Are our diabetic patients’ adherent to the treatment?

2021 ◽  
Vol 17 ◽  
Author(s):  
Avinash Kumar ◽  
Dhruv Indiresh Hejmady ◽  
Unnikrishnan B ◽  
Rekha Thapar ◽  
Nithin Kumar ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Treatment Adherence ◽  
Rating Scale ◽  
Self Care ◽  
Diabetic Patients ◽  
Adherence To Treatment ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Type 2 Diabetic

Aim: To estimate the adherence to treatment among type 2 diabetic patients. Background: Treatment adherence is a complex process which is controlled by multiple factors. Lack of treatment adherence is common with patients who suffer from type 2 diabetes and is becoming a very prevalent problem especially with the patients who suffer from non-communicable diseases (NCD) worldwide. Objective: To estimate the adherence to treatment among type 2 diabetic patients, and the perception and practice of self-management among them Methodology: A cross sectional study using a questionnaire was conducted amongst the patients in Kasturba Medical College, Mangalore, a coastal city of southern India. The questionnaire consisted of Medical Adherence Rating Scale (MARS) to assess how adherent the patient is to the treatment and the Diabetes Self-care Questionnaire (DSMQ) for assessing the various self-care practices employed by diabetic patients. The data obtained was entered and the analysis was done by using the Statistical Package for the Social Science (SPSS) version 25.0. Results: The study involved 95 patients and the mean age was found to be 50.71 ± 12.633 years. More than 60% of the study population were male and 78.9% were literate. Nearly half of the patients (49.5%) had been on treatment for a duration of >5 years. Eighty-two percent population (82.1%) were adherent to their medications. Adherence was found to be nearly eighty percent (79.5%) among the literates. Conclusion: Adherence was more among the males as compared to the females. Most patients in the study had been adherent towards their medications prescribed to them. Most of them were on oral drugs only. The majority of the patients who had diabetes mellitus were found to have inadequate self-care management for diabetes mellitus.

scholarly journals Quality of Life in Type 2 Diabetic Patients

2014 ◽  
Vol 31 (3) ◽  
pp. 193-200 ◽  
Author(s):  
Ana Spasić ◽  
Radmila Veličković Radovanović ◽  
Aleksandra Catić Đorđević ◽  
Nikola Stefanović ◽  
Tatjana Cvetković
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Short Form ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Significant Difference ◽  
Type 2 Diabetic

Summary The presence of diabetes mellitus leads to a decrease in life quality in all domains. The aim of our study was to evaluate the quality of life (QOL) in diabetic patients and the factors affecting it in type 2 diabetic mellitus patients. We conducted a cross-sectional study that included 86 patients with type 2 diabetes mellitus, in the territory of the City of Niš. Health-related QOL of patients was measured using the short form survey (SF-36) that produces an 8-scale health profile. The average duration of diabetes was 12.76±8.08 years. The best QOL in all areas was observed in patients diagnosed with diabetes less than 10 years ago p<0.05) and younger than 65 years. Male respondents perceived a better QOL compared to women, especially in the vitality and pain domains. The patients with comorbidity (93.64%) had lower QOL score in all domains. There was no significant difference in the QOL of patients with diabetes compared to the level of education. High QOL represents an ultimate goal and an important outcome of all medical interventions in diabetic patients. Factors related to lower QOL included: older age, female gender, and existence of comorbidities. Uncontrolled diabetic patients had a lower QOL than controlled diabetics.

scholarly journals HUBUNGAN EFIKASI DIRI DENGAN KEPATUHAN MELAKUKAN LATIHAN FISIK PADA PASIEN DIABETES MELLITUS TIPE 2

2019 ◽  
Vol 4 (1) ◽  
pp. 19
Author(s):  
Mia Widha Anindita ◽  
Noor Diani ◽  
Ifa Hafifah
Keyword(s):  
Diabetes Mellitus ◽  
Self Efficacy ◽  
Sampling Method ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Physical Exercises ◽  
Type 2 Diabetic

