why is treatment of diabetes hard to adhere to

Full Answer

Why is it so difficult to treat diabetes?

Because these behavior changes are so difficult for people to make, fewer than 50 percent of patients adhere to treatment therapies, contributing to more than 75,000 diabetes deaths per year.

How can we improve adherence to treatment in diabetic patients?

A calm atmosphere in the family and the presence of social capital within the family (including trust and support) can reduce stress and ultimately improve adherence to treatment in diabetic patients.

What are the causes of poor medication adherence in type 2 diabetes?

One of the major contributing factors is poor medication adherence. Poor medication adherence in T2D is well documented to be very common and is associated with inadequate glycemic control; increased morbidity and mortality; and increased costs of outpatient care, emergency room visits, hospitalization, and managing complications of diabetes.

Why do type 2 diabetics fail to achieve adequate glycemic control?

Go to: Abstract At least 45% of patients with type 2 diabetes (T2D) fail to achieve adequate glycemic control (HbA1c <7%). One of the major contributing factors is poor medication adherence.

Why is adherence to diabetes treatment programs so difficult for most people?

There are numerous reasons for poor adherence including age, social and psychological factors, education and a lack of understanding of the long-term benefits of treatment, the complexity of the medication regimen, cost of medication and negative treatment perceptions.

Why is it hard to treat diabetes?

Unlike some chronic diseases, managing diabetes is extremely complex. Successful diabetes management requires that people create new habits around medication adherence and glucose monitoring, dramatically change their diets, exercise, and more.

What are the barriers to self management of diabetes?

Barriers to diabetes self-management were categorized into five themes: inadequate knowledge and behavioral beliefs, shortage of resources, suffering from health problems, negative emotions, and lack of support, as indicated in Table 3.

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.

Is diabetes easy to manage?

Diabetes is serious, but you can learn to manage it. People with diabetes need to make healthy food choices, stay at a healthy weight, move more every day, and take their medicine even when they feel good. It's a lot to do. It's not easy, but it's worth it!

Is diabetes hard to live with?

It is not fair to judge which condition is more serious, all types of diabetes have a serious impact on people's health and it is a difficult condition which takes a lot of time, persistence and care to manage.

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.

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.

How does diabetes affect activities of daily living?

The meta- analysis found that people with diabetes had an increased risk of mobility disability (odds ratio 1.71), core activity limitations (odds ratio 1.65) and limitations in the activities of daily living (odds ratio 1.82).

What factors contribute to noncompliance?

Factors found to be significantly associated with non-compliance on bi-variate analysis were: female gender (OR = 1.90, CI =1.32-4.57),level of education (Illiteracy) (OR = 5.27, CI = 4.63 - 7.19), urban population (OR =5.22, CI= 3.65 - 8.22), irregularity of the follow-up (OR = 8.41, CI = 4.90 - 11.92), non-adherence ...

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.

What is diabetic compliance?

Pharmacological compliance was defined as the failure to take more than two doses of anti-diabetic medication over a period of last 15 days. Compliance to physical activity was defined as newly initiated activity after being diagnosed with diabetes and carried out for a minimum of 150 min/week.

How to reduce the effects of self licensing?

One strategy to reduce the effects of self-licensing is to link behaviors so that a health goal isn’t complete after just one action. When behaviors are sequenced, the first healthy behavior leads right into the next, keeping people on track. For example, we could prompt people to …

Why do we want to consider something complete?

The desire to consider something complete becomes even stronger when someone has many different goals that need to be accomplished. Think about the multiple goals someone might have and how often they might conflict with each other. On the one hand, we’re all motivated to stay healthy, live a long time, and control our diseases. But we’re also motivated to enjoy life in the moment. This means that we feel hunger, tiredness, stress, and busyness, and we want to check things off our list quickly.

What are the factors that affect the adherence to a type 2 diabetes treatment?

They include age, information, perception and duration of disease, complexity of dosing regimen, polytherapy, psychological factors, safety, tolerability and cost. Various measures to increase patient satisfaction and increase adherence in type 2 diabetes have been investigated.

What are the factors associated with reduced adherence?

Factors associated with improved adherence. Polypharmacy, complexity of medication regimens and injectable medications. Reduced treatment complexity, fixed-dose combinations and decreased frequency of administration.

How many people died from diabetes in 2011?

