title: Determinants of adherence to diabetes treatment.
abstract: BACKGROUND
  Understanding and improving medication adherence is crucial in diabetes management. Adherence to a diabetes regimen can improve glucose control and limit the development of complications. The aim of the present study was to evaluate the extent to which a variety of factors influence diabetes medication adherence.
  
  
  METHODS
  A medication adherence survey was made available on WebMD, a medical information website for patients and/or consumers. Respondents were residents of the US, ≥18 years old, and diagnosed with either type 1 or type 2 diabetes mellitus (self-reported).
  
  
  RESULTS
  Behavioral adherence (self-reported doses missed per week) correlated with perceived adherence (patients' self-report of their overall impression of medication adherence, ranked 0-5; P < 0.001). Adherent patients (very few [0%-10%] issues with adherence) were more likely to report having received information from their physician. Mostly adherent patients (few [11%-26%] issues with adherence) were less likely to obtain information from their physician, but reported more medication self-titration. Somewhat non-adherent patients (some [27%-46%] adherence issues) reported more "self-consciousness factors" and hypoglycemia. Non-adherent patients (many [47%-88%] adherence issues) were more likely to report worries about medication side effects.
  
  
  CONCLUSIONS
  Receiving information from a healthcare provider is associated with greater diabetes medication adherence, suggesting the importance of clinicians making time to provide patient education.
authors.affiliation: Medscape Education, New York, New York, USA.
authors.forename: Amy T
authors.initials: AT
authors.lastname: Larkin
authors.affiliation: Medscape Education, New York, New York, USA.
authors.forename: Christina
authors.initials: C
authors.lastname: Hoffman
authors.affiliation: Teachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.
authors.forename: Adrienne
authors.initials: A
authors.lastname: Stevens
authors.affiliation: Teachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Douglas
authors.affiliation: Teachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.
authors.forename: Zachary
authors.initials: Z
authors.lastname: Bloomgarden
mesh_terms: D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000187:drug effects / Q000378:metabolism; D003142:Communication; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010353:Patient Education as Topic; D010465:Perception; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D007004:Hypoglycemic Agents
keywords: diabetes; disease management; education; medication adherence; patient; 关键词：糖尿病，疾病管理，教育，用药依从性，患者