ArticleJournal of clinical & translational endocrinology2017
Treating psychological insulin resistance in type 2 diabetes.
Article in Journal of clinical & translational endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 27 citations in OpenAlex.
- Lack of Association of Emotional Distress With Insulin Initiation in the GRADE Randomized Diabetes Comparative Effectiveness Trial.The science of diabetes self-management and care · 2025 · on this mapTrial
- Efficacy, Safety, and Tolerability of Oral Semaglutide Versus Placebo Added to Insulin With or Without Metformin in Patients With Type 2 Diabetes: The PIONEER 8 Trial.Diabetes care · 2019 · on this mapTrial
- Assessment of Adherence to Insulin Injections among Diabetic Patients on Basal-Bolus Regimen in Primary and Secondary Healthcare Centers in Al-Jouf Region of Saudi Arabia; A Descriptive Analysis.Journal of clinical medicine · 2023Article
- Article
- Overcoming Barriers to Injectable Therapies: Development of the ORBIT Intervention Within a Behavioural Change Framework.Frontiers in clinical diabetes and healthcare · 2021Article
- Key Strategies for Overcoming Psychological Insulin Resistance in Adults with Type 2 Diabetes: The UK Subgroup in the EMOTION Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020Article
- Facilitators and barriers to successful recruitment into a large comparative effectiveness trial: a qualitative study.Journal of comparative effectiveness research · 2019 · on this mapArticle
- EADSG Guidelines: Insulin Storage and Optimisation of Injection Technique in Diabetes Management.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019Review
- Therapeutic inertia in type 2 diabetes: prevalence, causes, consequences and methods to overcome inertia.Therapeutic advances in endocrinology and metabolism · 2019Review
- Peer Education Group Intervention to Reduce Psychological Insulin Resistance: A Pilot Mixed-Method Study in a Chinese Population.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018Article
- Psychological insulin resistance among type 2 diabetic patients attending primary healthcare centers, Al-Ahsa, Saudi Arabia.Journal of family & community medicineArticle
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe phenomenon of psychological insulin resistance (PIR) has been well documented for two decades, but interventions to treat PIR have not been well described. The aim of this study was to describe interventions used to treat psychological insulin resistance by certified diabetes educators (CDE's).
methodsA secondary data analysis study using empirical data from a trial (N = 234) that included four CDEs providing counseling for psychological insulin resistance. Participants not currently using insulin completed the 10-item Barriers to Insulin Therapy measure. The four CDE interventionists documented their approach to addressing participants' barriers to taking insulin using a standard form. Recommendations were collated and summarized.
resultsStrong PIR was shown by 28.4% of participants reporting that they "would not start insulin" and a moderate degree of PIR was shown by 61.2% who said they "would be upset, but would start insulin." The CDE's treated PIR with four primary interventions: 1) teaching and providing explanations, 2) demonstrations and sharing examples of success using insulin therapy, 3) return demonstrations, and 4) addressing feelings and positively managing expectations.
conclusionThis is the first study to describe in some detail potentially effective patient management strategies for PIR. A randomized controlled trial testing the efficacy of PIR interventions is needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.