Knowledge of and Adherence to health advice among adults with diabetes in Libya

Adherence to the health care advice is essential to prevent or minimize acute and long term conditions. Non-adherence to medical advice among people with diabetes is a common problem in every community. This study examined the diabetes knowledge (DKT), self-efficacy (CIDS) and other factors that enhance adherence to treatment and management of the condition in Libya. The study revealed that many Libyans with diabetes showed a low level of diabetes knowledge and did not generally adhere to their diabetes self-care regimen except for the medication regimen of taking tablets and/or insulin. The thesis concludes that various factors may explain poor adherence and the lower level of HbA1c level in this study. These include: self-efficacy about the management of the condition; duration of illness; type of treatment; cognitive factors; culture and social support; economic factors; stressful lifestyle; and health care services delivery. This study points to a need to improve health care services for diabetes, particularly health education, with more focus placed on socio-cultural and psychological aspects.