Introduction: Diabetes mellitus is a chronic disease, and type 2 DM accounts for 90-95% of total diabetes. Adherence to implementation of physical exercise is very necessary for patients with DM. Self efficacy in diabetic patients can improve the adherence for medications and success to control the sugar levels.Methods: We aimed to analyze the correlation between self efficacy and adherence to physical exercises in type 2 diabetes patients. This is a descriptive cross-sectional study with purposive sampling method. In total, we recruit 60 respondents during December 2018. We used two types of questionnires: self efficacy and adherence to physical exercises to measure the variable of interest.Result: We found that there was a correlation between self efficacy and adherence to physical exercises in type 2 diabetic patients (p<0.001).Conclusion: Appropriate self efficacy could improve patients’ adherence to manage the advised physical examination.

scholarly journals Self-reported, self-care activities among type 2 diabetic patients in rural areas of Kancheepuram district, Tamil Nadu: a cross-sectional study

2020 ◽  
Vol 7 (2) ◽  
pp. 484
Author(s):  
N. Kalusivalingam ◽  
Prateek Bobhate ◽  
A. Kalaivani ◽  
R. Karnaboopathy
Keyword(s):  
Rural Areas ◽  
Self Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Study Participants ◽  
Type 2 Diabetic

Background: Diabetes is a chronic condition. The burden of diabetes is, expected to rise to 592 million by 2035. Diabetes self-care activities can have a dramatic impact on lowering glycosylated hemoglobin levels. Hence, this study has been planned to assess the self-care activities among the type 2 diabetes patients in rural areas of Kancheepuram district, Tamil Nadu.Methods: A cross-sectional study was conducted among type 2 diabetic patients residing in rural field practice area of Shri Sathya Sai Medical College and Research Institute, Kancheepuram district during May 2019 and June 2019. Personal interview using semi-structured questionnaire including summary of diabetes self-care activities- revised version was conducted.Results: Majority of the study participants were female and 46.2% were above 51 years of age. Majority had diabetes mellitus for 1-5 years. Of the diabetic self-care activities 68.5% had healthy eating 2-4 times/week. About 33.2% of the participants were not indulged in physical activity as well as high-intensity exercises even for a single day; about 33% had not tested their blood sugar level for even a single time and only 1.5% had checked their feet on all days during the previous week. Higher food scores were found significantly associated with availability of family support for self-care activities (p value 0.020).Conclusions: Of the diabetic self-care activities the healthy dietary component was followed satisfactorily but exercise, foot care and testing of blood sugar were followed poorly by the study participants.

scholarly journals FVC, FEV1 and FEV1/FVC% in Type 2 Diabetes and Their Relationships with Duration of the Disease

1970 ◽  
Vol 4 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Md Omar Ali ◽  
Shelina Begum ◽  
Noorzahan Begum ◽  
Taskina Ali ◽  
Sultana Ferdousi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Metabolic Diseases ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Duration Of Diabetes ◽  
Group A ◽  
Type 2 Diabetic

Background: Diabetes mellitus is a chronic debilitating disease affecting various organs including lungs. The magnitude of the complications of this disease is related to its duration. Objective: To observe FVC, FEV1 and FEV1/FVC% in type 2 diabetic patients and their relationship with duration of the disease. Methods: This cross-sectional study was carried out in the Department of Physiology, BSMMU, Dhaka, from July 2007 to June 2008 on 60 type 2 diabetic male patients of age 40-60 years (Group B). For comparison, 30 age and BMI matched apparently healthy non diabetic subjects (Group A) were also studied. Patients were selected from the out patient department of Bangladesh Institute of research on diabetes, endocrine and metabolic diseases. Based on duration of diabetes, diabetic patients were divided into B1 (5-10 years) and B2 (10-20 years). FVC, FEV1 and FEV1/FVC% of all the subjects were measured by a digital microspirometer. Data were analyzed by One way ANOVA test, Unpaired Student's 't' test and Pearson's correlation coefficient test as applicable. Results: Mean of the percentage of the predicted values of FVC and FEV1, were significantly (p<0.001) lower in both those of Gr. B1 and B2 than that in A and were also significantly (p<0.001) lower in Gr. B2 when compared with Gr. B1. Again, FEV1/FVC% was significantly (p<0.01) higher in Gr. B2 than those in Gr. B1 and A whereas this value was lower in Gr. B1 than those of group A but it was not statistically significant. However, FVC and FEV1 showed negative and FEV1/FVC% showed positive correlations with duration of diabetes. All these correlations were statistically non significant. Conclusion: From the result of this study it can be concluded that the ventilatory function of lung may be reduced in type 2 diabetes which may be related to the duration of the disease. Key words: FVC, FEV1, diabetes mellitus DOI: 10.3329/jbsp.v4i2.4178 J Bangladesh Soc Physiol. 2009 Dec;4(2): 81-87  

scholarly journals A Hospital Based Cross-Sectional Study on Asymptomatic Cardiac Changes in Patients with Type 2 Diabetes Mellitus at a Tertiary Care Hospital, Khammam

