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MGM Journal of Medical Sciences

Article Details

2017 | April-June | Issue2
ORIGINAL ARTICLE
Assessment of Medication Adherence in Type II Diabetic Patients: A Cross-sectional Study
Kishor Khotkar, Sameer Chaudhari, Pradeep R Jadhav, Yeshwant A Deshmukh
10.5005/jp-journals-10036-1142

ABSTRACT

Introduction: Diabetes is a chronic disorder and requires longterm therapy. Lack of adherence to antidiabetic medication causes suboptimal glycemic control and can lead to treatment failures, development of complications, and increased mortality.

Aim: To study the medication adherence among type II diabetic patients at a tertiary care hospital in Navi Mumbai, Maharashtra, India.

Materials and methods: A cross-sectional, observational study was conducted for a period of 1 year in the Diabetology Clinic in a tertiary care hospital. A total of 100 type II diabetic patients, who were on antidiabetic drug therapy for at least 6 months, were enrolled. Blood glucose was measured and details of drug therapy were noted. Medication adherence was assessed using Morisky Medication Adherence Scale and adherence scores were calculated.

Results: Only 1% had high medication adherence, while 34% had moderate and 65% had low medication adherence. Medication adherence issues identified in type II diabetics were that they forgot to take/bring their medication when traveling, stoppage of medication once glycemic control is achieved, and difficulty in adhering to medication plan. Only 19% were having optimally controlled glycemic levels, whereas 81% were having uncontrolled glycemic levels. Medication adherence scores were lower (reflecting lower adherence) in type II patients with uncontrolled glycemic levels than those having optimally controlled glycemic levels, but this difference was not statistically significant.

Conclusion: Overall, the medication adherence was low in type II diabetic patients. The study shows that to improve medication adherence, better counseling and health education of patients are required.

Keywords: Medication adherence, Morisky Medication Adherence Scale, Type II diabetes.

How to cite this article: Khotkar K, Chaudhari S, Jadhav PR, Deshmukh YA. Assessment of Medication Adherence in Type II Diabetic Patients: A Cross-sectional Study. MGM J Med Sci 2017;4(2):65-69.

Source of support: MGMIHS

Conflict of interest: None

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