Endocrine Abstracts

Introduction

Adherence to therapy is a common problem, predominating mainly in patients with chronic diseases like diabetes, and it is often associated with inappropriate eating behavior, both of these factors can lead to a poor glycemic control, and of cause a high levels glycated hemoglobin.

Objectives

Evaluate the impact of various parameters (age, gender, duration of diabetes, socio-economic status, polymedication, analphabetism, family situation, etc.) on therapeutic adherence, dietetics and physical activity in poor glycemic control in type two diabetic patients.

Methods

This is a transversal study of one hundred twenty-seven patients that they have poorly controlled diabetes, who were hospitalized in the Endocrinology Department between two thousand sixteen and two thousand nineteen for management.

Results

Our study included one hundred twenty-seven patients, hospitalized for poorly controlled diabetes. Seventy percent of patients are female, the average age is sixty-four years, the average glycohemoglobin is ten and a half pourcent. The average duration of diabetes is eleven years, fifty-nine pourcent of cases have a poor socio-economic level, forty-eight pourcent live in rural areas, sixty-six pourcent are illiterate, ninety-nine pourcent lives with family and thirty-four pourcent are in polymedication. sixty-two pourcent of these patients report poor adherence to treatment, and the dietary assessement found inappropriate eating behavior in eighty-three pourcent of patients, and that thirteen pourcent of these patients practice regular physical activity.

Conclusion

Treatment adherence, diet and physical activity are important parameters in the management of type two diabetes, which explains the poor glycemic control in many patients despite an adapted antidiabetic treatment.