Background: People with intellectual disabilities are more likely to have diabetes and may require
additional support to manage it. Insulin treatment is complex and there are health
inequalities facing people with intellectual disabilities which affect optimal diabetes
management. This review aimed to identify barriers and facilitators to managing
diabetes with insulin for adults with intellectual disabilities.
Method: PPI was integral to the development of the research question. A systemised review
was conducted across CINAHL, the British Nursing Index and MEDLINE.
Thematic analysis was used to synthesise data and PRISMA guidelines were
Results: Barriers and facilitators to managing diabetes with insulin for people with intellectual
disabilities were identified in relation to three key themes: 1. The individual, 2. Other
people, 3. Environmental/social factors.
Conclusions: People with intellectual disabilities who use insulin, require education, support, and a
person-centred approach to facilitate supported self-management. More training for
their supporters is needed and further research is
Beresford, CatherineKozlowska, Olga
Oxford School of Nursing and Midwifery
Year of publication: 2022Date of RADAR deposit: 2022-07-26