Kathmandu University|Dhulikhel Hospital|Kathmandu University|Dhulikhel Hospital
background oral hypoglycemic agents ohas major treatment people type 2 diabetes mellitus dm2 however nonadherence ohas remains one main reasons poor glycemic control objectives assess adherence pattern ohas clinical outcomes special reference fasting blood glucose fbg level glycosylated hemoglobin hba1c levels methods informed consent obtained patients fulfilling criteria patient party case incapacitated patients information obtained interviewing filled appropriate questionnaire medical information patients obtained medical case records laboratory reports results ohas discontinued 25 patients overall 38 ever discontinued often missed ohas intentional discontinuation ohas attributed 72 patients followed forgetfulness 429 carelessness 306 hypoglycemia 24 5050 patients uncontrolled fbg gt130 mgdl level 39 uncontrolled hba1c 7 level taking reference age group 5160 years control fbg level found statistically associated decreasing age group p 0006 48 well increasing age group p 0008 4034 significant association controlled hba1c level patients knowledge precautions taken using ohas p 0044 4 however significant association glycemic control ohas adherence conclusion majority patients missed ohas attributed forgetfulness hypoglycemia may also one contributing factors poor adherence ohas however association found adherence various factors like age groups treatment complexity health literacy social family support doi httpdxdoiorg103126kumjv11i312508 kathmandu univ med j 2013 433226232