Diabetes is currently among the top five causes of death in most high-income countries and resulted in 4.6 million deaths globally in 2011. The majority of cases of diabetes mellitus are type 2, and the greatest numbers of people with this disease are aged from 40 to 59 years [2].

Is diabetes mellitus a public health problem?

The prevalence of type 2 diabetes mellitus is increasing globally and has become a major public health problem. In the USA, a study of 17,306 people over 20 years of age showed that those diagnosed with diabetes increased significantly from 6.5% in the 1999–2002 period to 7.8% in 2003–2006 [1].

Can insulin be initiated alone?

Insulin. As diabetes progresses, insulin may be initiated alone or in addition to an OHA; patients may also be taking therapy for associated complications. In retrospective insulin studies, adherence was 62% and 64% for long-term and new-start insulin users, respectively [24].

What are the factors that contribute to poor adherence to diabetes medications?

Poor medication adherence in T2D is well documented to be very common and is associated with inadequate glycemic control; increased morbidity and mortality; and increased costs of outpatient care, emergency room visits, hospitalization, and managing complications of diabetes. Poor medication adherence is linked to key nonpatient factors (eg, lack of integrated care in many health care systems and clinical inertia among health care professionals), patient demographic factors (eg, young age, low education level, and low income level), critical patient beliefs about their medications (eg, perceived treatment inefficacy), and perceived patient burden regarding obtaining and taking their medications (eg, treatment complexity, out-of-pocket costs, and hypoglycemia). Specific barriers to medication adherence in T2D, especially those that are potentially modifiable, need to be more clearly identified; strategies that target poor adherence should focus on reducing medication burden and addressing negative medication beliefs of patients. Solutions to these problems would require behavioral innovations as well as new methods and modes of drug delivery.

What is poor adherence?

Poor adherence is associated with inadequate glycemic control, increased use of health care resources, higher medical costs, and markedly higher mortality rates. 16, 27, 28 Among >11,000 veterans with T2D who were followed up for at least 5 years, poor medication adherence (MPR <80%) was significantly ( P <0.001) associated with poor glycemic control (HbA1c >8%). 16 The National Health and Wellness Survey of 1,198 patients with T2D found that each 1-point drop in self-reported medication adherence (using the Morisky Medication Adherence Scale) was associated with 0.21% increase in HbA1c, as well as 4.6%, 20.4%, and 20.9% increase in physician, emergency room (ER), and hospital visits, respectively. 28

What are the factors that contribute to T2D?

One of the major contributing factors is poor medication adherence. Poor medication adherence in T2D is well documented to be very common and is associated with inadequate glycemic control; increased morbidity and mortality; and increased costs of outpatient care, emergency room visits, hospitalization, and managing complications of diabetes.

How does diabetes management work?

Successful diabetes management requires that people create new habits around medication adherence and glucose monitoring, dramatically change their diets, exercise, and more. In addition to each of these daily behaviors, people with diabetes must also carefully monitor their body for physical symptoms and signs of decline.

How to stay active with diabetes?

For example, we could prompt people to do yoga …. Doing yoga is a great way to stay active with diabetes and also unwind from a stressful day. Yoga can help you kill two birds with one stone. Managing diabetes can be a lot for someone to handle, especially when there’s so much going on in one’s daily life.

Why do people check the box next to diabetes?

For people living with diabetes, this means that it may be tempting to check the box next to diabetes on their mental checklist after testing glucose so that they can move on to the other tasks for the day, making it difficult to follow through on all the steps required to manage diabetes.

How to reduce the effects of self licensing?

One strategy to reduce the effects of self-licensing is to link behaviors so that a health goal isn’t complete after just one action. When behaviors are sequenced, the first healthy behavior leads right into the next, keeping people on track. For example, we could prompt people to …

Why do we want to consider something complete?

The desire to consider something complete becomes even stronger when someone has many different goals that need to be accomplished. Think about the multiple goals someone might have and how often they might conflict with each other. On the one hand, we’re all motivated to stay healthy, live a long time, and control our diseases. But we’re also motivated to enjoy life in the moment. This means that we feel hunger, tiredness, stress, and busyness, and we want to check things off our list quickly.

What is the best time to take off shoes and check your feet?

Then you’ll feel energized for your walk. After your walk is the best time to take off your shoes and check your feet. The other benefit of behavioral sequencing is that it allows behaviors to turn into rituals, which can have additional psychological value to an individual.