Compliance to Treatment among Type II Diabetics receiving care at Peripheral Mobile Clinics in Kaniyambadi Block of Vellore District.

Divya Elizabeth, Muliyil (2013) Compliance to Treatment among Type II Diabetics receiving care at Peripheral Mobile Clinics in Kaniyambadi Block of Vellore District. Masters thesis, Christian Medical College, Vellore.

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Abstract

INTRODUCTION : Diabetes Mellitus has been recognized for long and in all ancient civilizations. The endeavour to understand and treat this condition is a long one. Numerous Studies have been conducted to understand its etiopathogenesis, progression and Treatment . The incidence of diabetes is increasing and the onset is at a younger Age. Diabetes related complications are on the rise, thereby creating a large burden On the health care system. OBJECTIVES : To measure ; 1. The rate of compliance to oral hypoglycemic agents, 2. The level of physical activity and caloric intake and 3. The level of glycemic control among diabetics managed in the periphery. 4. To measure the association between each of these factors independently and in combination with glycemic controls. METHODS : A cross sectional study was done. One hundred participants were randomly selected for the study. All those above the age of thirty, being treated for diabetes mellitus type 2 in the doctor-run mobile clinic were eligible to participate in the study. Those on insulin therapy and those bedridden were not included. The following parameters were measured for each person: (a) Diet intake, (b) Physical activity, (c) Compliance to therapy, (d) Glycated hemoglobin Correlation between these factors and glycemic control was measured. RESULTS : Out of the 100 participants, 74% were female, and47% were from the upper middle class. Those who were taking 80% of the expected number of pills were classified as compliant and it was found that 50.5% of those prescribed metformin were compliant and 45.3% of those prescribed glibenclamide were compliant. The mean caloric intake per day was 1614.83 Kcals (95%CI 1494.6- 1735.1) Out of the 100 participants 39% had a sedentary lifestyle and 60% had moderately active lifestyle. The mean Hba1c was 7.3% and 48.8% had ideal glycemic control. The remaining 25.6% had unsatisfactory control. No correlation was found between sedentary lifestyle and uncontrolled sugars. It was found that HbA1c significantly reduced with better adherence.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Compliance Treatment ; Type II Diabetics ; Receiving Care ; Peripheral Mobile Clinics ; Kaniyambadi Block ; Vellore District.
Subjects: MEDICAL > Community Medicine
Depositing User: Subramani R
Date Deposited: 12 Jul 2017 05:52
Last Modified: 02 Mar 2018 16:39
URI: http://repository-tnmgrmu.ac.in/id/eprint/1188

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