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Diabet Med. 2019 May;36(5):569-577. doi: 10.1111/dme.13873. Epub 2018 Dec 14.

Prospective memory slips are associated with forgetting to take glucose-lowering therapies among adults with diabetes: results from the second Diabetes MILES - Australia (MILES-2) survey.

Trawley S1,2,3, Baptista S2,3,4, Pouwer F2,5, Speight J2,3,6,7.

Author information

1
The Cairnmillar Institute, Melbourne, Victoria, Australia.
2
School of Psychology, Deakin University, Geelong, Victoria, Australia.
3
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, Victoria, Australia.
4
Non Communicable Disease Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
5
STENO Diabeter Center Odense, Odense University Hospital, Odense, Denmark.
6
Department of Psychology, University of Southern Denmark, Odense, Denmark.
7
AHP Research, Hornchurch, UK.

Abstract

AIMS:

Prospective memory has been long considered a fundamental cognitive ability for optimal medication taking, but the role of prospective memory errors (termed 'slips') in diabetes self-care is unclear. Our aim was to examine associations between prospective memory and medication taking in adults with Type 1 and Type 2 diabetes mellitus.

METHODS:

Some 901 adults with Type 1 diabetes and 927 with Type 2 diabetes completed a cross-sectional survey focused on the psychological and behavioural aspects of living with diabetes. Respondents reported whether they had forgotten to take their diabetes medication over the previous 14 days.

RESULTS:

Twenty-four per cent (n = 220) of adults with Type 1 diabetes and 23% (n = 211) with Type 2 diabetes reported that they had forgotten their medication at least once over the previous 14 days. This was associated with more prospective memory slips in adults with Type 1 diabetes [odds ratio (OR) 1.09, 95% confidence interval (CI) 1.05 to 1.13; P < 0.001] and Type 2 diabetes (OR 1.10, 95% CI 1.05 to 1.15; P < 0.001); and with younger age (both groups), insulin pump use (Type 1 diabetes), insulin treatment (Type 2 diabetes), less frequent blood glucose checks (Type 1 diabetes) and higher HbA1c (Type 1 diabetes).

CONCLUSIONS:

These findings suggest that forgetting medication is relatively common among adults with Type 1 or Type 2 diabetes, and provide preliminary evidence for its relationship with self-reported prospective memory slips.

PMID:
30511764
DOI:
10.1111/dme.13873

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