Group education of insulin-treated diabetics : impact on the mastery of insulin injection technique.

Insulin therapy is one of the mainstays of the medical management of diabetes; 150 to 200 million people in the world are on insulin .The injection of insulin poses several problems :- First, the injection is, in principle, an aggression against the organism.- The pejorative image associated with it, itself the result of false beliefs (end of life, suspected harm to the body, etc.).- Common side effects of insulin therapy (hypoglycaemia, weight gain)- The degradation of the quality of life that it can cause (time constraints imposed by injection schedules, etc.)- Social marginalization (difficulty practicing fasting for Ramadan, difficulty getting around, eating with family or friends in restaurants, etc.)These problems are often the result of or are aggravated by ignorance of roles, methods of use and adequate injection technique .Individual therapeutic education has certain limits in the mastery of the use of insulin.Group therapeutic education has potential advantages that can solve problems related to the mastery of insulin injection, and thus improve its acceptance, reduce its undesirable effects and its constraints.This work proposes to evaluate the impact of a therapeutic group education in hospitalization of weeks on the mastery of the insulin injection technique of a population of type 2 diabetics.