PIII‐15

The objective of this study was to identify how type 2 diabetic patients prioritize specific treatment and management options based upon their personal values. 24 patients were recruited from a diabetes clinic. Using information from a prior qualitative study on diabetes management a questionnaire was constructed composed of 14 statements relating to management options. Patients indicated the importance of each statement on a 10‐point visual analog scale and a factor analysis was conducted. The most important issue for patients was obtaining a treatment that provides the best possible blood glucose levels (mean=9.1; SD=0.7); treatment with alternative remedies was the least important issue (mean=4.1; SD=3.4). Diet & exercise ranked 3rd, pills and insulin ranked 12th and 13th respectively. The factor analysis demonstrated a correlation structure that generated 5 themes (lifestyle, knowledge, effectiveness, autonomy, efficiency). No demographic characteristics predicted the statement ratings. The study has demonstrated that diabetes patients do set priorities for their care. The results have implications for how health care providers might communicate therapeutic options, particularly with a the need to link management to goals. Because inter‐patient responses varied greatly there may also be a need to develop treatment strategies that are consistent with individualized preferences rather than generalizing from average patient values. Clinical Pharmacology & Therapeutics (2005) 79, P62–P62; doi: 10.1016/j.clpt.2005.12.223