Medication non-adherence and poor glycaemic control in patients with type 2 diabetes mellitus

• Verfasst von: Raum, Elke [VerfasserIn]
• Verfasst von: Szecsenyi, Joachim [VerfasserIn]
• Titel: Medication non-adherence and poor glycaemic control in patients with type 2 diabetes mellitus
• Verf.angabe: Elke Raum, Heike U. Krämer, Gernot Rüter, Dietrich Rothenbacher, Thomas Rosemann, Joachim Szecsenyi, Hermann Brenner
• Umfang: 8 S.
• Fussnoten: Gesehen am 16.04.2018
• Titel Quelle: Enthalten in: Diabetes research and clinical practice
• Jahr Quelle: 2012
• Band/Heft Quelle: 97(2012), 3, S. 377-384
• ISSN Quelle: 1872-8227
• DOI: doi:10.1016/j.diabres.2012.05.026
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1572054832

Abstract

Aims Our main aim was to analyse gender differences in the association of adherence and poor glycaemic control (PGC) in a cohort of patients with type 2 diabetes mellitus in Germany. Methods Baseline data of the DIANA-study, a prospective cohort study of type 2 diabetes mellitus patients in South-West Germany, were analysed. Information on medication adherence and factors related to PGC was obtained by self-administered questionnaire. PGC was defined as HbA1c≥7.5%. Bivariate and multivariate analyses using log-binomial regression were employed to assess overall and gender-specific associations of non-adherence and PGC. Results 624 men and 518 women were included in the analyses. In total, 147 men (24%) and 114 women (23%) reported non-adherence to medication. In men, PGC was found in 37% of the participants reporting non-adherence and in 19% reporting adherence (adjusted prevalence ratio (PR)=1.90, 95%-CI: 1.46-2.49). In women, PGC was found in 19% of the participants reporting non-adherence and in 18% reporting adherence (adjusted PR=0.97, 95%-CI: 0.65-1.46). Conclusions Our results show gender-specific differences in the association of adherence and PGC. This underlines the need for efforts to improve glycaemic control in patients with type 2 diabetes mellitus with a particular focus on men.