Perception, adherence, family support, and acute complications in insulin therapy patients: A comparison between 1-year and 2–5-year treatment durations

Abstract

Background: Compliance with treatment and family support are crucial for the successful management of diabetes. Non-compliance with treatment increases the risk of complications, mortality, emergency room visits, and hospitalizations, while decreasing the quality of life for individuals. Objective: The aim of this study was to investigate the difference between the adherence to treatment, perception of insulin treatment, and family support/conflict status of patients who recently started insulin treatment for 0–1 year (group 1) and patients whose treatment continued for 2–5 years (group 2). Methods: The data were obtained through the Introductory Form, the Patient Compliance Scale for Type 2 Diabetes Mellitus Treatment (Type 2 DM), The Diabetes Family Support and Conflict in Type 2 Diabetes Scale, and Insulin Treatment Appraisal Scale. Results: There was no significant difference between adherence to treatment, perception of insulin treatment, and family support/conflict levels in group 1 and group 2. In group 1, an association was found between experiencing hypoglycemia and adherence to treatment, family conflict, and perception of insulin treatment. Conclusion: In order for patients to develop a positive perception of treatment and achieve adequate glycemic control, it is recommended to determine the perspectives and skills of the individual and their families in the process of starting insulin treatment, and to empower and support patients and their families in the treatment process. © The Author(s), under exclusive licence to Research Society for Study of Diabetes in India 2025.