Relevant bibliographies by topics / Non-adherence, diabetes complications

Academic literature on the topic 'Non-adherence, diabetes complications'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Non-adherence, diabetes complications"

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Bashir, Dr Rasha Kamal, Dr Imad Eldin Eljack Ahmed, and Dr Tasabeh Mustafa Ali. "Medication Adherence and Affecting Factors among Type Two Diabetic Patients, Attending Al-Daraga Health Center, Wad Madani Al Kubra, Gezira State, Sudan, (2020)." Academic Journal of Research and Scientific Publishing 3, no. 27 (July 5, 2021): 05–26. http://dx.doi.org/10.52132/ajrsp.e.2021.271.

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Type II diabetes mellitus and its complication are becoming more prevalent in Sudan. The most important predictor of reduction of morbidity and mortality due to diabetes complication is the level of glycemic control achieved. In Sudan diabetes mellitus (DM) is common public health problem, in 2017 about 12% developed serious complications. This study aimed to identify the general characteristics of type II diabetic patients, relevant diabetic characteristics duration, treatment, control and complications. Also to determine level of adherence, and reason behind non adherence medications. A cross-sectional study of randomly selected 360 patients of type II diabetic patient that attend at Al-Daraga Health Center, Wad Madani,Al Kubra locality, Gezira state ,during period from September – October 2020, found that there's statistically significant showed the relation between marital status, socioeconomic status, level of education , Occupation and factors affect adherence in taken medications at ( p value less than 0.05) also There’s significant relation between causes with patients not adhered to used medications (p value 0.000), The socioeconomic status contributed factors in diabetes mellitus complication because the low income level about 213(59.2%). Type II diabetic patients was associated with higher glycated hemoglobin seen among younger age groups. It is also showing the important of Group discussion with the patients to increase awareness of adhering to treatment plan. This study will be helpful in providing evidence regarding the importance of adherence should be emphasized and empowered within the diabetic population.
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J., Veeresh, Vasanth R. Chavan, Mohammad Arshad, Raghunandan M., and Mohd Fayazuddin. "Non-adherence to anti- diabetic therapy and its consequences among type-2 diabetic patients in a tertiary care hospital." International Journal of Basic & Clinical Pharmacology 6, no. 6 (May 23, 2017): 1348. http://dx.doi.org/10.18203/2319-2003.ijbcp20172038.

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Background: Despite the extensive therapy options available for various stages of type 2 diabetes, studies have indicated that less than 50% of patients achieve the glycemic goals. Failure to attain the desired therapeutic goal might be related to inadequate adherence. Objectives of present study were to determine the extent of non-adherence to antidiabetic medications and identify reasons for the same.Methods: A cross-sectional, observational, questionnaire-based study was conducted to assess the level of non-adherence to antidiabetic therapy among type 2 diabetics attending medicine outpatient department or admitted to the wards of a tertiary care hospital from Jan 2015 to Jan 2016. A pretested and validated questionnaire was used to assess the level of adherence. Reasons for missing medications were also elicited. Data thus collected was analysed using a suitable statistical software.Results: Out of the 210 study participants, 55.2% were females. Most participants were in the age group of 51-60. The mean duration of diabetes was 8.17± 5.39. The most common diabetes-related complication was Diabetic Keto Acidosis (DKA), followed by diabetic foot ulcer. The average number of drugs per prescription was 1.98 ± 1.05. Poor glycemic control was observed in 58% and non-adherence to treatment in 45.2% of study participants.Conclusions: Good adherence to antidiabetic therapy is fundamental for good glycemic control which in turn prevents the occurrence of short and long-term complications of diabetes. Poor doctor-patient intercommunication and inadequacy on part of physicians to adjust medications negatively affect adherence. Active participation of the patient is also equally important.
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Inbaraj, Leeberk Raja, Carolin Elizabeth Georg, Nan Lin Kham, and Gift Norman. "Prevalence, perceptions and practices associated with non-adherence to diabetes medications in primary care setting: A cross sectional study in urban Bangalore." Asian Journal of Medical Sciences 7, no. 6 (October 31, 2016): 106–9. http://dx.doi.org/10.3126/ajms.v7i6.15256.

