کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2681103 | 1142409 | 2008 | 7 صفحه PDF | دانلود رایگان |
AimsTo determine whether an extended pharmacy service would improve glycaemic control and cardiovascular risks in diabetic Muslims.MethodsAmbulatory literate adult diabetic Muslims with A1C >7% were randomly assigned to either a study group (usual care plus added pharmacist input, N = 63) or a control group (usual care only, N = 67). On four consecutive visits, at 2-month intervals, the study group met a pharmacist who educated and discussed with each patient regarding medication uses and diabetic treatment. This was accompanied by providing a diabetic pamphlet. Changes in A1C (mg/dL), lipid parameters (mg/dL), medication adherence (% pill count) and diabetic knowledge scores were measured.ResultsThere was no difference in A1C reduction between the study and the control groups (−0.8 vs. −0.6, p = 0.56). Total cholesterol and LDL-C improvements were greater in the study group than in the control group (−31.6 vs. −1.2, p = 0.000; −15.0 vs. +9.1, p = 0.002, respectively). The percent pill count (+6.8 vs. −2.8, p = 0.004) and diabetic knowledge scores (+2.1 vs. +0.6, p = 0.002) were increased in the study group but not in the control group.ConclusionThe pharmacist’ s one-on-one education on diabetes accompanied by its pamphlet, in Muslim patients with diabetes did not affect glycaemic outcome but reduction in cardiovascular risks through lowering total cholesterol and LDL-C was found. The strategies may also improve diabetic knowledge and medication adherence.
Journal: Primary Care Diabetes - Volume 2, Issue 1, 2008, Pages 31–37