A new analysis of 65 studies from Pakistan found that fewer than half of adults with diabetes follow recommended self-care routines. The overall adherence rate was 47%, meaning that on average, less than half of people with diabetes in Pakistan are managing their condition as advised. This matters because good self-care, including diet, exercise, and medication, is key to controlling blood sugar and preventing complications.
The analysis, which pooled data from thousands of patients, also looked at specific behaviors. Medication adherence was relatively higher, with 74% of people taking their medicines as prescribed. However, physical activity adherence was much lower, at only 37%. This suggests that while taking medication is common, staying active is a bigger challenge.
The study also found that physical activity adherence has been changing over time, but the reasons are not clear. The researchers noted that there was a lot of variation among the studies, which means the results should be interpreted with caution.
For readers, this highlights a real-world gap in diabetes care in Pakistan. It suggests that efforts to improve diabetes management may need to focus more on helping people become more physically active and adopt other lifestyle changes. However, this is a summary of existing research, not a new experiment, so it cannot prove what causes low adherence. If you have diabetes, talk to your doctor about realistic ways to improve your self-care routine.