title: Blood Glucose Control and Medication Adherence Among Adult Type 2 Diabetic Nigerians Attending A Primary Care Clinic in Under-resourced Environment of Eastern Nigeria.
abstract: BACKGROUND
  Despite the evidence that goal blood glucose control reduces preventable emergency hospitalizations, the control of blood glucose has been variable in Nigeria.
  
  
  OBJECTIVE
  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.
  
  
  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).
  
  
  CONCLUSIONS
  Glycaemic control and medication adherence among the study population were good and should constitute logical targets for intervention.
authors.affiliation: Department of Family Medicine, Federal Medical Centre, Umuahia, Abia State, Nigeria.
authors.forename: Iloh Gu
authors.initials: IG
authors.lastname: Pascal
authors.forename: John N
authors.initials: JN
authors.lastname: Ofoedu
authors.forename: Njoku P
authors.initials: NP
authors.lastname: Uchenna
authors.forename: Amadi A
authors.initials: AA
authors.lastname: Nkwa
authors.forename: Godswill-Uko E
authors.initials: GU
authors.lastname: Uchamma