Psychiatry Research EG

Aim Our study was conducted to review factors responsible for psychological insulin resistance among patients with type 2 diabetes mellitus. Patients and methods In our study on 100 patients with type 2 diabetes mellitus enrolled from an outpatient clinic of diabetes, all patients were noncompliant to diet and exercise, with high HbA1c, and all planned to be converted to insulin therapy. Results The results showed that a large number of factors account for psychological insulin resistance in patients; the main categories were emotional, cognitive, social, cultural, and interaction with health providers. Conclusion We concluded that there is a signifi cant need of evidence-based interventions that help remove psychological barriers about insulin use in patients. Keywords: exploration of insulin refusal, insulin rejection, psychological insulin resistance, unwillingness of shift to insulin