Abstract

Diabetes has become one of the major causes of premature illness and death in various countries. Insulin administration was found to be a better choice for diabetic patients who started surviving for longer periods till they developed vascular complications or infections. Although proper and appropriate insulin administration can prevent many of the adverse outcomes associated with hyperglycemia, there is a lack of patient education on proper glucose monitoring and optimization of insulin therapy. Ourobjective wasto study the prescription pattern of insulin in diabetic patients in a Rural Tertiary Care Teaching Hospital. This study is a Prospective and Observational study. Adults and geriatric patients of either sex, diagnosed as Diabetes and those on insulin therapy were included in the study. A special design pro-forma was used to collect the data. Data was collected from patient prescriptions, patient case sheets, questionnaires. The data obtained was categorised as age, gender, medical and family history, distribution of insulin brands, oral hypoglycemics. During the study period of six months(October 2013 to April 2014), a total of 120 patients diagnosed with diabetes were enrolled in the study, out of 81(67%) were males and 39(33%) were females,7 patients(5.83%) belonged to the age group 30-40, 18 patients(15%) belonged to the age group 41-50, 35(29.6%) were from the age group 51-60, 43(35.835%) were from the age group 61-70, 13 patients(10.83%) belonged to the age group 71-80 and only 4 patients(3.33%) were found to be in the range of 81-90 years. Among the study population, 96(80%) were found to be having an history of Type2 DM and 29(24.16%) patients were found to be having family history of Type2 DM.96(80%) had a history of Type 2 DM and it can be illustrated that among this 96 patients, 7(7.29%) patients were having a history of diabetes not more than 1 year, 1-5 years of medical history were found for 37(38.54%)patients, 35(36.45%) patients were having medical history between 5-10 years ,12(12.5%) patients were found having medical history between 10-15 years, Between 15-20 years, only 4 (4.16%)patients were found to have the history of Diabetes and only 1(1.04%) patient had a medical history greater than 25 years,109(90.83%) patients were found to be administered with Human Actrapid and 11(9.16%) patients were prescribed with Human mixtard, 84 patients(70%) were on insulin monotherapy and 36 patients(30%) were found to be administered with both insulin and other oral hypoglycemics, the total number administered with oral hypoglycemic were 49,out of which 40(81.63%) patients were prescribed with metformin alone, 8(16.32%)patients were prescribed with metformin+glimepiride and only one patient(2.02%) were found prescribed with Metformin+glibenclamide.