Background Type 1 Diabetes Mellitus (T1DM) demands lifelong insulin adherence, yet glycemic control remains suboptimal especially in urban adult population where socio-economic and lifestyle factors add complexity.Purpose To investigate the factors interfering with adherence to dietary glycemic control among adults with T1DM patients.Methods A cross-sectional quantitative study of 200 urban T1DM adults used structured questionnaires, including the Morisky medication adherence scale, with data analyzed through descriptive and inferential statistics.Results 77.1% of participants exhibited low adherence. Significant associations were found between adherence and factors such as age, gender, education, income, and food habits (p < .05). Psychosocial, financial, medication, and patient-related factors significantly influenced adherence, while healthcare access did not show a statistically significant impact.Conclusion Adherence to dietary glycemic control in T1DM is influenced by a complex interplay of behavioral, socio-economic, and cultural factors. Interventions must be context-specific, incorporating financial support, behavioral counseling, and culturally sensitive education to improve outcomes.Translation to Health Education Practice The study’s findings highlight the need for tailored health education interventions that address psychosocial, financial, and behavioral barriers to glycemic control. Empowering patients through culturally sensitive education and self-management support can significantly enhance adherence and improve long-term outcomes in Type 1 diabetes Mellitus (T1DM) care.
Chondhe et al. (Thu,) studied this question.
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