According to World health organization (WHO), Adherence is defined as ‘extent to which a person’s behavior—taking medication, following a diet and/or executing lifestyle changes, corresponds with agreed recommendations from a healthcare provider’. Hence, It may not be sufficient if a person’s behavior strongly corresponds with the agreed recommendation to the prescribed medications. In other words, patient's clinical outcome may not be achieved adequately with good medication adherence. There are other behavioral domains to be considered including following dietary recommendations and lifestyle modifications to improve health outcomes such as glycemic control in patients with diabetes mellitus (DM).
In the current study, most type 2 DM patients (74%) have been found to poorly follow dietary recommendations. This was partly due to lack of knowledge, lack of diet education, inability to afford the cost of healthy diet and poor awareness about the benefit of dietary recommendations.
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