The View of Patients with Type 2 Diabetes on Insulin Consumption Barriers

Diabetes, as the most common gland disease in the world, is responsible for four million deaths every year and nine percent of the total deaths in the world. Diabetes is a chronic disease, whose management necessitates multi-axis care and treatment. For most of the patients, insulin therapy is one of the most important parts of diabetes care. However, some patients are reluctant to use insulin. The unwillingness is the "psychological insulin resistance", which leads to exacerbation of the disease condition and early onset of its consequences. Using the content analysis method and interviewing 14 patients (9 women and 5 men) of fars Diabetes Association (Shahid Motahari Clinic), four of the patients' entourage and five colleagues (physicians and nurses), this qualitative study was conducted semi-structured and continued to saturation of data and their view and beliefs about starting to take insulin have been questioned. Six main factors were identified including: perceived lack of control over life, poor self-efficacy, insulin therapy as the individual failure, disorder of the perceived severity of the disease, injection related anxiety and Perceived lack of benefit to insulin therapy. Identification of factors causing patients not to have a favorable opinion to insulin therapy is a step towards planning for the treatment of diabetics.