Volume 25 , Issue 1 , June 2023 , Pages 33-40
Derin Ahmed Khdir 1 ; Mohammed Omer Mohammed 2
1 Medical/Surgical Department, College of Nursing, University of Sulaimani, 0046 Sulaimaniyah, Iraq
2 Department of Medicine, College of Medicine, University of Sulaimani, 0046 Sulaimaniyah, Iraq
Background: Type 2 diabetes mellitus (T2DM) implies the highest incidence of diabetic
cases. T2DM is related to metabolic ailments in the pancreas, kidneys, liver, and
intestines. Objective: To determine the impact of adherence to antidiabetic medication
(ADMs) on glycemic control in T2DM patients. Methods: This quasi-experimental
study enrolled 245 participants (119 intervention patients and 126 non-intervention
patients) with T2DM in the Diabetes and Endocrine Center, Sulaimaniyah, Iraq, from
January to August 2021. ADMs used the Morisky Medication Adherence Scale Item 8
(MMAS-8). Also, fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c %)
were checked to assess glycemic control among the participants. Results: The counseling
program potentially improved ADMs as the rate of medium adherence increased
significantly from 5.0% to 31.9% (p<0.001), with a significant improvement in glycemic
control in the intervention group from 13.9% (before the intervention) to 21.8% (after the
intervention) (p=0.039). However, there was no significant difference between ADMs
and glycemic control (p>0.999). Conclusion: Patients’ education and medication
counseling significantly improved ADMs and glycemic control in people with T2DM.