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Therapeutic adherence and metabolic control in patiens with type 2 diabetes mellitus at a hospital in the city of Medellín (Colombia) 2011

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Date
2013-07-18
Author
Martínez Domínguez, Gloria Inés
Martinez Sanchez, Lina Maria
Rodríguez Gázquez, Maria de los Ángeles
Jiménez Jimenez, Juan Guillermo
Lopera Valle, Johan Sebastián
Agudelo Vélez, Camilo Andrés
Vargas Grisales, Natalia
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Abstract
The achievement of therapeutic goals, is of great importance in patients with chronic diseases such as diabetes mellitus (DM), because of its impact on morbidity and mortality. Objective: to explore the relationship between therapeutic adherence and metabolic control in patients with DM-2, who were seen at a hospital in the city of Medellín (Colombia). Methods: cross-sectional study involving patients with the following selection criteria: age ≥ 18 years, diagnosis of DM-2 ≥ 6 months, who signed informed consent. The Summary of Diabetes Self-Care Activities (SDSCA) score was applied for the measurement of therapeutic adherence and Duke-Unc score for the assessment of perception of social support. Glycosylated hemoglobin (HbA1c) was processed by turbidimetric inhibition immunoassay (TINIA) Cobas C-501 equipment. Adequate metabolic control was defined as value of HbA1c ≤ 7%. Version 19.0 of the SPSS program was used for the statistical analysis. Results: 70 patients studied: 66% are female, 76% suffer from hypertension, 70% have dyslipidemias and 16 % smoke. In addition, 59% are insulindependent, 70% have inadequate glycemic controla and 87% has no social support. Items with the highest proportion of adherence were: medication (79%), foot care (71%) and diet (62%). Whereas the lowest were: HbA1c (32%) and exercise (28%). HbA1c correlated significantly (p < 0.05) with adherence to diet, blood glucose monitoring, foot care, social support and sex. Conclusion: therapeutic adherence was associated with metabolic control in patients with DM-2.
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http://hdl.handle.net/20.500.11912/763
Keyword/s
Medication Adherence
Diabetes Mellitus
Self Care
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