The Role of Community Health Nursing in Insulin Initiation for Type 2 Diabetes Patients: A Literature Review

Insulin Initiation for Type 2 Diabetes
Laode Saltar 1 Indonesia
1 a:1:{s:5:"en_US";s:26:"Universitas Mandala Waluya";}
Link Copied!
Published 2024-06-30
Vol. 6 No. 1 (2024) PAGES 212-221
DOI 10.36566/ijhsrd/Vol6.Iss1/211
Views / Downloads 1050 628

Background: Insulin therapy is essential for managing type 2 diabetes in patients who do not achieve adequate glycemic control with oral medications. Despite its benefits, initiating insulin therapy presents numerous challenges due to psychological, physical, and systemic barriers. This study examines the critical role of community health nurses in facilitating the initiation and management of insulin therapy, addressing patient and healthcare provider barriers, and improving clinical outcomes.

Methods: A comprehensive review of existing literature was conducted, focusing on the impact of community health nurses on diabetes management, particularly in insulin initiation and adherence.

Results: : Community health nurses play a pivotal role in overcoming barriers to insulin therapy. They provide essential patient education, psychosocial support, and practical training in insulin administration. These efforts lead to improved glycemic control, higher rates of insulin adherence, and better patient satisfaction. Additionally, community health nurses facilitate collaborative care models, integrating with primary care teams to provide continuous and coordinated care. The involvement of community health nurses in diabetes management addresses both patient-related and systemic barriers. Their holistic approach includes personalized patient education, emotional support, and care coordination, significantly enhancing patient adherence and clinical outcomes.

Conclusions: Community health nurses are integral to the successful initiation and management of insulin therapy in type 2 diabetes. Future research should focus on developing standardized training programs for community health nurses and exploring innovative care models that leverage their unique skills. Policy support is essential to recognize and expand the role of community health nurses in diabetes care.

