Real-World Adherence to Glycemic Self-Monitoring and Associated Factors Among Type 2 Diabetes Patients in Algeria: A Descriptive Cross-Sectional Study

OBJECTIVES: This study aimed to evaluate real-world adherence to glycemic self-monitoring and identify associated factors among patients diagnosed with type 2 diabetes in Algeria.

METHODS: In this study, a cross-sectional epidemiological methodology was utilized, targeting patient diagnosed with type 2 diabetes in the Tiaret region of western Algeria. A questionnaire was employed to gather sociodemographic, clinical, and therapeutic information. The criteria for conducting glycemic self-monitoring were delineated in accordance with the established good practices guidelines of the Francophone Society of Paramedical Diabetes. Predictive factors were identified through the application of multivariate logistic regression analysis.

RESULTS: The study encompassed 419 outpatient type 2 diabetes patients in both public and private healthcare facilities in the Tiaret region. Among them, 58% exhibited non-adherence to glycemic self-monitoring. Predictive factors associated with poor adherence included inadequate glycemic control, the combination of oral antidiabetic medications with insulin, age, disease duration, and medication non-compliance. Conversely, positive adherence factors included physical activity, marital status, urban residency, recent hypo- or hyperglycemic episodes, and the presence of dyslipidemia. Patients whose capillary glycemia was measured by a family member demonstrated higher adherence.

CONCLUSIONS: In light of these findings, the necessity arises to implement an action plan addressing the prevalent and multifactorial issue of poor adherence to glycemic self-monitoring in Algeria. Emphasizing therapeutic education as an integral component of type 2 diabetes patient management is crucial, aiding both patients and their support networks in comprehending the disease, its treatments, and enhancing overall quality of life.