Research candidates required Older Type 2s on insulin

18

ENGAGE

Coming of age

Research project seeks older Type 2s on insulin, an

update. By Susannah Hickling.

Researchers at King's College

London are stepping up

recruitment of older people

with Type 2 diabetes who

take insulin, or their carers, for a

study exploring their experiences.

Evidence of the experiences

of older people with insulin use

is limited. A systematic review

undertaken as part of the study

has revealed that psychological

aspects of using insulin (anxiety,

embarrassment) and physical factors,

such as the side effects of treatment

(potential hypoglycaemia) and

reaction to insulin administration,

are problematic for older people.

The researchers believe it

is important to gain a better

understanding of the challenges

they encounter in order to improve

services. "We are looking for people,

or their informal carers, who are

aged 70 or over, diagnosed with

Type 2 diabetes and have been on

insulin treatment for the past six to

48 months", says researcher Chaya

Langerman.

Type 2 diabetes is common in

older people, affecting approximately

20% of those aged 65-79 (94m

people) worldwide. Managing blood

glucose levels can be challenging

due to changes in physical function,

psychological health and cognitive

function. Older people may also

become more dependent on social

support to help them with their

diabetes self-management, including

taking medications, managing their

diet and monitoring blood glucose

levels.

Given the progressive nature of

diabetes, a significant proportion of

older people with Type 2 diabetes

require insulin therapy to help

regulate their blood glucose levels

and reduce the risks associated

with hyperglycaemia. But there

are often specific challenges in

the management of insulin and

using it safely in this age group,

including difficulty in administering

insulin accurately. Self-care can

increase the risk of poor adherence,

medication errors, hypoglycaemia

and hyperglycaemia.

When initiating insulin treatment

in older people, doctors should

consider any other health issues they

may have, the functional ability to

administer insulin and monitor blood

glucose, and appropriate treatment

goal-setting, as well as support for

their carers.

Reduce hazards

Gathering the experiences of insulin

treatment from older people and

their informal carers - such as

family, partners and close friends

- will inform the development of

new interventions in designing and

delivering services. These would aim

to reduce the hazards associated

with insulin use in this patient group

and support them more effectively.

The study is based on recorded

one-hour-long individual interviews,

which will take place over the

phone or face-to-face or virtually, if

possible, and be collated in a "trigger

film" (information film) to show to

clinicians, though participants are

under no obligation to be included in

the film.

Chaya Langerman stresses that

the interview will be straightforward

and the information gathered will

be anonymous. "It's a narrative

interview," she says. "There are no

challenging questions. Participants

tell me their experiences and I listen."

Those interested in participating

will receive an information pack

(covering letter, participant

information sheet, consent forms

for participation in the study and for

film release).

Participants will also receive a

£20 Love Shopping voucher, and any

travel expenses will be reimbursed.

To more information and to take

part, email

chaya.langerman@kcl.ac.uk

Chaya Langerman.

There are no

challenging

questions.

Participants

tell me their

experiences and

I listen

Index

  1. Desang diabetes magazine, Making Carbs Count, Diabetes KIT, hypo Metrics
  2. Desang diabetes, magazine diabetes information, Sue Marshall diabetes
  3. Desang diabetes magazine diabetes information, Sue Marshall
  4. Desang diabetes magazine, diabetes news
  5. insulin pump, Dana i system, artificial pancreas, Advanced Therapeutics UK, CamAPS FX, Dexcom G6
  6. Desang diabetes magazine, diabetes news
  7. Dexcom G6 CGM, continuous glucose monitoring
  8. Desang diabetes magazine, diabetes news
  9. Glooko diabetes data download software. Stay on track in between visits.
  10. Steve Morgan Foundation historic £50m donation
  11. Air Liquide Healthcare UK, Tandem t:slim insulin pump with Control IQ
  12. Steve Morgan Foundation historic £50m donation
  13. Home test HbA1c, A1C Now Self-Check
  14. Diabetes UK diabetes is serious campaign
  15. Ascensia GloucoContro diabetes blood test result sharing software
  16. Hypo Metrics research study Kings College London
  17. Hypo Metrics research study Kings College London
  18. Research candidates required Older Type 2s on insulin
  19. Desang Diabetes Magazine Qic Awards diabetes 2022
  20. Desang device report ATTD 2022 diabetes technology
  21. Desang device report ATTD 2022 diabetes technology
  22. Desang device report ATTD 2022 diabetes technology
  23. Abbott Freestyle Libre 2, Flash Glucose Monitoring, FSL2
  24. Desang device report ATTD 2022 diabetes technology
  25. Insulet Omnipod DASH insulin pump with insulin pods, podders, Omnipod DASH Personal Diabetes Manager
  26. Innovation Zed InsulCheck insulin pen solutions
  27. Innovation Zed InsulCheck insulin pen solutions
  28. Desang Diabetes magazine article on social prescribing
  29. Medtronic MiniMed 780G System Automated for an easier way to stabilise glucose levels
  30. Desang Diabetes magazine article on social prescribing
  31. Medtrum Touchcare Nano Patch Pump and CGM
  32. Free online Desang Diabetes magazine
  33. Free online Desang Diabetes magazine
  34. Desang diabetes magazine, diabetes diet
  35. Diabetes technology education from Diabetes Technology Network DTN
  36. desang diabetes magazine, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  37. desang diabetes magazine, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  38. Desang diabetes magazine, diabetes news
  39. Desang diabetes, Inside Diabetes guides, guide to injecting insulin, guide to injecting for people w
  40. Carbs count: Counting carbs for the diabetic diet
  41. Carbs count: Counting carbs for the diabetic diet
  42. Making Carbs Count
  43. Desang diabetes kitbags, bag for diabetes kit
  44. Desang diabetes magazine, free online diabetes magazine

Related Issues