS
  The perception of insulin therapy was worse in patients treated with only oral hypoglycaemic agents than in patients using insulin.
authors.affiliation: Jefatura de Prestaciones Médicas, Delegación Estatal en Guanajuato, Instituto Mexicano del Seguro Social, León, Guanajuato, México. Electronic address: leyvajimenez@msn.com.
authors.forename: Rafael
authors.initials: R
authors.lastname: Leyva Jiménez
authors.affiliation: Unidad de Medicina Familiar número 53, Delegación Estatal en Guanajuato, Instituto Mexicano del Seguro Social, León, Guanajuato, México.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Hernández Zambrano
authors.affiliation: Unidad de Medicina Familiar número 53, Delegación Estatal en Guanajuato, Instituto Mexicano del Seguro Social, León, Guanajuato, México.
authors.forename: Silvia
authors.initials: S
authors.lastname: Ibarra Maldonado
authors.affiliation: Unidad de Medicina Familiar número 53, Delegación Estatal en Guanajuato, Instituto Mexicano del Seguro Social, León, Guanajuato, México.
authors.forename: Carlos Tomás
authors.initials: CT
authors.lastname: Ibarra Ramírez
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D011446:Prospective Studies
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Diabetes mellitus tipo 2; Insulin therapy; Insulinoterapia; Percepción; Perception; Type 2 diabetes mellitus