title: Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in Ismailia, Egypt: a cross section study.
abstract: BACKGROUND
  Diabetes is a costly and increasingly common chronic disease. Effective management of diabetes to achieve glycemic control improves patient quality of life. Adherence rates to drug regimens in patients with type 2 diabetes are relatively low and vary widely between populations. There are many factors that could affect patient adherence to drug therapy. The aim of the present study was assessing patterns and obstacles to adherence of type 2 diabetic patients to their oral hypoglycemic drugs.
  
  
  METHODS
  The present work is a descriptive cross section study, carried on type 2 diabetic patients who were on oral hypoglycemic drugs. Data concerning adherence to drugs was assessed using measure treatment adherence scale (MTA).
  
  
  RESULTS
  A total of 372 (55.59% males and 44.41% females) patients with type-2 diabetes fulfilled the inclusion criteria and included in the study. Among the participants, 26.1% were found to have good adherence, 47.9% had a fair adherence, and 26% had poor adherence.
  
  
  CONCLUSIONS
  The overall rate of medication adherence among the diabetic patients population was suboptimal and non-acceptable. Evaluation of adherence is vital for patients with diabetes in order to determine factors and barriers affecting the adherence and to manage them.
authors.affiliation: Family Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
authors.forename: Khaled
authors.initials: K
authors.lastname: Heissam
authors.affiliation: Family Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Abuamer
authors.affiliation: Family Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
authors.forename: Nahed
authors.initials: N
authors.lastname: El-Dahshan
mesh_terms: D000284:Administration, Oral; D000328:Adult; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D004534:Egypt; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D016903:Drug Monitoring
chemical_list: D007004:Hypoglycemic Agents
keywords: Adherence; antidiabetic medication; self-management; type 2 diabetes