• J Fam Pract · Apr 2017

    Review

    Hot Topics in Primary Care: Medication Adherence in Type 2 Diabetes Mellitus: Real-World Strategies for Addressing a Common Problem.

    • Stephen A Brunton and William H Polonsky.
    • Adjunct Clinical Professor, Department of Clinical Pharmacy Practice, Roseman University, Salt Lake City, UT, USA.
    • J Fam Pract. 2017 Apr 1; 66 (4 Suppl): S46S51S46-S51.

    AbstractThe importance of treatment adherence is well established, as poor adherence contributes to disease progression and increased morbidity and mortality. Analysis of 11,272 veterans with T2DM with a mean follow-up of 5 years showed that for each 10% increase in the medication possession ratio, the mean glycated hemoglobin (HbA1c) decreased by 0.24%. Poor adherence also leads to increased health care resource utilization and costs, including more frequent hospitalizations. Conversely, while improved adherence increases medication costs, it can decrease overall health care resource utilization and costs. Improved medication adherence also contributes to improvement in diabetes-related quality of life.

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