Compliance of Type 2 Diabetic Patients to Its Management: A Cross-Sectional Survey
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Background: Despite the efficacy of hypoglycemic medications in controlling blood glucose level, several studies indicated poor levels of compliance with these medications. Objectives: To estimate compliance of type 2 diabetic patients with diabetic medications and determine its impact on the control of diabetes in Saudi Arabia. Subjects and Methods: This cross-sectional study included a random sample of adult diabetes mellitus type 2 patients (18-60 years), both sexes, who attend primary health care centers in Jeddah and Makkah during period of the study (15th December 2016-15th January, 2017). According to American diabetes association (ADA), control of type 2 diabetes mellitus (DM) has been defined strictly by achievement of targeted glycaemic control HBA1C < 7. Self-administered Arabic questionnaire was utilized to collect data from patients. It included demographic data, diabetes-related history, and lifestyle-related factors. Results: The study included 298 type 2 diabetic patients out of 337 recruited for the study with a response rate of 88.4%. From table 1, it is clear that more than one-third of them (36.9%) aged over 60 years. Females represent 51.3% of them. Poor glycemic control was reported by most of patients (74.8%). Regarding compliance with diabetic therapy, 58.1% were always compliant with diabetic medications whereas 8.1% cited that they never compliant with diabetic medications. The association between poor glycemic control and compliance with diabetic therapy was statistically significant (p <0.001), Patients aged between 51 and 60 years (p<0.001), females (p=0.002), singles (p=0.044), higher educated (p<0.001), those having family members working in medical field (p=0.012), patients with duration of diabetes ranged between 6 and 10 years (p=0.041), without diabetic complications (p<0.001), treated with diet or insulin alone (p=0.019), adherent to diet regimen (p<0.001), reported family support (p<0.001) and underweight patients (p<0.001) were more significantly compliant with diabetic therapy than their counterparts. Conclusion: The self-reported medication compliance in the current study was high. It was associated with demographic factors as well as factors related to diabetes such. Further larger-scale study is recommended.
Authors and Affiliations
Mohammad Abdulrahman Alghamdi, Tawfiq Ali Shihab, Maha Ali Hilabi, Shrouq Abdullah Alqaaiyan, Wesal Ibrahim Alzain, Ahmed Mansour Alhumaidan, KhaliKhalid Kheder Ali Alfageeh
Keywords
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- EP ID EP542254
- DOI 10.21276/ijmrp.2017.3.1.028
- Views 65
- Downloads 0
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