More often than not, people with diabetes find it difficult to adhere to their medication plan totally. This is because of various factors including complacence, lack of knowledge, unavailability of specific medications, and lack of communication between the care teams and patients.
Why is medication adherence important for diabetes management?
This is a significant factor for a patient’s successful management of diabetes. Medication adherence directly influences glycemic control and clinical consequences. More often than not, people with diabetes find it difficult to adhere to their medication plan totally.
How important is adherence to a self-administered questionnaire in diabetes care?
In the French ENTRED study of adherence from a self-administered questionnaire, good adherence was significantly associated with follow-up by a diabetes specialist and a good relationship between patients and physicians [51].
What are the consequences of poor adherence to medications for glycemic control?
The main consequence of poor adherence to medications for glycemic control is decreased glycemic control, leading to the known complications of diabetes, including microvascular and macrovascular diseases and altered lipid metabolism [5].
Why do adolescents with Type 1 diabetes have poor adherence to diabetes treatment?
Despite the availability of effective therapies, adolescents with type 1 diabetes demonstrate poorer adherence to treatment regimens compared with other pediatric age groups. Nonadherence is tightly linked to suboptimal glycemic control, increasing morbidity, and risk for premature mortality.
What are problems associated with noncompliance to therapy for diabetes?
This phenomenon, known as drug non-adherence, can be alarmingly dangerous for people with diabetes. Without consistent use of medications as prescribed, people increase their risk of experiencing hyperglycemia and ketone build-up. Drug non-adherence is an underappreciated issue, but one that affects millions of people.
What are some barriers that a patient may encounter when trying to manage diabetes?
Barriers to diabetes self-management identified by patients with diabetes during isolation were categorized into five major themes: inadequate knowledge and behavioral beliefs, shortage of resources, suffering from health problems, negative emotions, and lack of support.
What are the barriers to patient engagement in managing type 2 diabetes?
Lack of structured approach to diabetes management. Patients' financial situation and occupational constraints acting as a barrier to care. Insufficient knowledge of guideline recommendations. Insufficient knowledge leading to discontinuation of medicine.
Why is medication adherence important in diabetes?
Medication adherence is an important determinant of outcomes in patients with chronic diseases. For those with diabetes, adherence to medications is associated with better control of intermediate risk factors (1–4), lower odds of hospitalization (3,5–7), lower health care costs (5,7–9), and lower mortality (3,7).
What are the issues related to diabetes care delivery and diabetes related services?
Long-term complications of diabetes include stroke, heart disease, kidney disease, eye disease, nerve problems and foot ulcers. 1 Short-term complications include diabetic ketoacidosis.
How can diabetes compliance be improved?
Three ways to increase compliance among diabetic patientsProvide patients with a variety of care options. Unlike other diseases, it is estimated that 90% to 95% of diabetes care requires self-care. ... Use a multidisciplinary team of providers. ... Tailor your treatment plans.
Which metabolic abnormality can lead to the development of type 2 diabetes?
Insulin resistance often is the primary metabolic abnormality leading to the development of type 2 diabetes. Type 2 diabetes can be viewed as the consequence of a series of pathophysiologic changes, each of which makes the patient vulnerable to subsequent disruption of normal glucose homeostasis.
What is diabetes adherence?
Regimen adherence problems are common in individuals with diabetes, making glycemic control difficult to attain. Because the risk of complications of diabetes can be reduced by proper adherence, patient nonadherence to treatment recommendations is often frustrating for diabetes health care professionals.
Why is medication adherence important?
Taking your medicine as prescribed or medication adherence is important for controlling chronic conditions, treating temporary conditions, and overall long-term health and well-being. A personal connection with your health-care provider or pharmacist is an important part of medication adherence.
Why is medication adherence important in the therapy?
Adherence to therapies is a primary determinant of treatment success. Failure to adherence is a serious problem which not only affects the patient but also the health care system. Medication non adherence in patients leads to substantial worsening of disease, death and increased health care costs.
How can providers improve patient compliance?
In addition, providers can improve patient compliance by setting realistic goals and expectations. For example, when discussing weight loss, patients should be reminded that results are expected over months rather than days or weeks. A focus on the individual patient is also imperative.
How many people with type 2 diabetes take prescribed medications?
In fact, as few as 60% of patients with type 2 diabetes take prescribed medications, according to a study in the American Journal of Managed Care. Another study, in Diabetes Therapy, showed that less than 50% of diabetic patients achieve recommended glycemic goals. Furthermore, direct risk reduction for diabetes-related kidney disease, stroke, ...
What is poor health literacy?
Poor health literacy is a major barrier to medication adherence, Adimoolam maintains. Health literacy is a patient's ability to accurately comprehend medical information, and can be limited due to one’s level of education or inability to understand a non-native language.
Why is Adimoolam important?
Adimoolam educates patients on the importance of self-monitoring of blood glucose to help them understand and control diabetes in order to prevent complications from the disease. She also educates them on the importance of self-monitoring blood glucose to identify emergency situations such as experiencing hypoglycemia, which can be fatal.
When should I monitor glucose levels?
The ADA recommends that type 1 diabetics on multiple-dose insulin or insulin pump therapy monitor blood glucose at least before meals and snacks, occasionally postprandially, at bedtime, prior to exercise, after treating low blood glucose (until glucoses are normal), and prior to certain tasks such as driving.
Is slow change better than no change?
Slow change is better than no change,” Adimoolam says. Jabbour advises referring patients to a dietitian or diabetes educator. “By attending diabetes education classes, patients will better understand the importance of diet and exercise in the management of their diabetes and overall health,” he says.
How does non-adherence affect diabetes?
However, once patients leave the clinic, they generally find it difficult to communicate with the care team for any small query. By keeping communication channels open so that the clinic team and patients constantly interact ensures better results.
Why is blood sugar control important?
Blood sugar control is an important aspect of diabetes treatment in order to avoid serious and long term complications.