Assessment of Knowledge, Attitude, Practice Concerning the Insulin Adherence Among the Adult Diabetic Outpatients in Tertiary Care Centre, Puducherry

Background India is said to be the diabetic capital of the world. 30% of all diabetics is in insulin therapy. Inadequate awareness regarding insulin will affect its acceptance & adherence. 1. To assess the knowledge, att Objectives itude, practice concerning insulin adherence among adult diabetic out patients. 2. To determine the impact of patient counselling about the management of diabetes on insulin adherence. The present study was cross sectional study carried out among dia Material And Methods betic patients more than 18 years of age attending to the outpatient department, department of general medicine. The study period was 3 months. Informed consent was obtained from all the participants included into the study. The sample size was estimated to 100. The data was collected in a semi structured questionnaire. Statistical analysis was done using descriptive statistics. Results 57% were in the age group 31 to 60 years. 59% were males. 69% resided in rural areas. The mean knowledge score was 7.58 ± 3.26. The mean attitude score was 7.41 ± 2.18. 76% reported to administer insulin 20 minutes before food. 54% reported to practice rotation of sites while injecting insulin. 21% got eye examined once every year. 31% reported to have checked HbA1C once every 3 months. 78% reported to have return insulin to shop in case expired. 51% reported to have injected insulin at 90 degrees and subcutaneously. 31% reported economic cause as barrier to use insulin regularly. Conclusion The study population was found to have moderate knowledge towards insulin. The attitude is more on the positive side. Both the above have reected in the practice to adherence among the participants