Dibetes Melitus an Increasing Health Problem all over the World

Question: Discuss about the One Social Determinant that may Impact upon Population-Level Rates of Diabetes and related Complications. Answer: Dibetes Melitus (DM) is a increasing health problem throughout the entire world and near about 177 million people are suffering with the same disease. It is expected to rise up by 300 million in 2025 in Asia and Africa by 2025.Apart from that Uganda is suffering from upsurge of diabetes. Thus in order to discuss general study of population we took a random sample from Kampala capital city and its adjacent town Mukono the existence is estimated to rise by 8.1%.Basically adherence to proper medication of Anti diabetic drugs are prescribed often by the doctors. This medication is often followed by proper diet and also bringing changes in life style can provide can improve the condition of the suffering patient (Perwitasari Urbayatun ,2016) But at the same time due to non-adherence medication with diabetic patients can affect the treatment of the patients and can ultimately lead to death in that case. This will impact the health of the patient directly or indirectly. Apart from that the magnitude and scope of non-adherence effect is too high thus it is important to follow the adherence to the existing treatments rather than developing new medical conditions. A study in United States proves that people who did not followed proper medical treatment suffered most than the ones who followed adherence. Generally there is emphasis on the patients to understand the proper medication in spite of that patients rarely adhere to the drugs in case of chronic diseases and thus they are not able to achieve their individual health goals. The associated factors with Non Adherence are usually centered by the patients itself. They are usually therapy related or health care related. The factors which are centered by the patients may be therapy related (Hindawi, 2011) The factors which are patient related can be often demographic demographic (gender, age, education level and marital status) whereas psychological factors include motivation and beliefs of patients towards the therapy, patient-prescriber relationship, health issues understanding, negative attitude and knowledge of the patients. The factors related to therapy generally conclude to duration of treatment, medication route, treatment complexity, medication type and side effects of medicines. Main factors related to healthcare generally include accessibility and availability of healthcare and the interactions with patients with healthcare. (NCBI, 2009) There are many individual adults suffering from dibetis thus they go for antihyperglycemic medications or insulin along with proper exercise and diet so that they are able to maintain their body blood sugar level. It is very essential to adhere with the oral based antihyperglymic medications as it helps in long time glycemic control (1-3) in the body. At the same time the entire level of non adherenece is prescribed to regimens among other list of patients usually ranges are from 9% to 80% along with high rate in symptom free patients .A recent study states that individuals suffering from the disease are usually taking medications based on glycemic control and also from typical comorbidities of diabetes such as dyslipidemia and hypertension. Apart from that the drug regimen of patients suffering from this disease is now becoming extremely complex thus adherence can be a big challenge in this case. Nonadherence is usually named as Medication possession ratio (MPR) 80%..Multivariate lo gistic regression analysis are often performed where hospitalization is regressed to non adherence to oral antihyperglycemic drug regimen .Oral antihyperglycemic therapies are very useful to decrease glucose levels among the other patients in case of type 2 dibetis. Hence it lowers the risk of developing microvacular and macrovascular problems. But at the same time we must note that the nonadherence oral medication and hospitalization treatments is not developed much in case of patients suffering from dibetis. The past studies have proved various potential risk factors due to non adherence towards medicines across various medical conditions. Often mentioned factors of risk include ethnicity, sex ,income, education, age, co-morbidity through their relationship with prescribed medical treatment or adherence is generally inconsistent because of variation in sample population and study designs. The side effects related to medication also come under non-adherence. A sample related to non-adherence was done in Uganda urban hospital and it has indicated long term interval to a facility visit. It has demonstrated that patients do not understand the regimen of drug and inability to afford medicinal cost of drugs associated with non-adherence. The diet plan explanation and proper method to follow it is usually related to adherence (Cramer, 2004) If we talk about Uganda sample study taking into consideration social population then we will find out that there is literature scarcity on diabetic treatment adherence in rural areas and the population is very poor with less health care facilities. Apart from that the amount of patients suffering to diabetes over there is increasing day by day. Hence it is very much essential to rectify factors associated to medical adherence. Therefore various studies were conducted in developed countries where there is vast gap in knowledge about the occurrence and factors which are related with the adherence to diabetic treatment in rural areas. Further there are factors related to adherence to anti diabetic medication in the eastern parts of Uganda. Thus it will guide the interventions for improving adherence to drug and optimal glycemic control in patients suffering with diabetics in the rural areas (Delamater, 2006) The following conditions in the rural areas demonstrate that due to lack of availability of healthcare conditions there is vast increase in diabetes thus it's important to improve the same so that the patients suffering from this disease can recover after proper adherence .These conditions are not only prevailing in Uganda but in almost all the rural areas of the world where the medical facilities are not fully provided. References: NCBI, 2009., Nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital, Oromia Region, Ethiopia, [Online] Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4832902/ [Assessed 2 April 2017]Hindawi, 2011 .,Nonadherence and Contributing Factors among Ambulatory Patients with Antidiabetic Medications in Adama Referral Hospital . [Online] Available at: https://www.hindawi.com/journals/jdr/2014/617041/ [Assessed 2April2017] Cramer. J, 2004., A Systematic Review of Adherence With Medications for Diabetes .[Online] Available at: https://care.diabetesjournals.org/content/27/5/1218 [Assessed 2April 2017]Delamater.A , 2006 ., Improving Patient Adherence .[Online] Available at : https://clinical.diabetesjournals.org/content/24/2/71 [Assessed 2 April 2017] Perwitasari .D Urbayatun .S ,2016.,Treatment Adherence and Quality of Life in Diabetes Mellitus Patients in Indonesia.[Online ]Available at : https://journals.sagepub.com/doi/abs/10.1177/2158244016643748 [Assessed 2 April 2017]