Intervention strategies to improve adherence to the five pillars of diabetes management among patients with type 2 diabetes mellitus: A literature review

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Authors: Putu Vera Megawati, Ni Luh Putu Inca Buntari Agustini, Sri Dewi Megayanti, Ni Made Candra Citra Sari
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Abstract

Background: Diabetes mellitus is a metabolic disease that is a global problem, with the number of sufferers increasing annually. Adherence to the five pillars of diabetes management is the cornerstone of preventing and reducing morbidity and mortality from diabetes. Purpose: To analyze how to improve adherence in type 2 diabetes patients in implementing the five pillars of diabetes management. Method: The research method used a literature review approach to map and identify interventions for implementing the 5 pillars of diabetes management. Results: The study found 20 articles describing interventions for people with diabetes mellitus through educational and informational delivery mechanisms. The types of interventions included: mobile phone application interventions, physical exercise interventions, audiovisual interventions, flipchart interventions, and peer leader interventions. Conclusion: Five types of interventions improve adherence in patients with type II diabetes mellitus to implementing the 5 pillars of diabetes management.

Fields of Study & Subjects

Diabetes Management and Education Medication Adherence and Compliance Mobile Health and mHealth Applications

Publication details

Journal / source
Malahayati International Journal of Nursing and Health Science
Volume
8
Issue
12
Pages
1558–1571
Publication date
16 February 2026
Language
EN