Table 1: Factors affecting treatment adherence and strategies to overcome these.

Possible factors	Possible solutions
Personal factors
Poor literacy Lack of knowledge about diabetes and associated comorbidities Time pressure or forgetfulness Low level of disease/treatment acceptance Lack of healthy coping skills	Improved level of education Better understanding of treatment regimens Early prevention & care of associated co-morbidities Enhanced social support for shared responsibility Awareness of health consequences
Economic factors
Financial constraints	Financial support from family members Affordable access to healthcare facilities
Social factors
Lack of family, peer and community support Limited spousal support/divorce Uncomfortable facing social gatherings and social stigma Appropriate health beliefs: cultural and religious Ethnic minority	Fostering social support Optimising spousal relationships Increasing social awareness and acceptance Specific recommendations based on values and beliefs Improvement of educational classes among all strata
Psychological factors
Attitude about diabetes Loneliness and isolation Lack of motivation/confidence Deprivation Frustration and negative emotions Anxiety and depression Memory/cognitive impairment	Improved quality of the patient–healthcare provider relationship Minimising communication gaps Constant motivation Behavioural interventions by enhancing supportive care
Disease-related factors
Duration of disease Poor quality of life	Reducing the complexity of therapy Frequent/regular visits to healthcare professional
Healthcare-provider factors
Poor attitude of healthcare workers Irregular diabetes education Knowledge level of health workers	Educational initiatives Improvement of hospital services