Diabetes Care in The Netherlands: - Novo Nordisk

Non-compliance is challenge of distant benefits and largerequiredNon-compliancebehaviouralis a challengechangeof distant benefits and largeWeak motivation tocomply• Motivation to change is typically limited: no sense of urgency– No feeling of illness (especially in early stages)– Acceptance of illness– Benefits of compliance are distant• Compliance creates a short–term risk of side effects– e.g. especially hyposExtensivebehavioural changerequired• Far reaching change in daily routines– Sleep times,– Diet– Exercising• Requires an adjustment in social life– Social pressure to engage in social activities not congruent with treatment– Environment may perceive the distance as an ‘excuse’ to avoid participation• Requires an advanced understanding of the disease– Complex intake schemes that are dependent on the context of daily activities– Need to develop a optimized personal routineSource:Apotheke und krankenhaus Ursachhen der Non-Compiance, Booz Booz && Company AnalysisBooz & Company 14 November 201152Prepared for Novo Nordisk45