EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

EVALUATION OF THE ADMINISTRATION AND SELF-MONITORING OF INSULIN THERAPY AMONG MOROCCAN DIABETIC PATIENTS

Hicham Fettah*, Mohammed Reda Sefrioui, Chaima Cherkaoui, Adnane Benmoussa, Soufiane Derraji

ABSTRACT

Introduction: Insulin injection is an invasive therapeutic method that diabetic patients use on a daily basis. This is why a good knowledge of good administration practices as well as that of self-monitoring constitutes the basis of this therapy. The objective of this work is to evaluate the administration modalities and self-monitoring of insulin therapy in patients with types 1 and 2 diabetes. Material and Method: A three-month prospective study, from 20 September to 20 December 2017, was carried out using a questionnaire comprising 2 grids and a section for collecting data about 100 patients with diabetes types 1 and 2. Data analysis was performed using Excel. Results: The 100 patients recruited were between 5 and 82 years old and had an average of 47 years. 9 patients had type 1 (9%) and 91 type 2 (91%). An overall response rate of 100% to questionnaire items was achieved. For the assessment of insulin administration methods: 96% changed injection sites, 96% reused the needle, 95% kept insulin cool, 90% rolled insulin vial before use, 72% reused the needle for 3 days, 71 % purged the syringe or pen, and 57% injected at 90°. This grid resulted in a usage score of 6.32 /10. The evaluation of blood glucose self-monitoring showed: 100% recapped the vial of strips after use, 100% checked that the glucometer was functioning properly, 98.92% changed the sampling site, 96.77% checked their blood sugar before administering insulin, 94.62% washed hands before self-pricking, 93.55% checked their blood sugar before meals, 80.65% checked the expiration date of test strips, 47.32% took daily measurements, and 43% reused single-use lancets. This grid resulted in a self-monitoring score of 8.52/10. Conclusion: This study revealed that the methods of administering insulin, were not properly mastered in practice. On the contrary, patients self-monitored their blood glucose correctly except for the lancet reuse practice. A therapeutic patient education program should be incorporated by the media and health professionals to enable patients with diabetes to manage their illness properly.

Keywords: Self-administration - Self-monitoring - Insulin therapy – Diabetes - Patient therapeutic education.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )