Key factors for overcoming psychological insulin resistance: A qualitative study in Japanese people with type 2 diabetes.

Kentaro Okazaki, Noriyuki Takahashi, Tomotaka Shingaki, Magaly Perez-Nieves, Heather Stuckey

Primary care diabetes 2022 Jun

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We report the key factors that motivate reluctant Japanese people with type 2 diabetes (T2D) to initiate insulin treatment. Participants were asked questions pertaining to 2 primary areas of exploration in a concurrent mixed methods approach: (a) understanding people's thoughts and perceptions before and after insulin initiation and any related factors; and (b) exploring the reasons behind people's responses. Data were analyzed using Steps for Coding and Theorization. Participant responses broadly related to 3 themes which influence insulin initiation; 1. Advice from a health care provider (HCP) that insulin is an appropriate treatment; 2. Demonstration by HCPs on how to use the insulin pen/needle and the injection process; and 3. Resignation/surrender/acceptance of insulin, where participants felt there was no other choice but to commence insulin. Based on the 3 identified themes, it is important for HCPs to explain the benefits of insulin and demonstrate and explain the injection procedure to reluctant Japanese people with T2D. We also identified resignation/surrender/acceptance of insulin as a reason for treatment commencement. This study provides important information to assist HCPs in helping reluctant Japanese people with T2D to initiate basal insulin therapy. Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.

Citation

Kentaro Okazaki, Noriyuki Takahashi, Tomotaka Shingaki, Magaly Perez-Nieves, Heather Stuckey. Key factors for overcoming psychological insulin resistance: A qualitative study in Japanese people with type 2 diabetes. Primary care diabetes. 2022 Jun;16(3):411-416