How Does the Type 2 Diabetes Mellitus Patients’ Compliance to Managing Diabetics in Bangladesh

Abstract

Introduction: According to an estimate of the World Health Organization, about 171 million people worldwide suffer from diabetes. But the incidence is increasing so rapidly that it is speculated that by 2030 this number will be almost doubled. Diabetes mellitus occurs all the way through the world, but it is becoming more common (especially type 2) in the developing countries. Due to rapid urbanization and changes of lifestyles, it is in the state of epidemiological shift. This study aimed to assess patients’ compliance to treatment and whether it reduces the complication of diabetes, and its impact on overall management of diabetes. Objectives: The study objectives were to assess the compliances of diabetic’s patients in terms of disease management & to assess the association of patients’ compliance with disease complexity. Methods: Mixed methods (qualitative & quantitative) were used to conduct this study in Manikgong and Dhaka city. A pre-tested questionnaire was used for both methods. Quantitative data were collected by a structured questionnaire from 1830 participants of both sexes, and for the qualitative data a semi-structured questionnaire was used to conduct in-depth interview from 25 respondents and informal discussion was also organized with 8 care providers, i.e. physicians. Results: Findings revealed that very significant relation exists with compliances and complication in managing diabetes. That compliances influence by various factors like gender, education, occupation, treatment facilitates etc. But who followed the proper compliances faced fewer complications. In addition, compliances to herbal medicine were also familiar to diabetic patients. Most compliance as respondents preferred are: diet, exercise, weight control than the medication. Conclusion: Largely a optimistic outcome blowing that the patients (type 2 diabetes) who maintained appropriate compliances faced less complication than who didn’t follow.