Non-adherence is a frequent phenomenon with a major impact in terms of care efficiency and cost. Non-adherence in patients with type 2 diabetes concerns all the tasks of the treatment, including in particular changes of lifestyle. It is a natural phenomenon, as individuals often give their preference to the present rather than to the future, while the objective of the treatment is essentially aimed to avoid long-term complications. It represents a general problem, concerning any chronic disease and which reflects new medical paradigms. The ambition to want "to improve adherence" requires a discussion from an ethical point of view.
Copyright © 2013. Published by Elsevier Masson SAS.