{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:33:06Z","timestamp":1787581986066,"version":"build-2736575974"},"reference-count":61,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the experiences and perspectives of older adults living with diabetes, in relation to insulin management during a surgical hospital admission and identify factors that appear to be associated with insulin safety in these older people. To identify key messages that address people with diabetes priorities, to be used in staff education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative study, conducted in a single, rural NHS hospital. Ten semi\u2010structured phone interviews were held with older adults with diabetes, with or without frailty, treated with insulin while undergoing surgical hospital admission. Framework analysis was employed in data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six people with type 2 diabetes and four people with type 1 diabetes, aged 68 to 91 years old (mean age 77.2 years [SD\u2009=\u20096.2]) participated in the study. Four themes identified specific to hospital insulin management and safety: (1) preparedness for hospital admission; (2) feeling disempowered in hospital; (3) staff knowledge, confidence, attitudes and behaviours; (4) diabetes and insulin management as a balancing act. In addition, participants co\u2010designed an infographic to help hospital staff understand what matters most to older adults in terms of managing their insulin safely in the hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lack of joined\u2010up care, staff knowledge gaps and lack of empowerment ethos hinder hospital insulin safety. This study identified that having a self\u2010management policy in a hospital does not necessarily mean it is implemented for older adults with diabetes. Using a co\u2010design approach to engage with older adults helped to identify components critical to hospital insulin safety interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patients and members of the public are involved in study design and interpretation of findings. Before the study, a diabetes peer\u2010support group reviewed and contributed to the interview topic guide and study recruitment documentation. Study participants co\u2010designed the infographic developed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70509","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T12:39:19Z","timestamp":1765197559000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018Why, Can I Not Have Control of My Own Insulin?\u2019: Qualitative Exploration Amongst Older Adults With Diabetes With Lived Experience of Surgical Hospital Admission"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8575-9670","authenticated-orcid":false,"given":"Christina","family":"Lange Ferreira","sequence":"first","affiliation":[{"name":"Care in Long Term Conditions, Faculty of Nursing, Midwifery &amp; Palliative Care King's College London London UK"},{"name":"Diabetes and Endocrinology, Hereford County Hospital Wye Valley NHS Trust Hereford 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