Level of Treatment Adherence in Patients with Type 2 Diabetes in Primary Care

Abstract

Introduction: The glycemic control of type 2 diabetes is a very important challenge that requires a multidisciplinary group of specialists, an adequate psychosocial environment and family support and searching for better measures for the control and prevention of complications, which encourages the patient to improve his lifestyle. Method: The analysis was made with two primary care medical units, the Mutual Aid Group (GAM) from the Los Pinos Medical center, and the Chronic disease Specialized Medical Unit (UNEME EC), which provided integral care in the municipality of San Cristóbal de Las Casas, Chiapas. A sample of 138 patients was obtained through a random sampling with 95% confidence and a margin of error of ±5. The recollection of data was made with the application of the questionnaire "Lifestyle and adherence to pharmacological treatment in patients with type 2 diabetes, which consists of four sections that evaluate 1) socio-demographic data; 2) anthropometric and clinical; Pharmacological adherence with Morisky's 8-item questionnaire (MMSA-8); 3) Lifestyle: with the instrument to Measure Lifestyle in Diabetics (IMEVID). Results: 37.6% had an HbA1c lesser than 7%, A prevalence of 50.7% was obtained in patients adhering to the pharmacological treatment, and 39.8% patients with a favorable lifestyle. The association of the patients' results with an adequate glycemic control demonstrated by an HbA1C lesser than 7% was obtained through Student's T test in which these patients are related with a better score on questionnaires by IMEVID and MMAS-8. Conclusions: The units with integral care and multidisciplinary treatment are fundamental in the care of patients with type 2 diabetes; the use of questionnaires such as IMEVID or MMAS-8 is useful in the daily clinical practice.