Table 6: Insulin injection-related factors influencing the frequency of hypoglycaemia and hyperglycaemia.
Variables | Category N=847 | % with hypoglycaemia (n=311) | p* | % with hyperglycaemia (n=571) | p* |
---|---|---|---|---|---|
Duration of insulin treatment (years) | <5 (n=582) | 66.6 | 0.318 | 63.9 | ¾0.001 |
>5 (n=265) | 33.4 | 36.1 | |||
HbAlc (%) | <7 (n=45) | 5.8 | 1.000 | 4.3 | 0.008 |
>7 (n=713) | 94.2 | 95.7 | |||
Diabetic complication(s) | Absent (n=395) | 40.8 | 0.010 | 44.7 | 0.106 |
Present (n=452) | 59.2 | 55.3 | |||
Number of injections/day | <2 (n=606) | 70.4 | 0.581 | 71.3 | 0.871 |
>2 (n=241) | 29.6 | 28.7 | |||
Total daily dose of insulin (IU) | <50 (n=621) | 72.7 | 0.748 | 70.2 | 0.004 |
>50 (n=226) | 27.3 | 29.1 | |||
Insulin device | Syringe (n=577) | 70.1 | 0.360 | 70.9 | 0.015 |
Pen (n=270) | 29.9 | 29.1 | |||
Needle length (mm) | <6 (n=461) | 55.0 | 0.830 | 45.0 | <0.001 |
>6 (n=380) | 45.0 | 55.0 | |||
Main Injection site | Abdomen (n=539) | 57.9 | 0.009 | 62.0 | 0.170 |
Others (n=308) | 42.1 | 38.0 | |||
Rotate injection site(s) | No (n=131) | 16.7 | 0.490 | 15.6 | 0.920 |
Yes (n=716) | 83.3 | 84.4 | |||
Inject into a skinfold | Yes (n=760) | 91.3 | 0.291 | 89.0 | 0.335 |
No (n=87) | 8.7 | 11.0 | |||
Angle of needle entry | 90 degrees (n=547) | 61.1 | 0.118 | 62.3 | 0.055 |
Other than 90 degrees (n=300) | 38.9 | 37.7 | |||
Needle reuse | No (n=11) | 1.9 | 0.225 | 1.1 | 0.351 |
Yes (n=836) | 98.1 | 98.9 | |||
Number of times needles reused | <10 (n=496) | 56.4 | 0.214 | 56.3 | 0.011 |
>10 (n=340) | 43.6 | 43.7 | |||
LH | Absent (n=769) | 88.4 | 0.084 | 89.0 | 0.008 |
Present (n=78) | 11.6 | 11.0 | |||
Injects into LH (n=78) | No (n=48) | 52.8 | 0.166 | 55.6 | 0.037 |
Yes (n=30) | 47.2 | 44.4 | |||
Skip injection(s) | Yes (n=466) | 69.5 | <0.001 | 65.3 | <0.001 |
No (n=381) | 30.5 | 34.7 | |||
Education on injection technique | Yes (n=780) | 96.8 | <0.001 | 92.6 | 0.416 |
No (n=67) | 3.2 | 7.4 | |||
Education provider | Doctors (n=537) | 59.8 | ≤0.001 | 64.5 | <0.001 |
Others (n=242) | 40.2 | 35.5 | |||
SMBG frequency | At least 1/day (n=73) | 10.6 | 7.9 | ||
At least 1/week (n=354) | 42.4 | 0.223 | 42.6 | 0.509 | |
Never (n=420) | 46.9 | 49.6 |
*p-value comparing the column proportions by Chi-square test.
HbA1c = glycated haemoglobin; LH = lipohypertrophy; SMBG= self-monitoring of blood glucose.