Regimen-Related Distress, Medication Adherence, and Glycemic Control in Rural African American Women With Type 2 Diabetes Mellitus

2014 ◽  
Vol 48 (8) ◽  
pp. 970-977 ◽  
Author(s):  
Doyle M. Cummings ◽  
Lesley Lutes ◽  
Kerry Littlewood ◽  
Emily DiNatale ◽  
Bertha Hambidge ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
African American ◽  
Medication Adherence ◽  
Glycemic Control ◽  
African American Women ◽  
American Women

scholarly journals Impact of Distress Reduction on Behavioral Correlates and A1C in African American Women with Uncontrolled Type 2 Diabetes: Results from EMPOWER

2017 ◽  
Vol 27 (2) ◽  
pp. 155 ◽  
Author(s):  
Doyle M. Cummings ◽  
Lesley D. Lutes ◽  
Kerry Littlewood ◽  
Chelsey Solar ◽  
Bertha Hambidge ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
Medication Adherence ◽  
Glycemic Control ◽  
African American Women ◽  
Self Efficacy ◽  
Self Care ◽  
Behavioral Correlates ◽  
American Women

<em></em><p class="Pa7"><strong>Objective: </strong>Symptoms of emotional distress related to diabetes have been associated with inadequate self-care behaviors, medication non-adherence, and poor glycemic control that may predispose patients to premature death. African American women, in whom diabetes is more common and social support is often insufficient, may be at particularly high risk. The objective of this study was to examine the impact of lowering diabetes-re­lated emotional distress on glycemic control and associated behavioral correlates in rural African American women with uncontrolled type 2 diabetes (T2D).</p><p class="Pa7"><strong>Design: </strong>Post-hoc analysis of prospective, randomized, controlled trial.</p><p class="Pa7"><strong>Setting</strong><em>: </em>Rural communities in the southeast­ern United States.</p><p class="Pa7"><strong>Patients</strong><em>: </em>129 rural middle-aged African American women with uncontrolled type 2 diabetes (T2D)(A1C ≥ 7.0).</p><p class="Pa7"><strong>Primary Independent Variable: </strong>Diabetes-related distress.</p><p class="Default"><strong>Main Outcome Measures</strong><em>: </em>Changes from baseline to 12-month follow-up in diabetes-related distress, and associated changes in medication adherence, self-care activities, self-efficacy, and glycemic control (A1C).</p><p class="Pa7"><strong>Results</strong><em>: </em>Patients with a reduction in diabe­tes-related distress (n=79) had significantly greater improvement in A1C, medication adherence, self-care activities, and self-effi­cacy compared with those in whom diabetes distress worsened or was unchanged (n=50). Changes in distress were also significantly and inversely correlated with improvements in medication adherence, self-care activities, and self-efficacy.</p><p class="Pa7"><strong>Conclusions</strong><em>: </em>Among rural African Ameri­can women, reductions in diabetes-related distress may be associated with lower A1C and improvements in self-efficacy, self-care behaviors, and medication adherence.</p><p class="Pa7"><em>Ethn Dis. </em>2017;27(2):155-160; doi:10.18865/ed.27.2.155.</p>

scholarly journals Pengaruh Pelayanan Kefarmasian di Rumah pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Wilayah Kota Yogyakarta

2020 ◽  
Vol 10 (2) ◽  
pp. 126
Author(s):  
Nur Rasdianah ◽  
Suwaldi Martodiharjo ◽  
Tri Murti Andayani ◽  
Lukman Hakim
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Blood Sugar ◽  
Fasting Blood Sugar ◽  
Level Of Knowledge ◽  
Sugar Levels

