Adherence to medicamentous therapy of type 2 diabetes mellitus: results of patient questionnaires
Abstract
To assess the frequency and character of non-compliance with medicamentous therapy of type 2 diabetes mellitus based on the results of a questionnaire study.
Materials and methods.
A special qiuestionnaire form was filled by 745 patients (232 men) of mean age 60.3?10.4 years, duration of the disease 6.4?5.5 years and mean HbA1c level 7.7?1.1%.
Results.
52.8% of the patients reported non-compliance with medication. The most frequent profile of non-compliance was the change of time and occasional omission of therapeuticdoses (42.7 and 42.2% respectively), the main cause being mere forgetfulness (71.2%). Other factors (30.8%) included poor understanding of medication schedule andfears of health hazard from the following of medical advice. Patients to whom monotherapy with glibomet was prescribed (n=277) showed a lower non-compliance rate and lowerHbA1c level despite the intake of fewer daily doses than patients taking other oral hypoglycemic agents (7.0?1.0 vs 7.3?1.3%, p<0.05).
Conclusion.
Most patients with DM2 report non-compliance with recommended therapeutic regime. This suggests the necessity of greater efforts by attending doctors to educatetheir patients and provide compliance assistance. The use of combined agents may improve adherence to prescribed therapy.
About the Authors
Elena Viktorovna SurkovaOlga Georgievna Melnikova
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Review
For citations:
Surkova E.V., Melnikova O.G. Adherence to medicamentous therapy of type 2 diabetes mellitus: results of patient questionnaires. Diabetes mellitus. 2009;12(1):48-50. (In Russ.)