Abstract
This study was conducted to determine the prevalence of insulin non adherence and identify factors
associated with insulin non adherence among 95 patients with type 2 diabetes mellitus in Nongjik Hospital,
Pattani province from June to September 2015. Non adherence to insulin was measured by self-report
questionnaire. Frequency, percentage, mean and standard deviation were used to present the analysis
results. Logistic regression was used to identify multivariate predictors of insulin non adherence. Adjusted
odds ratios (aOR) and their 95% confidence interval (CI) were used to present the strength of association.
Prevalence of insulin non adherence was 80%. In multivariate analyses, predictors of insulin non
adherence were: age 51-60 (aOR 20.38, 95% CI 1.32, 315.71), BMI (aOR 25.11, 95% CI 1.96, 321.17), selfinsulin
administering (aOR 22.25, 95% CI 1.51, 328.2), hypoglycemia (aOR 21.0, 95% CI 1.35, 326.23), insulin
keeping (aOR 42.02, 95% CI 3.16, 558.42) and dinner management (aOR 22.6, 95% CI 2.48, 205.68).
This study has demonstrated a high prevalence of insulin non adherence in patients with type 2
diabetes. Improving insulin adherence by paying particular attention to different age groups and patients
with self-administered, insulin keeping and dinner management inappropriate could help improve adherence.
