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J Diabetes. 2015 Nov;7(6):864-71. doi: 10.1111/1753-0407.12264. Epub 2015 Mar 4.

Determinants of adherence to diabetes treatment.

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Medscape Education, New York, New York, USA.
Teachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.



Understanding and improving medication adherence is crucial in diabetes management. Adherence to a diabetes regimen can improve glucose control and limit the development of complications. The aim of the present study was to evaluate the extent to which a variety of factors influence diabetes medication adherence.


A medication adherence survey was made available on WebMD, a medical information website for patients and/or consumers. Respondents were residents of the US, ≥18 years old, and diagnosed with either type 1 or type 2 diabetes mellitus (self-reported).


Behavioral adherence (self-reported doses missed per week) correlated with perceived adherence (patients' self-report of their overall impression of medication adherence, ranked 0-5; P < 0.001). Adherent patients (very few [0%-10%] issues with adherence) were more likely to report having received information from their physician. Mostly adherent patients (few [11%-26%] issues with adherence) were less likely to obtain information from their physician, but reported more medication self-titration. Somewhat non-adherent patients (some [27%-46%] adherence issues) reported more "self-consciousness factors" and hypoglycemia. Non-adherent patients (many [47%-88%] adherence issues) were more likely to report worries about medication side effects.


Receiving information from a healthcare provider is associated with greater diabetes medication adherence, suggesting the importance of clinicians making time to provide patient education.


diabetes; disease management; education; medication adherence; patient; 关键词:糖尿病,疾病管理,教育,用药依从性,患者

[Indexed for MEDLINE]

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