Self-Care Behaviors and Adherence in Diabetes Mellitus.

Self-care behaviors are essential in managing diabetes. The Diabetes Control and Complications Trial (DCCT) showed that intensive self-care regimens can slow the progression of microangiopathy and delay onset of long-term complications. Increased attention to adherence with specific components of personal regimens is needed to help diabetics achieve maximal benefits. Self-management in terms of medication-taking, self-monitoring, diet, and excercise is inconsistent. Factors contributing to self-care and non-compliance are discussed. Recommendations for enhancing self-care and adherence research are offered.