Clinical Impact of Pharmacist Counseling on Type 2 Diabetes Patiens

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Sunida Sadakorn
Woranuch Saengcharoen
โพยม วงศ์ภูวรักษ์
Sanguan Lerkiatbundit

Abstract

Introduction: To evaluate the impact of pharmacist counseling on glycemic control, knowledge and adherence in patients with type 2 diabetes mellitus. Materials and Method: A randomized controlled trial was performed in type 2 diabetic patients treated with oral anti-hyperglycemic agents and Glycosylated Hemoglobin (HbA1C) levels greater than 7% at Trat Hospital from May 2012 to February 2013. A total of 158 patients were selected and randomly allocated into control group (n = 78) and study group (n = 80). The study group received educational interventions from a pharmacist about diabetes mellitus, complications, use of oral anti-hyperglycemic medications, adverse drug reaction, diet, exercise and other self-care by documentation explaining when patient followed up every 12-16 weeks. Control group received usual care only. The descriptive statistics and independent samples t-test were used in the analysis of data. Results: After pharmacist interventions, HbA1c level in the study group decreased significantly compared to control group (HbA1c = 7.64 + 1.35 vs 8.45 + 1.41; P < 0.01). After education, LDL-C were lower than those at baseline (after education, LDL-C = 86.76 + 30.86 and at baseline, LDL-C = 103.64 + 33.88) but not significantly different from control group. (LDL-C = 86.76 + 30.86 vs 95.01 + 37.31; P = 0.14). The diabetic knowledge scores and percent pill count were increased significantly compared to control group (diabetic knowledge scores = 19.90 + 1.23 vs 16.38 + 2.65; P < 0.01, percent pill count = 94.43 + 6.94 vs 89.72 + 11.96; P = 0.01). Conclusion: The pharmacist counseling in diabetic patients improved glycemic control, knowledge and medication adherence.

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Research Articles

References

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