Malmö University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Treatment satisfaction with insulin glargine in patients with diabetes mellitus in a university hospital clinic in Sweden
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0003-4395-2522
2009 (English)In: European Diabetes Nursing, ISSN 1551-7853, E-ISSN 1551-7861, Vol. 6, no 1, p. 17-22Article in journal (Refereed)
Abstract [en]

Background: Few studies evaluate patients' perspectives when a new drug is introduced to treat chronic diseases such as diabetes mellitus. The clinical role of a new insulin treatment, in terms of the relationship between higher cost and better treatment outcomes (as defined from the patient perspective) has been discussed. We sought to explore patient satisfaction with a new insulin treatment (insulin glargine). At its launch in 2002/3 it was purported to provide constant, peakless insulin release following once- or twice-daily administration, thus leading to fewer hypoglycaemic episodes while providing metabolic control equivalent to that achieved with NPH human basal insulin. Aims: To investigate the indications used for prescription of a new drug and its clinical effects on glycosylated haemoglobin (HbA1c) levels, perceived hypoglycaemic events and patient satisfaction. Methods: The Diabetes Treatment Satisfaction Questionnaire (Status Version, DTSQ-s), which measures satisfaction with treatment regimen, and perceived frequency of hyperglycaemia and hypoglycemia, was circulated to all living patients who had ever started treatment with insulin glargine at the Department of Endocrinology at Malmö University Hospital. Medical records of 913 patients were assessed for HbA1c levels at 0 and 12 months after starting insulin glargine therapy. Results: Completed questionnaires were returned by 615 of 960 patients (64%) who had ever started insulin glargine. The main indications for starting treatment were physicians' or nurses' initiatives, desire for fewer fluctuations and improved metabolic control. HbA1c levels fell by 0.41% for patients with type 1 diabetes and by 0.68% for those with type 2 diabetes. The mean DTSQ-s score was 28.45 for satisfaction, whereas the mean perceived hypoglycaemic/hyperglycaemic events score was 3. Conclusion: Treatment satisfaction was very high and perceived frequency of hypoglycaemia/hyperglycaemia was very low. The indications for treatment of insulin glargine are being followed in accordance with national recommendations..

Place, publisher, year, edition, pages
Wiley-Blackwell, 2009. Vol. 6, no 1, p. 17-22
Keywords [en]
hyperglycaemia, diabetes treatment satisfaction, insulin glargine, patient perspective, hypoglycaemia
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-14765DOI: 10.1002/edn.127Local ID: 14303OAI: oai:DiVA.org:mau-14765DiVA, id: diva2:1418286
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2022-06-27Bibliographically approved

Open Access in DiVA

fulltext(571 kB)253 downloads
File information
File name FULLTEXT01.pdfFile size 571 kBChecksum SHA-512
6d7f7ef0d94fe019d30524760314d732676c47b7436e7030d71fd1822b09a2cf0d4a6bab365e46048820b7fbaab0b7fced7aa0e0a237d796ebc7a334e33fc9bb
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records

Annersten Gershater, Magdalena

Search in DiVA

By author/editor
Annersten Gershater, Magdalena
By organisation
Department of Care Science (VV)
In the same journal
European Diabetes Nursing
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 253 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 32 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf