TITLE:
The Trend of Changes in Insulin Treatment Adherence among Young and Middle-Aged Patients with Type 2 Diabetes Mellitus within Two Months after Discharge: A Longitudinal Observational Study
AUTHORS:
Yijuan Li, Xiaoqing Nong, Shuxian Wang, Qiuhuan Huang, Lianxin Meng, Shuangqi Li
KEYWORDS:
Middle-Aged and Young Adults, Type 2 Diabetes, Insulin Therapy, Treatment Adherence, Influencing Factors
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.14 No.7,
July
28,
2026
ABSTRACT: Objective: The study aimed to investigate the trend of insulin treatment compliance among young and middle-aged patients with type 2 diabetes (T2DM) over time after discharge, providing theoretical basis for clinical practice. Methods: General information questionnaires were collected at the time of discharge. Clinical data were obtained at discharge and two months post-discharge. The Insulin Treatment Adherence Scale was administered at four time points: at discharge, one week post-discharge, one month post-discharge, and two months post-discharge. Results: The overall insulin treatment adherence score and scores across all subscales exhibited a progressive decline over time. Differences in total and subscale scores across time points were statistically significant. Conclusion: Insulin treatment adherence among young and middle-aged T2DM patients progressively declines during the first two months after discharge. Healthcare professionals should implement targeted follow-up protocols and evidence-based interventions for this patient population to improve treatment adherence.