Insulin therapy compliance on TYPE 2 diabetes patients who use insulin and determination of factors that affect this situation.

Aim: In this study, it is aimed to investigate insulin treatment compliance and factors effecting insulin treatment compliance on type 2 diabetic patients. Method: 100 patients consulting Burdur Bucak Public Hospital İnternal Medicine polyclinic, 200 patients consulting Antalya Training and Research Hospital İnternal Medicine polyclinic and 200 patients consulting Akdeniz University Hospital Endocrine department were involved in this study and we made questionnaire to the patients. Findings: 65,2 percent of the patients were started to insulin treatment by an internal diseases specialist and it was determined that as the first insulin treatment, basal insulin treatment was prefered with 44 percent. During the study, it was determined that premix insulin treatment was the most common method with 38,2 percent. 58 percent of the participants took diabetes education and 91 percent were educated by diabetes nurse. It was determined that patients with hypoglycaemia were educated by doctors with higher rates and patients were educated by diabetes nurses (X2=5,13, p<0,05). In last month, the number of insulin applied by the patients who experience hypoglycaemia has a higher rate than the ones who doesn't. (t=3,23, p<0,05). The number of insulin doses applied by patients experiencing hypoglycaemia is higher than the ones who dosen't. (t=4,31, p<0,05). It was determined that doctors gave education in higher rates in groups who made dose skipping and diabetes nurses gave education in higher rates in groups who didn't make dose skipping (X2=21,05, p<0,05). The number of insulin dose applied by patients making dose skipping is higher than the ones who doesn't. (t=4,91, p<0,05). It was determined that the number of insulin applicaiton applied by patients making dose skipping is higher than the ones who doesn't skip dose(t=5,87, p<0,05). Results: It was found that the patients making more injection and using insulin in higher rates have a higher risk of hypoglycaemia. That being given education to the patients by diabetes nurse decreases the risk of hypoglycaemia and increases the insulin compliance. Key words: Type 2 diabetes, Insulin treatment compliance, Insulin treatment.