Related Experiment Video
Updated: Jun 10, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Why don't patients with diagnosed diabetes attend a free 'Get Checked' annual review?
Porter Tesa1, Clem Le Lièvre, Ross Lawrenson
1Waikato Clinical School, The University of Auckland, Hamilton, New Zealand.
Introduction:
A key strategy for improving the management of patients with diabetes is the provision of a free annual review 'Get Checked'. Although it is known that certain patients do not attend these free reviews, little is known about the barriers.
Methods:
A group of patients with diabetes who had not attended an annual review in the previous two years were identified and sent questionnaires asking about the barriers to attending. Non-respondents where followed up with a telephone call. Barriers were thematically analysed.
Findings:
26/68 patients identified patients responded (38%). Key issues identified included difficulty with transport, conflict with work and lack of motivation. There were differences in responses between Maori and non-Maori.
Conclusion:
Recommendations include more emphasis in recognising Maori tikanga (culture), more flexible provision of services to allow working patients to attend and increased emphasis on reminders for patients.
Related Concept Videos
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Diabetes: Symptoms, Diagnosis, and Complications
Diabetes Mellitus: Type 2 and Gestational
Diabetic Retinopathy
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...