| dc.description.abstract | Introduction. Type 2 diabetes mellitus (T2DM) is a complex metabolic disease with a high
prevalence in Indonesia. Insulin therapy is one of the primary interventions to
controlblood glucose levels; however, its success is influenced by
factors such as the type of insul,in patient adherence, and social support.
Objective. This study aims to analyze the profile of insulin usage, blood glucose control, and
factors affecting the success of insulin therapy in T2DM outpatients at Prof Dr. Chairuddin P.
Lubis Hospital, Universitas Sumatera Utara. Methods. This study employed a retrospective
observational design with a descriptive approach. Data were collected from medical records of
396 T2DM patients who met the inclusion criteria, including at least three outpatient visits during
2022- 2023, use of insulin therapy, and complete clinical data. The parameters analyzed included
the type of insulin (single or combination,) HbAlc levels, fasting blood glucose (FBG), and
factors such as family support and patient perceptions. Results. All patients (100%) used
insulin analogs, with a combination of rapid acting and long-acting insulin being the most
frequently prescribed regimen (77.3%). Blood glucose control remained suboptimal, with
85.6% of patients having HbAlc levels > 7% and 80.8% with FBG levels >130 mgldL. The main
barriers to successful therapy were low family support and negative perceptions of insulin
among patients. Conclusion. The findings highlight the need for optimized insulin therapy
through continuous patient education, enhanced family support, and personalized therapeutic
approaches tailored to individual needs. These strategies are expected to improve patient
adherence and glycemic control, thereby reducing long-term complications. | en_US |
