ECE2023 Eposter Presentations Late Breaking (91 abstracts)
Adherence to antidiabetic treatment in Tunisian type 2 diabetic patients
Syrine Trabelsi , Rym Ben Othman , Yesmine Jallouli , Berriche Olfa , Eya Safi , Ramla Mizouri , Faten Mahjoub , Nadia Ben Amor , Wafa Douiri & Jamoussi Henda
National Institute of Nutrition and Food Technology, Department A, Tunis, Tunisia
Introduction : Poor compliance in chronic diseases, including diabetes mellitus, is a major and frequent problem, with serious consequences on morbidity and mortality of diabetics.
Objective: The aim was to assess adherence to antidiabetic treatment and to determine the consequences of poor compliance.
Patients and methods : This was a descriptive cross-sectional study conducted in the National Institute of Nutrition. 200 type 2 diabetic patients hospitalized between May and September 2022 were included. For each patient, we conducted a thorough interview and a biological check-up.
Results: The average age of our population was 58.56 ± 8.9 years with a female predominance of 66%. The average age of diabetes was 13.16 ± 7.8 years with an average HbA1c of 10.28 ± 2% and fasting blood glucose of 12.13 ± 5.42 mmol/l. 1/5 of our population did not accept their diabetes. The majority of our patients were on Oral-Diabetic-Agents (ODA), 21% on insulin and 39% on ODA and insulin. Diabetes was complicated by retinopathy, nephropathy and neuropathy in 38.5%, 17% and 66.5% of cases respectively. 4/5 of our patients were adherent to the treatments. We noted a decrease in doses in 15% and omission of the usual doses in 22.5% of cases. There was a statistically significant relationship between adherence to treatment and acceptance of the diagnosis of diabetes (P=0.03), retinopathy (P=0.009) and HBA1C (P=0.001).
Conclusion: The lack of awareness of this problem leads to unnecessary intensification of antidiabetic treatment and may explain the large number of patients put on insulin.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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