Study of medication adherence to insulin therapy in type II diabetic patients

Abstract

Non adherence is the major and unrecognized risk factor for the uncontrollable reduction for blood sugar.Type-2 diabetes mellitus and its complication are becoming more prevalent in India. Evidence abound that the most important predictor of reduction of morbidity and mortality due to diabetes complication is the level of glycemic control achieved through medication adherence.The purpose of this study was to evaluate the Medication adherence of patients with T2DM who received Insulin therapy and to identify other factors that can affect the medication adherence. A cross-sectional, observational study which was carried out for 6 months on Paul Moses Hospital in Chennai. A total of 100 patients with type 2 DM on insulin therapy for atleast 1 year were recruited. Blood Glucose level and other details of comorbidity were noted. 84% of patients were administered Insulin subcutaneously. Most common comorbidity observed in the diabetic patients was hypertension.  Medication Adherence was assessed using validated predefined questionnaire and adherence scores were calculated. The most common factors for non-adherence in male were too busy with their work (62.79%) and in female was inconvenience (62.79%). The p-value is < .05 reports that its significance incomparison of adherence and non-adherence.