Many patients who have type 2 diabetes mellitus (DM) require several different medications.
Although these agents can substantially reduce diabetes-related morbidity and mortality,
the extent of treatment benefits may be limited by a lack of treatment adherence.
Unfortunately, little information is available on treatment adherence in patients
with type 2 DM. Available data indicate substantial opportunity for improving clinical
outcomes through improved treatment adherence. Factors that appear to influence adherence
include the patient’s comprehension of the treatment regimen and its benefits, adverse
effects, medication costs, and regimen complexity, as well as the patient’s emotional
well-being. Outcomes research emphasizes the importance of effective patient—provider
communication in overcoming some of the barriers to adherence. This article offers
specific suggestions for improving adherence in patients with type 2 DM seen in general
clinical practice.
Keywords
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© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
