Analysis of the self-adherence to treatment and blood glucose monitoring in patients with diabetes mellitus

BACKGROUND: Patients with diabetes mellitus (DM) are increasing every year around the world, but only about 30% are taking medication regularly. The main goal of therapy in patients with DM is to normalize insulin activity and blood glucose levels without hypoglycemia to reduce neuropathic complications. Patients with DM must control their blood glucose levels regularly so that the value of blood glucose levels and adherence to treatment which are the main factors in the outcome of therapy are identified. The purpose of this study was to analyze the adherence of patients with DM to medication and monitoring blood glucose levels as part of self-adherence. METHODS: This research is an analytical survey research with a cross-sectional design. The research sites were 5 wound care clinics spread across the Province of the Special Region of Yogyakarta, Indonesia, with a period between March to June 2021. The sampling technique was the accidental sampling method based on predetermined inclusion criteria. Data collection was carried out using a questionnaire and data analysis was carried out using univariate and bivariate methods. RESULTS: The patients who became respondents in this study were 26 people, 50% men and 50% women. 53.8% of patients adhered to monitoring blood glucose levels and 65.4% adhered to treatment. Compliance with monitoring blood glucose levels was associated with medication adherence (P = 0.018). Age had a relationship with blood glucose level monitoring compliance (P = 0.047) and medication adherence (P = 0.015). CONCLUSION: There is a relationship between adherence to monitoring blood glucose levels with medication adherence. Age has a relationship with blood glucose level monitoring and medication adherence.