{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T18:27:00Z","timestamp":1782584820491,"version":"3.54.5"},"reference-count":29,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"unspecified","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,2,13]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"\n Objectives<\/jats:title>\n This study aimed to assess the knowledge, attitude and practices of patients with type 2 diabetes on insulin regarding insulin therapy.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n This study was conducted at the Dubai Diabetes Center from 1 December 2018 to 1 March 2020.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Face-to-face interviews were conducted for 350 participants with type 2 diabetes at the Dubai Diabetes Center. Interviews followed the structured format of a questionnaire designed to obtain demographic details and score participants on knowledge, attitude and practices. We included patients aged >18 years and receiving insulin therapy. Patients with type 1 diabetes, pregnant women with gestational diabetes, those aged <18 years or those with a history of dementia were excluded.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The median age of participants was 61 years (first quartile, 53 years; third quartile, 67 years); 35.7% were male individuals and 64.3% were female individuals. The median percentage scores for knowledge, attitude and practices were 62.5% (62.5%, 75%), 85.7% (71.4%, 100%) and 77.7% (66.6%, 88.8%), respectively. Highly educated participants had a high level of knowledge. Significant negative correlations were found between the percentage knowledge scores and participants\u2019 age and between the participants\u2019 percentage attitude scores and haemoglobin A1C levels; Spearman\u2019s correlations were \u22120.182 (p<0.001) and \u22120.14 (p=0.008), respectively. A significant positive Spearman\u2019s correlation of 0.123 (p=0.021) was found between the percentage knowledge and percentage practice scores. No correlations were found among knowledge levels, participants\u2019 haemoglobin A1c levels and duration of insulin use.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Patients with type 2 diabetes receiving insulin therapy and attending the Dubai Diabetes Center had adequate knowledge, a positive attitude and correct practice regarding insulin therapy. However, knowledge of specific facts did not always translate into correct behaviours and practices.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-079693","type":"journal-article","created":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:41:28Z","timestamp":1709685688000},"page":"e079693","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Knowledge, attitude and practices of insulin therapy among patients with type 2 diabetes: a cross-sectional study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1415-6212","authenticated-orcid":false,"given":"Ayesha","family":"Almheiri","sequence":"first","affiliation":[{"name":"Dubai Academic Health Corporation, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman Ali","family":"Binjab","sequence":"additional","affiliation":[{"name":"Dubai Academic Health Corporation, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maha Murad","family":"Albloushi","sequence":"additional","affiliation":[{"name":"Dubai Academic Health Corporation, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Taryam","family":"Alshamsi","sequence":"additional","affiliation":[{"name":"Dubai Academic Health Corporation, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7129-1138","authenticated-orcid":false,"given":"Hamda Hassan","family":"Khansaheb","sequence":"additional","affiliation":[{"name":"Dubai Academic Health Corporation, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan","family":"Zidan","sequence":"additional","affiliation":[{"name":"Dubai Academic Health Corporation, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdul Karim","family":"Hassoun","sequence":"additional","affiliation":[{"name":"Fakeeh University Hospital, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"key":"2025121605490019000_14.3.e079693.1","unstructured":"International Diabetes Federation . IDF diabetes atlas [online]. 2019. Available: https:\/\/www.diabetesatlas.org\/upload\/resources\/material\/20200302_133351_IDFATLAS9e-final-web.pdf [Accessed 2 Mar 2020]."},{"key":"2025121605490019000_14.3.e079693.2","first-page":"196","article-title":"Knowledge and attitude towards insulin therapy among type 2 diabetics","volume":"24","author":"Lafta","year":"2011","journal-title":"Iraqi J Community Med"},{"key":"2025121605490019000_14.3.e079693.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2011.03542.x"},{"key":"2025121605490019000_14.3.e079693.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2010.01.026"},{"key":"2025121605490019000_14.3.e079693.5","doi-asserted-by":"publisher","DOI":"10.2337\/dci18-0007"},{"key":"2025121605490019000_14.3.e079693.6","unstructured":"UnitedHealth Group . Diabetes in the United Arab Emirates: crisis or opportunity? 2010. 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Strategies for insulin injection therapy in diabetes self-management. 2011. Available: https:\/\/www.diabeteseducator.org\/docs\/default-source\/legacy-docs\/_resources\/pdf\/research\/aade_meded.pdf?sfvrsn=2 [Accessed 2 Mar 2020]."},{"key":"2025121605490019000_14.3.e079693.15","unstructured":"Ebrahim S , Jasim U , Bachi D , et al . A study to assess the attitude and practice of diabetic patient towards self-administration of insulin in Basra city, Iraq. 2014. 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