The Role of Community Health Nursing in Insulin Initiation for Type 2 Diabetes Patients: A Literature Review: Insulin Initiation for Type 2 Diabetes. (2024). INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 6(1), 212-221. https://doi.org/10.36566/ijhsrd/Vol6.Iss1/211
Download data is not yet available.
  1. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract [Internet]. 2014;103(2):137–49. Available from: http://dx.doi.org/10.1016/j.diabres.2013.11.002
  2. Cholil AR, Lindarto D, Pemayun TGD, Wisnu W, Kumala P, Puteri HHS. DiabCare Asia 2012: Diabetes management, control, and complications in patients with type 2 diabetes in Indonesia. Med J Indones. 2019;28(1):47–56.
  3. Karter AJ, Subramanian U, Saha C, Crosson JC, Parker MM, Swain BE, et al. Barriers to Insulin Initiation; The Translating Research Into Action for Diabetes Insulin Starts Project. Diabetes Care. 2010;33(4):733–5.
  4. Ayyagari R, Wei W, Cheng D, Pan C, Signorovitch J, Wu EQ. Effect of Adherence and Insulin Delivery System on Clinical and Economic Outcomes among Patients with Type 2 Diabetes Initiating Insulin Treatment. Value Heal [Internet]. 2015;18(2):198–205. Available from: http://dx.doi.org/10.1016/j.jval.2014.12.016
  5. Leivesley K. Barriers to insulin initiation in primary care. Pract Nurs. 2005;16(9):434–41.
  6. Kalirai S, Stephenson J, Perez-nieves M, Grabner M, Hadjiyianni I, Geremakis C, et al. Primary care physician perspectives on basal insulin initiation and maintenance in patients with type 2 diabetes mellitus. Prim Care Diabetes [Internet]. 2017;12(2):155–62. Available from: https://doi.org/10.1016/j.pcd.2017.10.001
  7. Young D, Patterson E, Neal DO, Dannyliewmhorgau DL, Jspeightacbrdorgau JS, Leoniesegalunisaeduau LS. Can primary care team-based transition to insulin improve outcomes in adults with type 2 diabetes : the stepping up to insulin cluster randomized controlled trial protocol. BioMed Cent. 2014;9(20).
  8. Coates VE, Dromgoole P, Turner E. Insulin initiation in adults : evidence based or context driven ? J Nurs Healthc Chronic Illn. 2009;1:105–12.
  9. Funnell MM. Overcoming Barriers to the Initiation of Insulin Therapy. Clin Diabetes. 2007;25(1).
  10. Patrick AR, Fischer MA, Choudhry NK, Shrank WH, Seeger JD, Pharm D, et al. Trends in Insulin Initiation and Treatment Intensification Among Patients with Type 2 Diabetes. J Gen Intern Med. 2012;29(2):320–7.
  11. Shepherd M, Frost J, Jones J, Soper C, Macleod K. Insulin initiation in primary care : Helping it happen. 2007;9(3):1–5.
  12. Dale J, Martin S, Gadsby R. Insulin initiation in primary care for patients with type 2 diabetes : 3-Year follow-up study. Prim Care Diabetes [Internet]. 2010;4(2):85–9. Available from: http://dx.doi.org/10.1016/j.pcd.2010.03.001
  13. Kuo JZ, Guo X, Klein R, Klein BE, Genter P, Roll K, et al. Adiponectin, insulin sensitivity and diabetic retinopathy in latinos with type 2 diabetes. J Clin Endocrinol Metab. 2015;100(9):3348–55.
  14. Peyrot M, Rubin RR, Lauritzen T, Skovlund SE, Snoek FJ. Resistance to Insulin Therapy Among Patients and Providers: Results of the Cross-National Diabetes Attitudes, Wishes, and Needs (DAWN) Study Response. Diabetes Care. 2006;28(11):2673-2679.
  15. Ishii H, Iwamoto Y, Tajima N. An Exploration of Barriers to Insulin Initiation for Physicians in Japan : Findings from the Diabetes Attitudes , Wishes and Needs ( DAWN ) JAPAN Study. 2012;7(6).
  16. Verg B, Brun JM, Tawil C, Alexandre B. Strategies for insulin initiation : insights from the French LIGHT observational study. 2012;(August 2010):97–105.
  17. (UKPDS) UPDSG. Intensive Blood-Glucose Control with Sulfonylureas or Insulin Compared with Conventional Treatment and Risk of Complications in Patients with Type 2 Diabetes. Endocrinologist. 1999;9(2):149.
  18. Tasnim,T., Rahmatia, S. The Health Promotion Strategy To Increase Covid-19 Vaccination Coverage In Lampeapi Health Center. Indonesian Journal of Health Sciences Research and Development. 2023, 5(1), 80-88. Doi: https://doi.org/10.36566/ijhsrd/Vol5.Iss1/152.
  19. Tasnim, T., Sugireng, Imran, Akib, N.I. Analysis of differences in early detection of chronic kidney disease with urine creatinine, proteins and individual health status based on behavioural, stress and genetic factors in Kendari City, Indonesia. Public Health of Indonesia. 2024. 10(2). 203-213. Doi: https://doi.org/10.36685/phi.v10i2.801
  20. Tasnim, T., Sugireng, Imran, Akib, N.I. Early Detection Patterns Of Chronic Kidney Disease Based On Differences In Individual Health Status In Kendari City. Indonesian Journal of Health Sciences Research and Development. (2023). 5(2), 168-177. Doi: https://doi.org/10.36566/ijhsrd/Vol5.Iss2/190.
  21. Tasnim, T., Imran, Sugireng, Akib, N.I. Early detection of the risk of chronic kidney disease based on eating and drinking behaviors in Kendari City Indonesia. Healthcare in Low-resource Settings. 2024. Ealry access (89), 1-18. Doi: https://doi.org/10.4081/hls.2024.12133.

Copyright (c) 2024 INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright Rights & Permissions Guide

Reproducing Published Material from other Publishers

It is absolutely essential that authors obtain permission to reproduce any published material (figures, schemes, tables or any extract of a text) which does not fall into the public domain, or for which they do not hold the copyright. Permission should be requested by the authors from the copyright holder (usually the Publisher, please refer to the imprint of the individual publications to identify the copyright holder).

Permission is required for:

  1. Your own works published by other Publishers and for which you did not retain copyright.
  2. Substantial extracts from anyones’ works or a series of works.
  3. Use of Tables, Graphs, Charts, Schemes and Artworks if they are unaltered or slightly modified.
  4. Photographs for which you do not hold copyright.

Permission is not required for:

  1. Reconstruction of your own table with data already published elsewhere. Please notice that in this case you must cite the source of the data in the form of either “Data from…” or “Adapted from…”.
  2. Reasonably short quotes are considered fair use and therefore do not require permission.
  3. Graphs, Charts, Schemes and Artworks that are completely redrawn by the authors and significantly changed beyond recognition do not require permission.

Obtaining Permission

In order to avoid unnecessary delays in the publication process, you should start obtaining permissions as early as possible. If in any doubt about the copyright, apply for permission. JNH cannot publish material from other publications without permission.

The copyright holder may give you instructions on the form of acknowledgement to be followed; otherwise follow the style: “Reproduced with permission from [author], [book/journal title]; published by [publisher], [year].’ at the end of the caption of the Table, Figure or Scheme.

Every mansucript should be accompanied by "Copyright Transfer Agreement" prior to the article publication

Dimension Badge

Downloads

Downloads
Crossmark Badge
Crossmark Badge
Section
Articles
Keywords
Community health nursing healthcare barriers insulin initiation patient education type 2 diabetes

Similar Articles

31-40 of 212

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)