Yu-Yao Huang
	
                                                                                                            
People's Republic of China                                    	
                                    
 Research Article
                                                                        The Barriers to Initiating Insulin Therapy among People with Type 2 Diabetes in Taiwan - A Qualitative Study                                     
Author(s): Kwang-Wen Chen, Hsu-Min Tseng, Yu-Yao Huang and Yuh-Jue ChuangKwang-Wen Chen, Hsu-Min Tseng, Yu-Yao Huang and Yuh-Jue Chuang             
                                    
                                                                        
                             Insulin therapy often becomes necessary when oral hypoglycemic agents are no longer effective. However, the rate of initiating insulin treatment is low among people with type 2 diabetes in Taiwan. A qualitative study was done at the diabetes centers of two hospitals and consisted of face-to-face interviews of patients who were reluctant to start insulin treatment. The results of interviews were subjected to Framework Analysis for emergent concepts and category system. There were 15 people (10 women, 5 men) who were interviewed, ages between 46 to 71 years old (mean age 59.7±7.3 years). We categorized the barriers of initiating insulin treatment as 1) Reluctance of physicians 2) Misconceptions about insulin 3) Low adaptation capacity 4) Needle phobia 5) Psychological insulin resistance. These barriers interfered with decisions to begin insulin treatment. To break these barriers,.. View More»