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1.Concern, distress and fear
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Concern due to the lack of trust
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Concern due to the lack of trust in health service providers
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The patients’ lack of trust in the physician about the diagnosis of the disease symptoms and complications
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Concern due to the lack of trust in the medications
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Concern about the effect of the medications
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Concern about the medication side-effects
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Psychological distress due to the calamities of life
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Distress about the death of a family member (sister, brother)
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Distress about relatives’ illness and death
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Concern about being a burden
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Concern about being neglected by the family members
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Concern about financial problems
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Neglecting medication adherence due to financial pressures
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Fearing the community’s bad reactions to the disease
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Fearing the stigma caused by having diabetes
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The disease being considered hereditary in the family by others
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Fearing people restricting their relationships with diabetic patients
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The disease being considered contagious by others
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Fearing the experience of hypoglycemia
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2.Feeling exhausted and burnt out
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Getting tired of the prolonged period of treatment
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Feeling exhausted as a result of the calamities of life
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3.Prioritizing the children’s issues
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Giving priority to the children’s needs
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Giving priority to the children’s disease
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4. Poor financial support
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No financial support provided by the family for the purchase of the medications
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5. Communication challenges
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Advertisements encouraging non-adherence to a medication regimen
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Advertisements and encouragements about the use of herbal medicines by other patients and relatives
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Advertisements and encouragements about the benefits of vegetarian and raw food diets by other patients
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Poor communication processes
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Inadequate physician consultation about the medications
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Poor physician-patient interactions
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6.Poor work conditions
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Forgetting to take the medications as a result of being too busy
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Not taking the medications on time due to long work hours
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