INTRODUCTION: Non-adherence to preventive and therapeutic lifestyle recommendations among patients with diabetes is special challenge in the management of these patients. Understanding the determinants of non-adherence to lifestyle changes can help to plan and implement more intensive interventions to assist patients' long-term task of achieving beneficial lifestyle changes. This study aimed to measure the proportion of non-adherence and its determinants to lifestyle modification (diet and exercise) among a group of Bangladeshi type 2 diabetic patients. METHODS: Under an analytical cross-sectional design 374 type 2 diabetic patients (age > 20 years), diagnosed for at least one year, were purposively selected from different health care centers operated by the Diabetic Association of Bangladesh (DAB). Data were collected by a pre-tested, interviewer-administered questionnaire. Three-point scale (yes, no, sometimes) were used to assess patient adherence to lifestyle measures (diet and exercise). Patients were considered compliant if patients had adhered to a recommended dietary chart, maintain specific time of food intake and followed advised quantity and quality of food. Exercise were considered adhered if they did exercise > 30 min/day. Self management was assessed by self monitoring of blood glucose, foot care and smoking practice. Anthropometric measurements were done by using appropriate tools and all biochemical data were collected from record book.
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Mumu et al. (2015) studied this question.