How to Improve Diabetic Adherence?
The dream of every doctor is a conscientious patient who follows the prescribed treatment and reports any potential problems in a timely manner. But where can such a patient be found?
In the treatment of chronic diseases, patient cooperation is a crucial element. Even the best therapy is of no use if the patient does not follow the prescribed regimen and does not attend regular check-ups. This is especially true for diabetes. However, a significant advantage of diabetes over other chronic diseases is the ability to evaluate long-term patient cooperation through glycated hemoglobin.
The factors influencing adherence are frequently discussed. There are many of them, and mapping their influence is not easy. Does the quality of life affect adherence to diabetes treatment? This was the question posed by Brazilian researchers. They attempted to answer it through a systematic review of published studies examining the association between two variables: the quality of life of diabetic patients and the level of glycated hemoglobin. Many studies have been published on this topic, some confirming the association, others not. Based on their study, the authors concluded that the quality of life really correlates with the level of glycated hemoglobin. But how to interpret this connection?
It is possible that a higher quality of life leads to increased willingness to cooperate with doctors, but it is equally possible, and even probable, that adherence to treatment leads to an improved quality of life. Causality in this case can be (and probably is) bidirectional.
Anyway, it is interesting to consider this relationship and discuss it with patients. Our information might be perceived by laypersons merely as numbers, with their real significance and impact on their lives not being clear. However, we understand it very well, so the message to patients should have a clear meaning: Follow the treatment, and you will feel better.
For doctors, this information is also valuable. Of course, we all understand the relationship
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