Patient reported attitude, practice, satisfaction, and quality of life on insulin degludec/insulin aspart: A single-center survey from India in adult with diabetes

Objective: The study aimed to assess the knowledge, attitude, practice, satisfaction, and quality of life (QoL) of adult patients with type 2 diabetes (T2D) on insulin degludec/insulin aspart (IDegAsp). Materials and Methods: Data were collected through an online survey from patients with T2D being treated with IDegAsp at a single center in India. Results: Survey was completed by 247 participants. On the Likert scale, 1 to 5 (1: most difficult and 5: most easy), 41.6% and 26.6% scored 5 and 4, respectively, for ease of increasing or decreasing the dose. Most participants (n = 190) consulted a physician to adjust the dose; 53.3% and 28.8% scored 5 and 4, respectively, for a good experience while injecting IDegAsp; 89.8% of participants felt their QoL improved with a reduction in the number of pricks; 86.7% participants found it comfortable to inject IDegAsp in different social situations; 94.2% reported they could manage their day to day activities better after initiating IDegAsp. After initiating IDegAsp, the oral antidiabetic (OAD) pill burden reduced from three to one or two pills in 70% of patients. Conclusions: Our survey-based study shows the majority of participants found it easy to administer IDegAsp, inject IDegAsp in different social situations, they were able to increase and decrease the dose with ease, and benefited from reduced injection pricks and reduced OAD pill burden. The survey points towards a positive attitude towards achieving glycemic control with IDegAsp.