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Cited by 407Diabetes Management and EducationDiabetes Management and ResearchMedication Adherence and Compliance

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Correlates of Insulin Injection Omission

Open access
Peyrot, Mark, Rubin, Richard R., Kruger, Davida F., Travis, Luther B.·2010·Diabetes Care
DOI 10.2337/dc09-1348PMC PMC2809256
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Abstract

OBJECTIVE: The purpose of this study was to assess factors associated with patient frequency of intentionally skipping insulin injections. RESEARCH DESIGN AND METHODS: Data were obtained through an Internet survey of 502 U.S. adults self-identified as taking insulin by injection to treat type 1 or type 2 diabetes. Multiple regression analysis assessed independent associations of various demographic, disease, and injection-specific factors with insulin omission. RESULTS: Intentional insulin omission was reported by more than half of respondents; regular omission was reported by 20%. Significant independent risk factors for insulin omission were younger age, lower income and higher education, type 2 diabetes, not following a healthy diet, taking more daily injections, interference of injections with daily activities, and injection pain and embarrassment. Risk factors differed between type 1 and type 2 diabetic patients, with diet nonadherence more prominent in type 1 diabetes and age, education, income, pain, and embarrassment more prominent in type 2 diabetes. CONCLUSIONS: Whereas most patients did not report regular intentional omission of insulin injections, a substantial number did. Our findings suggest that it is important to identify patients who intentionally omit insulin and be aware of the potential risk factors identified here. For patients who report injection-related problems (interference with daily activities, injection pain, and embarrassment), providers should consider recommending strategies and tools for addressing these problems to increase adherence to prescribed insulin regimens. This could improve clinical outcomes.

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  1. 2008, Centers for Disease Control and Prevention (CDC) National Center for Health Statistics, Division of Health Interview Statistics, data from the National Health Interview Survey

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Metadata

Authors
Peyrot, M., Rubin, R. R., Kruger, D. F., & Travis, L. B.
Affiliations
  • Johns Hopkins University (US)
  • Henry Ford Health (US)
  • The University of Texas Medical Branch at Galveston (US)
Corresponding author
Peyrot, Mark
ORCID
Venue
Diabetes Care
Publisher
American Diabetes Association
Published
2010-02-01
Volume
33
Issue
2
Pages
240-245
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
DOI
10.2337/dc09-1348
PMC
PMC2809256
OpenAlex
W2103829708
Cited by
407
References
24
Citations by year
2026: 14 · 2025: 15 · 2024: 17 · 2023: 18 · 2022: 18 · 2021: 17 · 2020: 21 · 2019: 30 · 2018: 33 · 2017: 31 · 2016: 38 · 2015: 29 · 2014: 33 · 2013: 37 · 2012: 22
FWCI
22.33
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Diabetes Care (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords
insulin omission, insulin injection, type 1 diabetes, type 2 diabetes, insulin adherence, injection pain, socioeconomic factors, age, insulin regimens
MeSH terms
Adult, Aged, Behavior, Cardiovascular Diseases, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Ethnicity, Female, Health Surveys, Humans, Hypertension, Hypoglycemic Agents, Income, Insulin, Male, Middle Aged, Perception, Regression Analysis, Risk-Taking, Self Care, Racial Groups

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