Provider perceived barriers to appropriate care of diabetes, including insulin use |
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• “When it [insulin] has been there in the past the barriers include lack of refrigeration.” |
• “In the villages there is no fridge, and no test strips, making monitoring difficult.” |
• “There is a lack of blood glucose monitoring – even if a patient is newly starting insulin or very unwell they may get 5 test strips for the first week. For longer term patient they get 1 strip per month!” |
• “I regularly encountered poor understanding from patients, and conflicting health beliefs which lead to poor compliance.” |