title: [Non-adherence to therapy in type 2 diabetes].
abstract: Non-adherence is a frequent phenomenon with a major impact in terms of care efficiency and cost. Non-adherence in patients with type 2 diabetes concerns all the tasks of the treatment, including in particular changes of lifestyle. It is a natural phenomenon, as individuals often give their preference to the present rather than to the future, while the objective of the treatment is essentially aimed to avoid long-term complications. It represents a general problem, concerning any chronic disease and which reflects new medical paradigms. The ambition to want "to improve adherence" requires a discussion from an ethical point of view.
authors.affiliation: EA 3412, UFR-SMBH, CRNH-IdF, AP-HP, hôpital Avicenne, université Paris 13, service d'endocrinologie, diabétologie, maladies métaboliques, 93000 Bobigny, France. gerard.reach@avc.aphp.fr
authors.forename: Gérard
authors.initials: G
authors.lastname: Reach
mesh_terms: D002908:Chronic Disease / Q000523:psychology; D003469:Culture; D003674:Defense Mechanisms; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy / Q000188:drug therapy / Q000523:psychology*; D003927:Diet, Diabetic / Q000523:psychology; D004644:Emotions; D015444:Exercise / Q000523:psychology; D006297:Health Services Accessibility; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology; D010361:Patients / Q000523:psychology*; D010817:Physician-Patient Relations; D016903:Drug Monitoring
chemical_list: D007004:Hypoglycemic Agents