title: Factors affecting compliance to management of diabetes in Urban Health Center of a tertiary care teaching hospital of south India.
abstract: OBJECTIVE
  To Study the Factors affecting compliance to diabetes management and study risk factors and complications of type II diabetes.
  
  
  METHODS
  Primary health center, Descriptive study.
  
  
  METHODS
  A descriptive study of previously diagnosed diabetics (n = 135) attending the chronic disease clinic of Urban Health Center, Jawaharlal Institute of Postgraduate Medical Education and Research (JIUHC) was carried out during October 2011 to December 2011. Data were collected by personal interview on demographic parameters, duration of diabetes, number of doses missed in the last 15 days, co-morbidities, knowledge and practice of dietary modification, physical activity, self-care, family support, awareness about risk factors and complications of diabetes.
  
  
  METHODS
  The findings were expressed in terms of proportions. Chi-square test was used to study the association between socio-demographic factors and compliance.
  
  
  RESULTS
  Majority of patients were in the age group of 50-59, of which 80% were females. Compliance (defined as not missing more than two doses in the last 15 days) to oral hypoglycemic agents was found in 103 (76%; 68.5-82.9). Dietary modifications was practiced by 110 (81.4%; 74.2-87.3) and 37% (29.2-45.4) practice physical activity. Annual eye check-up was carried out by 43.7%, renal function test by 46.6% and foot care by 54%. Knowledge regarding risk factors (66%; 42.7-59.4) and complications (79%; 71.8-85.4) was comparatively better than knowledge about self-care.
  
  
  CONCLUSIONS
  Three-fourth of patients were compliant to medications and diet, but less than half follows modifications in physical activity and other self-care practices. Hence, it is essential to educate and motivate people in primary health-care level about self-care and life-style modifications.
authors.affiliation: Department of Preventive & Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors.forename: Iswarya
authors.initials: I
authors.lastname: Santhanakrishnan
authors.affiliation: Department of Preventive & Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors.forename: Subitha
authors.initials: S
authors.lastname: Lakshminarayanan
authors.affiliation: Department of Preventive & Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors.forename: Sitanshu Sekhar
authors.initials: SS
authors.lastname: Kar
keywords: compliance; diabetes mellitus; drugs; self-care
references.citation: Diabetologia. 2004 May;47(5):860-5
references.pmid: 15114469
references.citation: Indian J Med Res. 2007 Mar;125(3):217-30
references.pmid: 17496352
references.citation: BMJ. 2001 Jul 21;323(7305):142-6
references.pmid: 11463685
references.citation: Afr Health Sci. 2008 Jun;8(2):67-73
references.pmid: 19357753
references.citation: Presse Med. 2001 Jun 16-23;30(21):1044-8
references.pmid: 11471275
references.citation: Arch Intern Med. 1990 Apr;150(4):841-5
references.pmid: 2327844
references.citation: Diabetes Res Clin Pract. 2010 Jan;87(1):4-14
references.pmid: 19896746
references.citation: CMAJ. 2000 May 30;162(11):1553-4
references.pmid: 10862223