Study the Impact of Diabetes Camps on Adherence to Medication and Glycaemic Control in Uttarakhand
Introduction: Diabetes is a major public health problem which needs to be addressed with outmost planning in resource poor settings. Good glycaemic control and medication adherence patterns can play an important role in reducing disease related complications thereby reducing morbidity and mortal...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7271/16053_CE[Ra]_F(Sh)_PF1(BMAK)_PFA(AK)_PF2(AGAK).pdf |
| Summary: | Introduction: Diabetes is a major public health problem which
needs to be addressed with outmost planning in resource poor
settings. Good glycaemic control and medication adherence
patterns can play an important role in reducing disease related
complications thereby reducing morbidity and mortality among
diabetics. Disease specific camps can act as a stepping stone
in providing limited care to the patients.
Aim: The study was planned to study the impact of diabetes
camp on glycaemic control and adherence to antidiabetic
medication among diabetic patients at a Government Teaching
Hospital, Srinagar, Garhwal, Uttarakhand, India.
Materials and Methods: A cross-sectional study using
a medication adherence questionnaire collected from the
patients participating in diabetic camps and measuring their
HbA1C levels before and after the camps along with spreading
awareness about the disease.
Two diabetes awareness camps were organized, three month
apart and the participants were imparted knowledge about the
disease. A total of 50 patients with type 2 DM who had self
reported history of diabetes and were on some form of oral anti
diabetics confirmed by their prescriptions. The patients were
called for monthly follow up in outpatient department. A six
question preformed questionnaire – the Girerd’s instrument was
used to assess the level of adherence to the prescribed antidiabetic drugs in 50 patients with type 2 diabetes mellitus, their
HbA1C levels were estimated and the results were analysed
using standard statistical methods.
Results: A total of 50 type 2 diabetic, 48 were studied comprising
23 (47.9%) women and 25 (52.1%) men with a mean age of 57.43
years. The average duration of diabetes among participants was
7.02 years. Poor medication adherence score was recorded in
27 participants and only 7 participants had good adherence to
medication before the camp. After the camp, 19 participants
had good adherence and 7 had poor medication adherence
scores. As a result of improved adherence, improvement in
glycaemic control was noticed by a decrease of 0.5 units in the
mean HbA1C value by the end of the study.
Conclusion: The results clearly showed that group intervention
in the form of camp combined with monthly follow-ups could
improve adherence as well as glycaemic control at a government
teaching hospital in a resource poor setting. This could also
involve and encourage society as well as young trainees to
participate collectively in the care of diabetics. |
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| ISSN: | 2249-782X 0973-709X |