PMID: 9640480Jun 26, 1998Paper

Management of patients with type 2 diabetes by pharmacists in primary care clinics

The Annals of Pharmacotherapy
E A Coast-SeniorL E Trilli

Abstract

To determine the impact of clinical pharmacists involved in direct patient care on the glycemic control of patients with type 2 diabetes mellitus. Eligible patients included those with type 2 diabetes who received insulin or were initiated on insulin therapy by the pharmacists and were willing to perform self-monitoring of blood glucose. The pharmacists provided diabetes education, medication counseling, monitoring, and insulin initiation and/or adjustments. All initial patient interactions with the pharmacists were face-to-face. Thereafter, patient-pharmacist interactions were either face-to-face or telephone contacts. Two primary care clinics in a university-affiliated Veterans Affairs Medical Center. Study subjects were patients with type 2 diabetes who were referred to the pharmacists by their primary care providers for better glycemic control. Primary outcome variables were changes from baseline in glycosylated hemoglobin, fasting blood glucose, and random blood glucose measurements. Secondary outcomes were the number and severity of symptomatic episodes of hypoglycemia, and the number of emergency room visits or hospitalizations related to diabetes. Twenty-three veterans aged 65-9.4 years completed the study. Fifteen (65%...Continue Reading

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