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Background: Adherence to diet and drugs, blood glucose monitoring, foot care, exercise and early recognition of the complications, are the crucial elements for tertiary prevention of Diabetes Mellitus. Non compliance can lead to poor glycemic control which can eventually aggravate complications and lead to disability and mortality. This study aimed at estimating prevalence of non-adherence and identify perceptions and practices associated with non-adherence.Materials and Methods: A cross sectional study was conducted in a primary care clinic in a disadvantaged community Hundred patients with Diabetes were recruited and interviewed using a semi-structured questionnaire.Results: Non adherence rate was 30%. Those who are unable to remember multiple doses (37.5%) were 2.77 (95% CI: 0.94-8.15) times more likely to non-adhere to the treatment than those who are able to remember multiple doses (16.7%).Similarly Patients who often discontinued medications and switched over to alternative system medicines tended to be non- adherent 8.5 (95% CI:1.6- 45.0) times more than those who continued treatment without interruption. Non adherence was not associated with age, gender, education level, and cost of medication and duration of diabetes. People who were illiterate and elderly did not know the consequences of missing doses and stopped medications when they felt better as well as resorted to traditional medicinesConclusions: Counselling sessions should focus on perceptions and ideas about diabetes. Innovative health education modalities have to be developed for illiterate and elderly people.Asian Journal of Medical Sciences Vol.7(5) 2016 106-109
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July, Rani Sauriasari, Nadia Farhanah Syafhan, and Hadijah Tahir. "The Effect of Insulin Administration on Medication Adherence in Type 2 Diabetes Mellitus Patients with Neurological Complications." JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA 9, no. 3 (December 9, 2022): 242–51. http://dx.doi.org/10.20473/jfiki.v9i32022.242-251.

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Background: Medication adherence is essential to achieving controlled blood sugar in diabetic patients. Insulin generally provides better glycemic control but is considered painful and requires special techniques. Insulin administration in patients with neurological complications requires particular consideration because these complications can cause physical and cognitive barriers. Objective: This study analyses the effect of insulin administration on medication adherence in diabetic patients with neurological complications and the influence of various confounding variables (baseline characteristics, medical and medication history). Methods: This observational study was conducted with a cross-sectional design at a government hospital in East Jakarta from September 2021 to January 2022. The sample was type 2 diabetes mellitus patients with neurological complications who received antidiabetics for at least six months. The neurological complications include central nervous disorders (such as stroke) and peripheral nervous disorders (such as neuropathy). The independent variable was insulin administration, while the dependent variable was adherence, measured using subjective methods [Adherence to Refills and Medications Scale (ARMS)] and objective methods (Medication Refill Adherence (MRA) and HbA1c]. Results: Of 175 respondents, based on the three methods (MRA, ARMS, HbA1c), 13 respondents (7.4%) were adherent, namely one respondent (1.8%) in the insulin group and 12 respondents (10.1%) in the non-insulin group. Insulin administration affects adherence to antidiabetics by 0.123 times (95% CI: 0.015 - 1.024), or patients who use insulin have 87.7% lower adherence controlled by antidiabetic changes and the total number of medicines used. Conclusion: Insulin administration significantly affects medication adherence in diabetes mellitus patients with neurological complications.
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Anderson, Robert M., James T. Fitzgerald, and Marys Oh. "The Relationship Between Diabetes-Related Attitudes and Patients' Self- Reported Adherence." Diabetes Educator 19, no. 4 (August 1993): 287–92. http://dx.doi.org/10.1177/014572179301900407.

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This study involved 1202 patients who were placed into low adherence or high adherence groups based on their answers to questionnaires. The attitudes of each group were compared for a variety of adherence behaviors. Patients who reported high levels of adherence tended to have attitudes more in accord with diabetes experts. Members of the high adherence group strongly supported the need for special training for health care professionals who treat diabetes, favored team care, accepted the importance of patient compliance, acknowledged the seriousness of non-insulin-dependent diabetes mellitus (NIDDM), and recognized the relationship between glucose control and complications. Differences in attitudes between high- and low adherence groups were more prevalent for difficult adherence areas, eg, diet and exercise, than for easy adherence areas, eg, carrying sweets or diabetic identification. An understanding of patients' attitudes can help diabetes educators and patients develop realistic and relevant self-care plans.
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S., Kavitha, Nalini G. K., Suresh R. M., Sahana G. N., Deepak P., and Jayashree V. Nagaral. "Treatment adherence and factors contributing to non adherence among type 2 diabetes mellitus patients in a tertiary care hospital: a cross sectional study." International Journal of Basic & Clinical Pharmacology 6, no. 3 (February 24, 2017): 689. http://dx.doi.org/10.18203/2319-2003.ijbcp20170838.

