MEDICATION ADHERENCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: A STUDY AT TERTIARY CARE TEACHING HOSPITAL
Dr. Priyanka D. Patel, Dr. Shreya R. Patel*, Dr. Kamlesh P. Patel* and Dr. Supriya D. Malhotra
ABSTRACT
Diabetes mellitus is a spectrum of common metabolic disorders, arising from a variety of pathogenic mechanisms, all resulting in hyperglycaemias. The number of individuals with diabetes is rising rapidly throughout the world. Both genetic and environmental factors contribute to its pathogenesis, which involves insufficient insulin secretion, reduced responsiveness to endogenous or exogenous insulin, increased glucose production, and/or abnormalities in fat and protein metabolism. The resulting hyperglycaemia may lead to both acute symptoms and metabolic abnormalities.[1] T2DM is strongly associated with obesity and a sedentary lifestyle.[2] However, lifestyle modification alone will not help in controlling blood glucose, hence use of medication is thus vital in the management of T2DM. However, the effectiveness of treatment is dependent on the level of adherence toward prescribed medication.[3] There is a globally agreed target to halt the rise in diabetes and obesity by 2025.[4] The latest global figures on diabetes, released by the International Diabetes Federation (IDF), has raised a serious alarm for India by saying that nearly 52% of Indians aren't aware that they are suffering from high blood sugar.[5]
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