Attitudes of patients and physicians to insulin therapy in Japan: an analysis of the Global Attitude of Patients and Physicians in Insulin Therapy study.

Expert Opin Pharmacother

a Department of Diabetes, Endocrinology and Nutrition, Graduate School of Medicine , Kyoto University, Kyoto , Japan.

Published: January 2017

AI Article Synopsis

  • Japanese patients and their physicians face unclear barriers to insulin therapy, with significant differences in adherence compared to patients in other countries.
  • In a study involving 100 physicians and 150 patients in Japan, 44% of patients reported not adhering to insulin, which is higher than in other nations, and a large majority felt existing treatments didn't fit their lifestyles.
  • The findings suggest that insulin regimens need to be adjusted to minimize the risk of hypoglycemia and better accommodate the diverse lifestyles of Japanese patients.

Article Abstract

Background: The barriers to insulin therapy perceived by Japanese patients with diabetes and their physicians are unclear.

Research Design And Methods: We performed sub-analyses of the Global Attitude of Patients and Physicians in Insulin Therapy (GAPP™) study, which included 100 Japanese physicians (of 1250 participating physicians) and 150 Japanese patients (of 1530 patients) who participated in Internet surveys (physicians) or computer-assisted telephone surveys (patients) across eight countries in 2010. We compared the results of Japanese participants with those obtained for the other seven countries.

Results: Overall, 44% of the Japanese patients reported omission or non-adherence to insulin, a greater value than that reported in other countries. Japanese physicians reported that non-adherence to insulin was driven by their patients' lifestyles. A greater proportion of patients had a history of hypoglycemia in Japan than in other countries. Most of the physicians (94%) and patients (84%) in Japan reported that the currently available insulin treatment regimens do not fit the diverse lifestyles of patients.

Conclusions: Many Japanese patients receiving insulin therapy omit or do not adhere to insulin, possibly because of fear of hypoglycemia, or for lifestyle reasons. Insulin regimens that reduce the risk of hypoglycemia without interfering with patients' lifestyles are needed.

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Source
http://dx.doi.org/10.1080/14656566.2016.1260547DOI Listing

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