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. 2012 Jul;4(7):310-5.
doi: 10.4103/1947-2714.98590.

Blood Glucose Control and Medication Adherence Among Adult Type 2 Diabetic Nigerians Attending A Primary Care Clinic in Under-resourced Environment of Eastern Nigeria

Iloh Gu Pascal  1 , John N Ofoedu, Njoku P Uchenna, Amadi A Nkwa, Godswill-Uko E Uchamma
Affiliations

Blood Glucose Control and Medication Adherence Among Adult Type 2 Diabetic Nigerians Attending A Primary Care Clinic in Under-resourced Environment of Eastern Nigeria

Iloh Gu Pascal et al. N Am J Med Sci. 2012 Jul.

Abstract

Background: Despite the evidence that goal blood glucose control reduces preventable emergency hospitalizations, the control of blood glucose has been variable in Nigeria.

Aim: The study was designed to determine the blood glucose control and medication adherence among adult type 2 diabetic Nigerians attending a primary care clinic in under-resourced environment of Eastern Nigeria.

Materials and methods: A cross-sectional study was carried out on 120 adult type 2 diabetic patients who were on treatment for at least 3 months at the primary care clinic of Federal Medical Centre, Umuahia. A patient was said to have a goal blood glucose control if the fasting blood glucose was 70-130 mg/dL. Adherence was assessed in the previous 30 days using pretested, interviewer-administered questionnaire on self-reported therapy. Operationally, an adherent patient was one who scored 4 points in the previous 30 days. The reasons for non-adherence were documented.

Results: The blood glucose control and medication adherence rates were 61.7% and 72.5%, respectively. Blood glucose control was significantly associated with adherence to treatment (P=0.025) and medication duration ≥3 years (P=0.045). The most common reason for non-adherence was financial constraints (P=0.033).

Conclusion: Glycaemic control and medication adherence among the study population were good and should constitute logical targets for intervention.

Keywords: Adherence; Control; Nigeria; Primary care clinic; Type 2 diabetes; Under-resourced.

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Conflict of interest statement

Conflict of Interest: None declared.

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