The increasing prevalence of diabetes mellitus (DM) in Indonesia requires participation of all parties including pharmacists. This study aims to determine the impact of the implementation of home pharmacy service guidelines for patients with type 2 diabetes mellitus on the level of knowledge, medication adherence, therapeurical satisfaction and glycemic control. This study used a quasi-experimental design with one group pre-test and post-test design involving 37 patients with type 2 diabetes mellitus who met the requirements of inclusion and exclusion criterias. The Diabetes Knowledge Questionnaire (DKQ-24) and the Diabetes Medication Satisfaction Tool (DMSAT) were used for collecting the data. Patient adherence was measured using a pillcount method and fasting blood sugar levels (FSB) data were obtained from the laboratory results. The study was conducted in two community health centers and patient’s home in the Yogyakarta Municipality area. The data were analysed using Wilcoxon and Spearman test. The results showed the change of the level of knowledge, medication adherence, therapeutic satisfaction and glycemic control before and after intervention of pharmacy services at home. The average decreasing of fasting blood sugar levels 17.09 mg/dL ± 1.43

Anxious depression in patients with Type 2 Diabetes Mellitus and its relationship with medication adherence and glycemic control

2020 ◽  
pp. 1-9
Author(s):  
Tonatiuh Gonzalez Heredia ◽  
Leivy Patricia González-Ramírez ◽  
Diana Mercedes Hernández-Corona ◽  
Eugenio Alejandro Maciel-Hernández
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Anxious Depression

scholarly journals Glycemic control among primary care patients with type 2 diabetes mellitus in the Gaza Strip, Palestine

2017 ◽  
Vol 9 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Mahmoud Radwan ◽  
Aymen Elsous ◽  
Hasnaa Al-Sharif ◽  
Ayman Abu Mustafa
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Health Literacy ◽  
Glycemic Control ◽  
Older Age ◽  
Good Glycemic Control ◽  
Factors Associated

Aim: In this study, we aimed to assess the level of good glycemic control, to determine association between adherence to antidiabetic medications and glycosylated hemoglobin (HbA1c) and to examine factors influencing good glycemic control. Materials and methods: A cross-sectional design was employed among 369 patients with type 2 diabetes mellitus (T2DM) from four Ministry of Health health centers in 2016. A sample of 3 ml blood was taken to measure the HbA1c, and patients were asked to fill out a pretested questionnaire. Univariate and multivariate logistic regressions, to identify independent factors associated with good glycemic control, were conducted using SPSS software version 22 (IBM Corp, Armonk, NY, USA). Results: Mean [±standard deviation (SD)] of HbA1c was 8.97 (2.02) and one fifth of patients had good glycemic control (HbA1c ⩽ 7%). Factors associated with good glycemic control were: older age [odds ratio (OR) = 0.96, 95% confidence interval (CI): 0.933–0.988), high medication adherence (OR: 2.757, 95% CI: 1.308–4.693), and better health literacy (OR= 2.124, 95% CI: 1.917–4.921). Duration of diabetes mellitus (DM > 7 years) was inversely related to good glycemic control (OR = 2.255, 95% CI: 1.189–4.276). Conclusion: Our study showed that glycemic control was suboptimal, and factors associated with that were: older age, high medication adherence, and better health literacy. Knowledge of these factors could be an entry toward helping patients and targeting interventions to improve glycemic control and prevent diabetes-related complications.

scholarly journals Medication Adherence : Evaluation and Impact on Glycemic Control in Type 2 Diabetes Mellitus

2009 ◽  
Vol 26 (2) ◽  
pp. 148-153 ◽  
Author(s):  
김경선 ◽  
Kim Yong Ki ◽  
김민정 ◽  
박소현 ◽  
박영주 ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Glycemic Control

scholarly journals PDB76 Knowledge, Medication Adherence and Glycemic Control Among Patients with Type 2 Diabetes Mellitus

2011 ◽  
Vol 14 (7) ◽  
pp. A485
Author(s):  
H.K. Al-Qazaz ◽  
S.A. Syed Sulaiman ◽  
M.A. Hassali ◽  
A.A. Shafie ◽  
S. Sundram ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Glycemic Control
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