Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in ismailia, egypt: a cross section study

Abstract

IntroductionDiabetes is a costly and increasingly common chronic disease. Effective management of diabetes to achieve glycemic control improves patient quality of life. Adherence rates to drug regimens in patients with type 2 diabetes are relatively low and vary widely between populations. There are many factors that could affect patient adherence to drug therapy. The aim of the present study was assessing patterns and obstacles to adherence of type 2 diabetic patients to their oral hypoglycemic drugs.MethodsThe present work is a descriptive cross section study, carried on type 2 diabetic patients who were on oral hypoglycemic drugs. Data concerning adherence to drugs was assessed using measure treatment adherence scale (MTA).ResultsA total of 372 (55.59% males and 44.41% females) patients with type-2 diabetes fulfilled the inclusion criteria and included in the study. Among the participants, 26.1% were found to have good adherence, 47.9% had a fair adherence, and 26% had poor adherence.ConclusionThe overall rate of medication adherence among the diabetic patients population was suboptimal and non-acceptable. Evaluation of adherence is vital for patients with diabetes in order to determine factors and barriers affecting the adherence and to manage them.

Type 2 Diabetic Patients Adherence Towards Their Medications

“…In our study, 44.26% of the participants reported that taking many medications interferes with adherence to their antidiabetic agents, which is a smaller percentage than that reported by Cramer (36%) for the same reason [7]. Cramer and Heissam reported that monotherapy had better adherence than multitherapy treatment plans [7,8].…”

“…A similar study was carried out in Egypt by Heissam et al in 2015 for OHA adherence in 372 participants [8]. Patients achieving a result of more than 75% on the Morisky-Green-Levine scale were considered as having good adherence, as score less than 50% was considered poor adherence, and a score between 50% and 75% was considered decent adherence.…”

“…Patients achieving a result of more than 75% on the Morisky-Green-Levine scale were considered as having good adherence, as score less than 50% was considered poor adherence, and a score between 50% and 75% was considered decent adherence. The study reported that among the participants, 26.1% were found to have good adherence, 47.9% had a decent adherence, and 26% had poor adherence, concluding that the rate of adherence was not acceptable, and patient education is a key factor for better health care management [8]. We found that 68.5% of the participants followed their medical plan as prescribed by their doctors, and 31.5% of them do not adhere to their medical plan, which is a higher level of adherence than that reported by Heissam.…”

ANTIHIPERGLICEMIC THERAPY COMPLIANCE WITH HbA1C LEVELS IN TYPE 2 DIABETES MELLITUS PATIENTS AMONG PEKANBARU PROLANIS PARTICIPANTS

“…The magnitude of this proportion does vary in various places, research in Egypt shows the proportion of men more than women. 8 In this study the proportion of respondents aged ≥60 years was bigger than respondents aged <60 years, this is by the theory that the prevalence of Type 2 diabetes increases in the population with older age. Although Type 2 DM is more common in older age, it is currently increasing in the adolescent and young adult population due to lack of physical activity, unhealthy eating patterns, and increasing obesity.…”

“…Although Type 2 DM is more common in older age, it is currently increasing in the adolescent and young adult population due to lack of physical activity, unhealthy eating patterns, and increasing obesity. 8,9 Use of Antihyperglycemia The most commonly used type of therapy is monotherapy (70.8%), and the oral antihyperglycemic drug most widely used by respondents is the biguanide group, metformin (72.58%). This result is not surprising because the trend of the use of…”