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Background: Diabetes mellitus (DM) is the most common endocrine disorder and major global public health problem. Lack of adherence to antidiabetic medication has lead to suboptimal blood sugar control, treatment failure, accelerated development of complications and increased mortality, thus medication adherence plays an important role in disease control. Hence present study was taken to evaluate the treatment adherence and factors affecting non adherence among Type 2 diabetes mellitus patients.Methods: A cross sectional study carried out by Department of Pharmacology and Medicine, Hassan Institute of Medical Sciences, Hassan. Total 150 patients of type 2 diabetes were recruited after taking their informed consent. Adherence to treatment and factors associated with non adherence has been assessed during a personal interview with each patient using standardized questionnaire.Results: Adherence levels were 28%, 42% and 30% for high, medium and poor adherence respectively. The overall prevalence of non adherence among respondents was 30%. Among them 77.77% were males, 44.44% belonged to age group of 41-60 years, 40% illiterate, 60% employed, 51.11% of patients with smoking and alcoholic habits were not adherent to anti diabetic treatment. Other reasons contributing to non-adherence to treatment were forget fullness (86.66 %), inadequate knowledge about side effects (80%), unhappy clinical visits (71.11 %) and lack of assistance (48.88 %).Conclusions: Results showed that patients in the area of study were moderately adherent to anti-diabetic medications. This emphasizes the need for constant motivation and education at frequent intervals to ensure better adherence.
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S. Padmanabha, Usha Rani, Maheswaran R., Shwetha Hiremath, Puneeth N., and Renuka Prithviraj. "A study to assess the treatment adherence among patients with type 2 diabetes mellitus in rural and urban population of Bengaluru, South India." International Journal Of Community Medicine And Public Health 7, no. 8 (July 24, 2020): 3105. http://dx.doi.org/10.18203/2394-6040.ijcmph20203385.

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Background: Globally, around 425 million adults are victims of diabetes with increased prevalence being noted in low and middle income countries. Diabetes was seventh leading cause of death leading to 1.6 million deaths in 2016 (WHO report). Management of diabetes is multifaceted which includes diet, physical activity, screening for complications and medications. Adherence to pharmacotherapy plays an important role in glycemic control. Hence, this study was done to assess the magnitude of treatment adherence and its associated factors among type 2 diabetics.Methods: A community based study was done on patients with type 2 DM in the rural and urban population of Bengaluru. A simple random sampling technique was followed. Medication adherence was assessed using 8 item Morisky's treatment adherence scale.Results: A total of 250 subjects were interviewed, among them 59% were male and 41% were female. The mean age of the subjects was 60.93±10.1 years. The mean treatment adherence scores was 25.9±3.1 years. Among the 250 diabetics, 62% were adherent and 38% were non adherent to anti diabetic medications. Forgetfulness to take medications was one of the reasons for non-adherence with mean scores of 3.12+0.6.Being illiterate, labourers, aged above 60 years, obesity, frequency and multiple dosage was found to be significant factors for non-adherence (p<0.05).Conclusions: Adherence to anti diabetic drugs was found to be 62%. Increased age, illiteracy, occupation, BMI, frequency and multiple doses of drugs were significant factors responsible for medication non adherence. There is a need for reinforcement of health education and motivation for diabetics to improve their medication adherence.
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Wahiduzzaman, Mohammad, M. Sahidul Islam, Sharmin Hossain, Qazi Muhammad Iqbal Hussain, Friederike Banning, and Andreas Lechner. "Prevalence and factors associated with diabetic retinopathy among type 2 diabetic patients in Bangladesh: a hospital based cross-sectional study." International Journal Of Community Medicine And Public Health 10, no. 1 (December 29, 2022): 78. http://dx.doi.org/10.18203/2394-6040.ijcmph20223529.

