PERCEIVED IMPACTS OF NON-COMPLIANCE TO TREATMEMT AMONG ADULTS WITH TYPE 2 DIABETES MELLITUS ATTENDING OUT-PATIENT CLINIC AT GENERAL HOSPITAL OFFA, KWARA STATE.

ABSTRACT Diabetes mellitus is a chronic metabolic disorder requiring strict adherence to treatment for optimal management. Non-compliance with treatment among adults with type 2 diabetes mellitus (T2DM) has been associated with increased complications and poor health outcomes. This study assessed the perceived impacts of non-compliance with treatment among adults with T2DM attending an outpatient clinic at General Hospital Offa, Kwara State. The study specifically examined knowledge levels, medication adherence, factors influencing compliance, dietary challenges, and appointment attendance among patients. A descriptive cross-sectional survey was conducted among 100 adults diagnosed with T2DM using a structured questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 25, and results were presented in frequencies and percentages. Pearson’s chi-square test was used to determine relationships between variables, with statistical significance set at p < 0.05. Findings revealed that 66% of respondents correctly identified diabetes as an elevation of blood glucose levels, and 74% believed it was correctable. While 92% adhered to their medication schedule, factors such as fear of hypoglycemia (98%), forgetfulness (82%), and financial constraints (53%) hindered compliance. Dietary adherence was challenging, with 98% struggling to resist favorite foods and 61% finding recommended diets expensive. Additionally, 91% cited long distances as a barrier to attending appointments, and 66% reported high transportation costs. The study concludes that while patients have moderate knowledge of diabetes, multiple factors hinder treatment compliance. Recommendations include enhancing patient education, integrating psychological support, improving healthcare accessibility, and implementing telemedicine services to address transportation challenges. Policies to subsidize diabetes medication and promote community-based care are essential in improving adherence and health outcomes.