Willingness to initiate insulin among adults with type 2 diabetes in Australian primary care: Results from the Stepping Up Study

Abstract

Aims: To determine 'hypothetical willingness' to initiate insulin, and identify associated factors, among adults with type 2 diabetes (T2DM) in primary care for whom insulin is clinically indicated. Methods: Eligible participants were adults with T2DM with an HbA1c ≥7.5% (58 mmol/mol) and prescribed maximum oral hypoglycaemic agents. A total of 261 participants were recruited from 74 Victorian general practices: mean age 62 ± 10 years; 39% (n = 103) women; diabetes duration 10 ± 6 years; HbA1c 9.0 ± 1.3% (75 ± 14 mmol/mol). Data collected by the Stepping Up Study: demographic and clinical characteristics, 'willingness' to initiate insulin, insulin appraisals, depressive symptoms, and diabete..