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DOC News    November 1, 2006
Volume 3 Number 11 p. 20
© 2006 American Diabetes Association

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Oral Drugs Reduce Diabetes Risk

Adhering to a regimen of metformin therapy can reduce the risk of developing type 2 diabetes, according to Diabetes Prevention Program researchers.

A group of investigators evaluated strategies for medication adherence, barriers to adherence, and the predictors of adherence in 2,155 adults with impaired glucose tolerance treated at 27 clinical centers in the U.S. Participants were randomized to receive metformin or placebo.

Researchers found that older patients were more likely to follow drug therapy than younger patients. Other common barriers to adherence were forgetting to take medication, adverse side effects, and the disruption of daily routine. Adherence dropped as participants reported more barriers.

Participants who adhered to metformin therapy had a 38.2% reduction in the risk of developing diabetes, the group reports.

"Our finding that adherence was associated with risk reduction for diabetes supports the development of brief interventions in clinical settings where medication adherence is a challenge," they conclude.

Walker EA, Molitch M, Kramer MK, et al.: Adherence to preventive medications: Predictors and outcomes in the Diabetes Prevention Program. Diabetes Care 29:1997–2002, 2006[Abstract/Free Full Text] .


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