Clinical pharmacists can aid patients with uncontrolled T2DM

October 28, 2013
Clinical pharmacists can aid patients with uncontrolled T2DM
Clinical pharmacists can play a role in helping patients with poorly controlled type 2 diabetes, according to a case study published in the October issue of Clinical Diabetes.

(HealthDay)—Clinical pharmacists can play a role in helping patients with poorly controlled type 2 diabetes, according to a case study published in the October issue of Clinical Diabetes.

Travis E. Sonnett, Pharm.D., from Washington State University, and Tyler Galloway, Pharm.D., from the Mann-Grandstaff Veteran Affairs Medical Center—both in Spokane, examined the impact of a clinical pharmacy specialist on management of a wheelchair-bound, 64-year-old man with a history of uncontrolled (hemoglobin A1c [A1c], 10.0 percent). The patient reported poor adherence to his insulin regimen, but close adherence to his oral medication regimen. He experienced progression of peripheral neuropathy and retinopathy.

The authors reported that the clinical pharmacist used a motivational interview technique to discuss the patient's failure to follow the current insulin regimen and poor eating. They developed a plan to monitor progress and agreed on an initial goal of A1c <9 percent and a long-term goal of <8.0 percent, in accordance with the Veterans Affairs/Department of Defense (VA/DoD) guidelines. Follow-up was via phone contact and the pharmacist adjusted the insulin regimen in accordance with changes in blood glucose. At the end of 12 weeks, the patient's A1c was 7.1 percent, and he reported noticeable improvement in peripheral neuropathy and improvement in visual impairment.

"The case described here is considered a success within the VA/DoD setting by virtue of the patient's goal achievement," the authors write.

Explore further: T1DM insulin intensification patterns, outcomes studied

More information: Abstract
Full Text

Related Stories

T1DM insulin intensification patterns, outcomes studied

January 30, 2013
(HealthDay)—About half of youths with type 1 diabetes shift to a more intensive insulin regimen over time, which is associated with better glycemic control, according to research published in the January issue of Diabetes ...

Bariatric surgery in T1DM teens doesn't aid glycemic control

September 27, 2013
(HealthDay)—Despite significant weight loss, improvements in cardiovascular risk factors, and quality of life, bariatric surgery does not necessarily lead to improved glycemic control in adolescents with type 1 diabetes ...

FDA approves A1c test for diabetes diagnosis

May 29, 2013
(HealthDay)—The U.S. Food and Drug Administration has just cleared a hemoglobin A1c assay to be marketed for the diagnosis of diabetes, according to a May 24 press release issued by the agency.

Meds adherence self-report valid in type 2 diabetes

December 20, 2012
(HealthDay)—Self-reported measures of medication adherence in adults with type 2 diabetes are valid, although some self-reports are moderated by depression, according to a study published online Nov. 30 in Diabetes Care.

Starting on three drugs at time of diagnosis benefits Type 2 diabetics

June 24, 2013
Patients with type 2 diabetes fare significantly better if they are started on three medications at the time of diagnosis than if they are prescribed a single drug and have other therapies added later, a San Antonio researcher ...

Liraglutide with insulin improves poorly controlled Type 1 diabetes

June 25, 2012
Obese adults with poorly controlled Type 1 diabetes can better control their blood sugar by adding liraglutide, a Type 2 diabetes drug, to their insulin therapy, a new study finds. The results, which will be presented at ...

Recommended for you

Genetic discovery may help better identify children at risk for type 1 diabetes

January 17, 2018
Six novel chromosomal regions identified by scientists leading a large, prospective study of children at risk for type 1 diabetes will enable the discovery of more genes that cause the disease and more targets for treating ...

Thirty-year study shows women who breastfeed for six months or more reduce their diabetes risk

January 16, 2018
In a long-term national study, breastfeeding for six months or longer cuts the risk of developing type 2 diabetes nearly in half for women throughout their childbearing years, according to new Kaiser Permanente research published ...

Women who have gestational diabetes in pregnancy are at higher risk of future health issues

January 16, 2018
Women who have gestational diabetes mellitus (GDM) during pregnancy have a higher than usual risk of developing type 2 diabetes, hypertension, and ischemic heart disease in the future, according to new research led by the ...

Diabetes gene found that causes low and high blood sugar levels in the same family

January 15, 2018
A study of families with rare blood sugar conditions has revealed a new gene thought to be critical in the regulation of insulin, the key hormone in diabetes.

Discovery could lead to new therapies for diabetics

January 12, 2018
New research by MDI Biological Laboratory scientist Sandra Rieger, Ph.D., and her team has demonstrated that an enzyme she had previously identified as playing a role in peripheral neuropathy induced by cancer chemotherapy ...

Enzyme shown to regulate inflammation and metabolism in fat tissue

January 11, 2018
The human body has two primary kinds of fat—white fat, which stores excess calories and is associated with obesity, and brown fat, which burns calories in order to produce heat and has garnered interest as a potential means ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.