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Treatment burden and perceptions of glucose-lowering therapy among people living with diabetes.

González-Saldivar G, Millan-Alanis JM, González-González JG, Sánchez-Gómez RA, Obeso-Fernández J, McCoy RG, Maraka S, Brito JP, Ospina NS, Oyervides-Fuentes S, Rodríguez-Gutiérrez R. Treatment burden and perceptions of glucose-lowering therapy among people living with diabetes. Primary Care Diabetes. 2022 Aug 1; 16(4):568-573.

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Abstract:

AIMS: Address treatment burden and general perceptions of pharmacological treatment in patients with diabetes. METHODS: We surveyed adult patients with diabetes cared for in a tertiary academic medical center about: i) knowledge about the impact of glucose-lowering medication use on diabetes control and complications, ii) common beliefs about natural medicine and insulin use, iii) attitudes towards glucose-lowering medications, iv) burden of treatment, v) general knowledge of diabetes pharmacological treatment, and vi) perceptions of shared decision-making. RESULTS: Two hundred-four participants completed the survey. While most (90%) agreed that adherence to medication would control diabetes and improve quality of life, 30-40% were not certain that it would translate to fewer disease complications. About one of three thought medications could be harmful (29.4%). Over 50% agreed or was unsure that natural remedies were as good/better than prescribed medications. About 30% acknowledged difficulties taking their diabetes medications and monitoring blood glucose, and over 50% were concerned about treatment costs. Nearly 30% denied receiving a detailed explanation from their clinician regarding their disease and is treatment. CONCLUSIONS: Our results highlight the importance of patient education regarding pharmacological treatment for diabetes, and eliciting sources of distress and treatment burden among patients with diabetes.




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