MANFAAT DAN HAMBATAN TERAPI INSULIN MENURUT PERSPEKTIF PENDERITA DIABETES MELITUS TIPE 2 YANG MENGGUNAKAN INSULIN DI POLIKLINIK PENYAKIT DALAM RSUD ARIFIN ACHMAD PROVINSI RIAU

Abstract

Diabetes mellitus (DM) is a group of metabolic diseases, the characteristic is hyperglycemia that causes by abnormality of insulin secretion, insulin action or both of it. Insulin is a therapy of type 2 DM. Data of International Diabetes Federation showed that using insulin therapy in type 2 DM patient in Indonesia was classified low. This study aimed to determine the benefits and barriers of insulin therapy in perspective type 2 DM patient. Design of this study is descriptive was done with interview and collected data from medical record to 43 type 2 DM patients who received intensive insulin therapy and combination OHO and insulin basal therapy. The result of this study showed that barriers of insulin therapy in perspective type 2 DM patient was psychological insulin resistance. Benefits of insulin therapy in perspective type 2 DM patient was reached purpose of DM therapy, that consist of sense healthy and comfortable, lost of DM’s symptoms, decrease of blood glucose rate although criteria DM control of fasting blood glucose and postprandial blood glucose in bad category, blood pressure in moderate, lipid profile and IMT in good category. Conclusion of this study is barrier of insulin therapy was psychological insulin resistance and benefit was reached purpose of DM therapy.