I'm not sure if this is what was wanted, or if I've covered everything.
Type 2 Diabetes occurs due to resistance to insulin. It is becoming increasingly common; it is estimated that it affects 1 in 20 adults across the world, and projections suggest that by 2030 it will rise to 439 million, which is 7.7% of the total adult population of the world.
Modifiable risk factors include obesity, hypertension, physical inactivity, dietary factors, smoking, as well as many others. Treatment for type 2 diabetes is based on patient education, lifestyle and diet modification and management of glucose control, which ranges from metformin to insulin.
Non-adherence to treatment is a problem in all chronic diseases, especially Type 2 Diabetes. The aim of the research would be to explain the differences in adherence to treatment plans. Do people have different opinions regarding diabetes? Are cultural issues responsible, or is it lack of information regarding their condition? Do patients understand their condition correctly, and do they understand the importance of adherence to treatment to maintain blood glucose levels within a safe range?
- When were they diagnosed?
- How did their diagnosis make them feel?
- Ask patient to explain diabetes to measure their understanding of the condition and risk factors
- Ask whether patient has made any lifestyle modifications – diet alterations etc
- If so, how difficult was it?
- If not, why not? Did they try?
- Understanding consequences of not taking medication
- Ask patient to explain their treatment plan
- Do they take their medication?
- If not, why not?
- How often?
This interview would need to be open and unchallenging to ensure honesty, as patients with diabetes could find it threatening if they are questioned in depth, as it is likely that they are constantly told by health professionals about the importance of making lifestyle modifications and compliance with treatment plans.
