Washington, D.C. The underlying factors affecting insulin injection omission among patients with type 1 or 2 diabetes were also investigated. As the prevalence of T2DM and the complexity of therapeutic regimens increases, the role of pharmacists in educating patients about treatment benefits, administration techniques, dosage flexibility, and avoiding side effects is critical and may optimize care by increasing the likelihood of treatment adherence. We find a significant bias due to unobservable severity in that patients with more severe health are more apt to comply with medications. The less adherent the adolescent, the more emotionally charged the interaction, the more directly confrontive mother and daughter were, and the less efficient they were at negotiating issues. Behavioral adherence (self-reported doses missed per week) correlated with perceived adherence (patients’ self-report of their overall impression of medication adherence, ranked 0-5; P < 0.001). Given these numbers, the IMS Institute estimates that complications from type 2 diabetes will cost about $100 billion annually in the United States, and $4 billion annually will attributable to the medicare population with diabetes.
Adherence was lower when medications were not tolerated or were taken more than twice daily, with concomitant depression, and with skepticism about the importance of medication. This information can help clinicians predict which patients to target with advice and counselling for better medication adherence and hence better self-management and control of the disease. “To provide a sense of proportion, $4 billion average annual cost of avoidable complications due to sub-optimal adherence and persistence is equal to approximately 3.9 percent of total annual Medicare spend on diabetes and, is approximately 32 percent of the total annual Medicare spend on diabetes medications and supplies,” the report explains. The criterion-related validity was verified using the Receiver Operating Characteristic curves; and for the reliability, the researchers calculated the Cronbach alpha coefficient, the item-total correlation, and the Pearson correlation coefficient. As a result, health care providers might deem such regimens unsuccessful and prescribe even more or different drugs. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. 2005; Seligman and Schillinger 2010; Seligman et al.