2021 ◽  
Vol 8 (16) ◽  
pp. 1015-1019
Author(s):  
Krishna Chaitanya Alam ◽  
Durga Sai Kumar Reddi
Keyword(s):  
Diabetes Mellitus ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Ecg Changes ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Type 2 Diabetic

BACKGROUND Silent ischemia can be predicted with simple, non-invasive and cost-effective technique called electrocardiogram (ECG) in asymptomatic diabetic patients. Risk of morbidity and mortality due to cardiac diseases is high in those with diabetes mellitus. Data on electrocardiogram changes is scarce in India in type-2 diabetic patients without symptoms. Therefore, this study was undertaken to study ECG changes in type-2 diabetic patients without symptoms of heart disease. METHODS Hospital based cross-sectional study was carried out over 18 months among 50 cases of type 2 diabetic patients without cardiovascular disease symptoms. Haematological investigations performed for all patients included lipid profile, fasting blood sugar, and HbA1c. 12-lead electrocardiogram in resting position was carried out, and abnormalities in the recorded electrocardiogram were noted in the study questionnaire. RESULTS Mean age of patients was 53.86 ± 3.34 years. Mean duration of diabetes was 11.27 ± 4.19 years. Majority (44 %) were using oral hypoglycaemic drugs and insulin. Mean values of fasting blood sugar (204.92 ± 22.83) and HbA1c (7.32 ± 0.60 %) were raised. Total cholesterol was 188.4 ± 20.39 mg / dl; high density lipoprotein was 40.24 ± 5.67 mg / dl; low density lipoprotein was 98.64 ± 14.01 and the triglycerides were 182.9 ± 18.44 mg / dl. 28 % had ECG changes and among them the most common was ST depression with T wave inversion in 35.7 % followed by left ventricular hypertrophy (LVH) in 28.6 %. Among variables compared between the two groups, only duration of diabetes (years), and HbA1c (%) were found to be statistically significant (P < 0.05). CONCLUSIONS This study shows that type 2 diabetes patients especially of longer duration should undergo cardiac evaluation even though they do not have any symptoms relating to cardiovascular system. KEYWORDS Diabetes, ECG, Cardiac Changes, Evaluation, Symptoms

scholarly journals Dyslipidemia in Patients with Type 2 Diabetes Mellitus in a Tertiary Care Centre: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Ram Kumar Mehta ◽  
Puru Koirala ◽  
Ram Lala Mallick ◽  
Surya Parajuli ◽  
Rajneesh Jha
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Type 2 Diabetic

Introduction: Dyslipidemia is highly prevalent among type 2 diabetic patients. It increases the risk of atherosclerosis and consequent mortality in diabetic patients. The aim of this study was to find out the prevalence of dyslipidemia among type 2 diabetic patients. Methods: This was a descriptive cross-sectional study in 355 type 2 diabetic patients at tertiary care hospital from 15th May, 2020 to 15th November, 2020 after taking ethical clearence from Institutional Review Committee (Reference no. IRC-PA-052/2077-78). Convenience sampling was done. Demographic and lipid profile variables were recorded based on the structured questionnaires. Data were analyzed by Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of total 355 cases of type 2 Diabetes mellitus, prevalence of dyslipidemia was 224 (63.1%). It was more prevalent in male 145 (69.4%) than female 79 (54.1%). Increased Low density Lipoprotein (94.2%) was the most prevalent type followed by mixed dyslipidemia (91.1%). Conclusions: Dyslipidemia was common among type 2 diabetic patients and was higher in male gender, older age, obesity and longer duration of diabetes. Hence type 2 diabetic patient should undergo the routine monitoring of blood sugar and lipid profile so that any abnormalities can be identified and preventive measures along with interventions can be initiated at the earliest.

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