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Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia
BACKGROUND: Type-2 diabetes mellitus and its complication are becoming more prevalent in Ethiopia. Evidence abound that the most important predictor of reduction of morbidity and mortality due to diabetes complication is the level of glycemic control achieved. AIMS: The aim is to assess adherence to...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271397/ https://www.ncbi.nlm.nih.gov/pubmed/22362451 http://dx.doi.org/10.4297/najms.2011.3418 |
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author | Wabe, Nasir T Angamo, Mulugeta T Hussein, Sadikalmahdi |
author_facet | Wabe, Nasir T Angamo, Mulugeta T Hussein, Sadikalmahdi |
author_sort | Wabe, Nasir T |
collection | PubMed |
description | BACKGROUND: Type-2 diabetes mellitus and its complication are becoming more prevalent in Ethiopia. Evidence abound that the most important predictor of reduction of morbidity and mortality due to diabetes complication is the level of glycemic control achieved. AIMS: The aim is to assess adherence to anti diabetic drug therapy and self management practice among type-2 diabetic patient in Ethiopia. PATIENTS AND METHOD: The study consists of two phases. A cross-sectional review of randomly selected 384 case notes of type-2 diabetic patient that attend diabetes mellitus clinic over 3 month and cross-sectional interview, with pre tested adherence and self management and monitoring tool questioner of 347 consecutive patients that attend in Jimma university specialized hospital diabetic clinic. RESULT: Oral hypoglycemic agent were prescribed for 351(91.4) of the patient while insulin and oral hypoglycemic agent was prescribed in 33(8.6%). About 312 (88.9%) patients on oral hypoglycemic agent were on mono therapy, the most frequently prescribed oral hypoglycemic agent was glibenclamide 232(74.3%) and metformine 80(25.7%). Only 41.8% of the patient had adequate glycemic control. The main external factors for non adherence were lack of finance (37.1%) followed by perceived side effect of drug 29.2%. Only 6.5% patient who missed their medications disclosed to physician during consultation. The knowledge and practice of critical component of diabetes self management behavior were generally low among the patient studied. CONCLUSION: Majority of the patient with type 2 diabetes in Ethiopia are managed by OHA monotherapy mainly glybenclamide and metformine. While the current prescribing strategy do not achieve glycemic control on majority of the patient. This is due to poor adherence with the prescribed drug regimen and poor knowledge and practice of successful self management. |
format | Online Article Text |
id | pubmed-3271397 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-32713972012-02-07 Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia Wabe, Nasir T Angamo, Mulugeta T Hussein, Sadikalmahdi N Am J Med Sci Original Article BACKGROUND: Type-2 diabetes mellitus and its complication are becoming more prevalent in Ethiopia. Evidence abound that the most important predictor of reduction of morbidity and mortality due to diabetes complication is the level of glycemic control achieved. AIMS: The aim is to assess adherence to anti diabetic drug therapy and self management practice among type-2 diabetic patient in Ethiopia. PATIENTS AND METHOD: The study consists of two phases. A cross-sectional review of randomly selected 384 case notes of type-2 diabetic patient that attend diabetes mellitus clinic over 3 month and cross-sectional interview, with pre tested adherence and self management and monitoring tool questioner of 347 consecutive patients that attend in Jimma university specialized hospital diabetic clinic. RESULT: Oral hypoglycemic agent were prescribed for 351(91.4) of the patient while insulin and oral hypoglycemic agent was prescribed in 33(8.6%). About 312 (88.9%) patients on oral hypoglycemic agent were on mono therapy, the most frequently prescribed oral hypoglycemic agent was glibenclamide 232(74.3%) and metformine 80(25.7%). Only 41.8% of the patient had adequate glycemic control. The main external factors for non adherence were lack of finance (37.1%) followed by perceived side effect of drug 29.2%. Only 6.5% patient who missed their medications disclosed to physician during consultation. The knowledge and practice of critical component of diabetes self management behavior were generally low among the patient studied. CONCLUSION: Majority of the patient with type 2 diabetes in Ethiopia are managed by OHA monotherapy mainly glybenclamide and metformine. While the current prescribing strategy do not achieve glycemic control on majority of the patient. This is due to poor adherence with the prescribed drug regimen and poor knowledge and practice of successful self management. Medknow Publications & Media Pvt Ltd 2011-09 /pmc/articles/PMC3271397/ /pubmed/22362451 http://dx.doi.org/10.4297/najms.2011.3418 Text en Copyright: © North American Journal of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Wabe, Nasir T Angamo, Mulugeta T Hussein, Sadikalmahdi Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia |
title | Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia |
title_full | Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia |
title_fullStr | Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia |
title_full_unstemmed | Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia |
title_short | Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia |
title_sort | medication adherence in diabetes mellitus and self management practices among type-2 diabetics in ethiopia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271397/ https://www.ncbi.nlm.nih.gov/pubmed/22362451 http://dx.doi.org/10.4297/najms.2011.3418 |
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