Observational Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. May 15, 2018; 9(5): 72-79
Published online May 15, 2018. doi: 10.4239/wjd.v9.i5.72
Adherence to self-care practices, glycemic status and influencing factors in diabetes patients in a tertiary care hospital in Delhi
Saurav Basu, Suneela Garg, Nandini Sharma, M Meghachandra Singh, Sandeep Garg
Saurav Basu, Suneela Garg, Nandini Sharma, M Meghachandra Singh, Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India
Sandeep Garg, Department of Medicine, Maulana Azad Medical College, New Delhi 110002, India
Author contributions: All authors contributed to study conception, design and approval of the final manuscript; Basu S contributed to data acquisition, data analysis, interpretation and writing of article; Garg S, Sharma N and Singh MM contributed to data analysis, interpretation, editing, reviewing; Garg S contributed to interpretation, editing, reviewing.
Institutional review board statement: Institutional ethical clearance was granted by the Institutional Ethics Committee of the hospital.
Informed consent statement: Written and informed consent was taken from all the subjects prior to enrolment in the study.
Conflict-of-interest statement: Dr. Basu has nothing to disclose.
STROBE statement: STROBE statement guidelines have been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Saurav Basu, MBBS, Doctor, Department of Community Medicine, Maulana Azad Medical College, Bahadur Shah Zafar Marg, New Delhi 110002, India. saurav.basu.mph@gmail.com
Telephone: +91-84-47527452
Received: March 6, 2018
Peer-review started: March 7, 2018
First decision: April 2, 2018
Revised: April 7, 2018
Accepted: April 15, 2018
Article in press: April 15, 2018
Published online: May 15, 2018
Processing time: 100 Days and 8.8 Hours
Core Tip

Core tip: A cross sectional analysis was conducted in 375 adult diabetic patients in the outpatient settings of a major tertiary care government hospital in Delhi (2016). A total of 309 (82.4%) subjects reported are adherent to their prescribed anti-diabetic medication. However, optimal glycemic control was achieved by only 116 (31%) subjects. These findings suggest the presence of a high burden of clinical inertia. Furthermore, patients on insulin therapy despite reporting higher medication adherence comprised a significantly higher proportion with suboptimal glycemic control compared to those are not on insulin therapy indicating the need to effectively validate patient administration of insulin.