Question

• Consider the long-term effects of hyperglycemia as seen in poorly controlled diabetes. Consider factors that lead to good or poor compliance in regimens designed to decrease hyperglycemia and improve health outcomes in diabetics. Review this article and identify the key factors that can interfere with compliance.

Answer 1

Long term effects of hyperglycemia in poorly or uncontrolled diabetes include neuropathy or nerve damage, cardiac disease, kidney failure, blood vessel damage of retina cause diabetic retinopathy and blindness.
Adherence to regimens is based on personal behavior to follow medication regimen, diet, exercise, lifestyle changes. Factors should include making adherence to medication should be effective patient education, health care provider and patient communication, social support to reduce the cost of medications and reminder systems. Due to lack of economic support, lack of family support, lack of health education causes a higher hyperglycemic rate and leads to long term adverse effects due to nonadherence of regimens. patient information, education, and motivation improve adherence and improve health outcomes. associated symptoms like weight gain show medication adherence, due to this adverse effect patient not involved in medication followup. Nonadherence or noncompliance patients get complications due to lack of understanding of benefits of treatment, age, psychological factors like depression and anxiety, the difficulty of medication regimen and negative treatment ideas.