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Background: Diabetes mellitus is a major health problem in Southeast Asia and diabetic retinopathy is one of its most debilitating complications. Nevertheless, fundoscopy and systematic evaluation of non-adherence to drug therapy are not regularly done in individuals with diabetes in Bangladesh due to limited resources. Therefore, the prevalence of diabetic retinopathy and its determinants with non-adherence to drug therapy are not known. We, therefore, screened for diabetic retinopathy, non-adherence to drug therapy and other associated factors at a tertiary care hospital in Bangladesh.Methods: Between May 2017 to September 2017, we conducted a cross-sectional study of 489 systematically recruited asymptomatic, at least one-year type-2 diabetic individuals on medication and attending the outpatient department of the BIHS tertiary care centre in Dhaka, Bangladesh. We obtained a medical history, physical examination, routine laboratory tests, questionnaires, and fundus photography.Results: The prevalence of diabetic retinopathy among T2DM patients was 18.8%. Clinical factors associated with the presence of diabetic retinopathy were uncontrolled fasting blood glucose, known duration of diabetes of ≥10 years and self-reported non-adherence to drug therapy. With a known duration of diabetes of 15 years or more, the prevalence of diabetic retinopathy rose to 40%.Conclusions: Undiagnosed diabetic retinopathy is still common among patients in Bangladesh, even at tertiary care centres. It is associated with longer disease duration, poor metabolic control and self-reported non-adherence to therapy. Regular screening for diabetic retinopathy should therefore be implemented also in resource-limited settings and further efforts should be made to improve the patients’ drug adherence and metabolic control.
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Chappidi, Mounica, Priyadarshini Chidambaram, Shalini Sivananjiah, and Shivaraj Nallur Somanna. "Non-adherence to foot-care activities and its associated factors among patients with type 2 diabetes mellitus in an urban area of South India: a cross sectional study." International Journal Of Community Medicine And Public Health 5, no. 12 (November 24, 2018): 5089. http://dx.doi.org/10.18203/2394-6040.ijcmph20184745.

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Background: Type 2 diabetes mellitus (T2DM) is the commonest metabolic disorder with prevalence of 8.3% in India. The prognosis largely depends on complications seen in natural course of illness. Stringent adherence to self-care activities is a mandatory step in management of T2DM. Hence, this study was done to assess non-adherence to foot-care activities among patients with T2DM for associated factors and also to report findings of foot examination among non-adherent participants.Methods: A community based cross-sectional study was conducted in an urban area of Bengaluru. Using multi-stage sampling, 400 people with T2DM aged ≥18 years were selected. A pre-tested, semi-structured questionnaire was used to collect information regarding non-adherence to foot-care activities and foot examination was done for all the participants.Results: Though all the participants were aware regarding the foot-care activities, 86.7% of participants were not adherent. Females and those with lower monthly income had 2.91 and 3.47 significantly higher odds of being non-adherent to foot-care activities, respectively.Conclusions: The prevalence of non-adherence to foot-care activities among people with T2DM was observed to be high. Hence, more importance should be given to motivate people with T2DM in their follow-up visits regarding adherence to foot-care activities to avoid occurrence of complications.
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Mousavizadeh, Seyedeh Narjes, and Zahra Banazadeh. "Loss of Time in the Treatment Adherence Process: A Qualitative Study in a Sample of Iranian People with Diabetes." Journal of Medicine and Life 13, no. 3 (July 2020): 293–99. http://dx.doi.org/10.25122/jml-2019-0110.

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Diabetes is a significant public health problem and one of the causes of death and disability globally. One of the main problems with diabetes control is the lack of adherence to therapeutic regimens in people with diabetes. This study investigates the experiences and views of the Iranian people with diabetes to identify the challenges of the process of adherence to treatment. A grounded theory research design was used, incorporating in-depth interviews to collect the data. Using purposeful sampling, 28 people with type 2 diabetes (9 men, 19 women) from different places were included in the study. Constant comparative analysis was undertaken to identify key categories. The main challenge in this process is losing the golden time of preventing the complications of the disease that occurs for the following reasons: cultural habits and values, religious beliefs (believing diabetes was God’s will), resistance to change due to age, job conditions, lack of harmony in the family, and non-shared decision-making in the health system. People with diabetes go through trial and error in order to achieve awareness and insight, and consequently, adherence to treatment. Therefore, they need help and support to achieve insight and adherence to treatment faster and without complications. In fact, if the care plan is designed to encourage active patient participation by the treatment team in the shortest possible time, the time to achieve compliance will be shorter and will have the least side effects for these people.
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Book chapters on the topic "Non-adherence, diabetes complications"

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Ngoatle, Charity, and Tebogo Maria Mothiba. "The Importance of Health Literacy Related to Medications Instructions to Promote Adherence in People Living with Cardiovascular Diseases at Rural Settings." In Lifestyle and Epidemiology - Poverty and Cardiovascular Diseases a Double Burden in African Populations [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.95902.

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Health literacy related to prescribed medications instructions is the ability to read, understand and carry out medication instructions as directed. Being generally literate does not automatically make one to be health literate. In most cases, a person’s health literacy is overlooked based on their good general literacy. A convergent parallel mixed method design was used to explore and describe the practices of diabetes mellitus patients regarding prescribed medications instructions. The results showed failure to interpret medications instructions which leads to non-adherence unaware. On the other hand, non-adherence led to complications. Enhancing health literacy includes explanation of the medication instructions in details including the exact times for medication consumption. This could be achieved through peer teaching, health talks with patients and workshops.
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