scholarly journals Effects of a pharmaceutical care model on medication adherence and glycemic control of people with type 2 diabetes

2014 ◽  
pp. 1185 ◽  
Author(s):  
Siew-Siang Chua ◽  
Wen Wei Chung ◽  
Pauline Siew Mei Lai ◽  
Siew Pheng Chan
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Pharmaceutical Care ◽  
Care Model

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

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

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

Concurrent And Longitudinal Association Between Glycemic Control And Self Reported Medication Adherence Among Type 2 Diabetes Patients At A Tertiary Care Hospital In Malaysia

2019 ◽  
Vol 15 (5) ◽  
pp. 402-406
Author(s):  
Mubashra Butt ◽  
Adliah Mhd Ali ◽  
Mohd Makmor Bakry
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Longitudinal Observation ◽  
Longitudinal Association ◽  
Diabetes Patients

Background: This study evaluated the association between self-reported adherence with concurrent and subsequent glycemic control amongst type 2 diabetes patients at a tertiary care hospital in Malaysia. Methods: Demographic and clinical variables were assessed at baseline, after three and six months in 73 type 2 diabetes patients. Regression analysis, using SPSS, evaluated the concurrent and longitudinal association of medication adherence and glycemic control. Potential confounders of variables were identified using bi-variate correlation analyses. Results: Concurrent Medication adherence and HbA1c association were significant after adjusting for ethnicity (P = 0.005). For longitudinal observation at 3 months, the association was significant after adjusting for ethnicity (P = 0.016); however, it became non-significant when baseline glycemic control was included in the model (P = 0.28). Conclusion: Easy to administer MALMAS significantly predicted concurrent glycemic control independent of potential confounders. This association persisted in longitudinal observation after 3 months when adjusted for confounders and became non-significant after adjusting for baseline glycemic control.

Conceptualizing the Effect of Community and Neighborhood Factors on Type 2 Diabetes Health Outcomes

2016 ◽  
Vol 49 (5) ◽  
pp. 560-582 ◽  
Author(s):  
Brittany L. Smalls ◽  
Chris M. Gregory ◽  
James S. Zoller ◽  
Leonard E. Egede
Keyword(s):  
Social Support ◽  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Conceptual Framework ◽  
Social Cohesion ◽  
Neighborhood Characteristics ◽  
Direct Effects ◽  
Neighborhood Factors

The objective of this study was to validate a conceptual framework of the relationship between neighborhood factors and diabetes process and outcomes in type 2 diabetes. Structural equation modeling was used to conduct path analysis to examine relationships between neighborhood characteristics and diabetes self-care and glycemic control based on an adapted conceptual framework. Medication adherence and social cohesion has significant direct effects on glycemic control. There was an indirect effect between social support and glycemic control, where 46% of the effect was mediated by medication adherence. Last, medication adherence, food insecurity, and social cohesion had significant total effects on glycemic control. Furthermore, walking environment, social support, neighborhood safety, and neighborhood problems had significant direct effects on food insecurity. The modified conceptual model was validated using path analysis, and neighborhood characteristics had direct and indirect effects on glycemic control.

scholarly journals Geriatric Type 2 diabetes; the risk factors and associations for medication non-adherence.

2020 ◽  
Vol 27 (02) ◽  
pp. 260-267
Author(s):  
Nadia Shams ◽  
Sadia Amjad ◽  
Naresh Kumar Seetlani ◽  
Furquana Niaz ◽  
Shazia Farhat ◽  
...  
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Functional Status ◽  
Functional Dependence ◽  
Diabetes Duration ◽  
Group A ◽  
Group B

Objectives: To determine medication adherence in geriatric type 2 diabetes cases, risk factors for non-adherence and association with functional dependence. Study Design: Descriptive cross sectional. Setting: Department of Medicine, RIHS Islamabad. Period: Sept. 2016 - Feb. 2017. Material & Methods: 100 type 2 diabetes cases (>65 years) included in group-A (geriatric group) and 100 gender matched type 2 diabetes cases (<65 years) in group-B (non-geriatric group). Type 1 diabetes cases, critically ill and with incomplete medication record were excluded. Morisky Diabetes Questionnaire (MMAS-8) applied for medication adherence. Glycemic control, diabetes duration, co-morbids, treatment regime, poly-pharmacy, alternative medicine, functional status (Katz index) and visual morbidity assessed in both groups. Data analyzed by SPSS V-20 and Chi-square test applied with significant p < 0.05. Results: Mean age was 71.43+5.58 years (group-A) vs. 49.28+6.57 years (group-B). Mean diabetes duration was 9.61+8 years (group-A) vs. 7.4+4.9 years (group B). Functional status was independent in 53%(group-A) vs. 86%(group-B), significantly dependent 40%(group-A) vs. 11%(group-B) and dependent 7% (group-A) vs. 3% (group-B). High adherence in 3% (group-A) vs. 10%(group B); medium 24%(group-A) vs. 32%(group-B) and low 73%(group-A) vs. 58% (group B). Non-adherence in 73%(group-A) vs. 58%(group-B). Poly-pharmacy, co-morbids, combination anti-diabetes regimes, visual morbidity, physical dependence and poor glycemic control was frequent in geriatric diabetes cases (p<0.05). Conclusions: Medication adherence has pivotal role to attain target glycemic control. Higher medication non-adherence in geriatric diabetes cases needs to be addressed. Counseling sessions supported by literature in local language and addressing the identified risk factors may improve medication adherence in geriatric diabetes cases, hence improved glycemic control and morbidity.

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