Patients with type 2 diabetes who take their oral medication only some of the time risk hospitalization. Using data from a managed care organization, researchers examined the link between nonadherence and subsequent hospitalization in 900 adult patients with type 2 diabetes. The results showed that, over a 12-month period, 28.9% of the patients were nonadherent to the antihyperglycemic regimen. The risk of hospitalization increased by >2-fold in patients with type 2 diabetes who had been nonadherent to their oral medications the year before.
The investigators noted that hospitalization was a strong possibility even after considering the effect of other illnesses and the patients' adherence to hypertension- and cholesterol-lowering medications. The study also showed that nonadherence to high blood pressure? and cholesterol-lowering medication, seen in 18.8% and 26.9% of the patients, respectively, was not significantly connected with an increased risk of hospitalization. (The findings were reported in Diabetes Care, September 2004.)
Although the annual HIV diagnosis rate between 2010 and 2014 decreased for black individuals by 16.2%, blacks remain disproportionately affected by HIV/AIDS.
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