Abstract

IMPACT OF CLINICAL PHARMACIST ACTIVITIES IN IMPROVING GLYCEMIC CONTROL OF TYPE 2 DIABETES MELLITUS PATIENTS WITH INFECTIOUS DISEASES

Naufia M.*, Dusa Yamuna and Dr. B. Anoosha

Abstract

Introduction: Infections are a major clinical challenge for type 2 diabetes patients, but little is known about the impact of glycemic control. In general, infectious diseases are more frequent and/or serious in patients with diabetes mellitus, which potentially increases their morbidity and mortality. The relationship between hyperglycemia and infection appears to be bidirectional and inter-dependent. The purpose of this study is to evaluate the impact of clinical pharmacist activities in improving glycemic control of non-critically ill type 2 diabetic patients admitted to the hospital with various infections. Methodology: This is a prospective interventional study that divided patients into Group I and Group II. The patients in Group I were monitored for blood glucose levels and in Group II patients received clinical pharmacist activities and monitored for blood glucose levels. The mean RBS, FBS and PPBS of patients in both the groups were compared. Results: Among the clinical pharmacist activities in group II, patient counseling was effective for 77% of patients, drug interactions in 13% and ADRs in 10% of patients. At discharge, normoglycemia patients were predominant in group II (73.3%) than group I. Clinical pharmacist participation in glycemic control is effective by reducing the fasting and postprandial blood glucose with a mean difference of 11.02mg/dl and 29.40mg/dl (p < 0.05) respectively. Conclusion: There was a positive impact of clinical pharmacist activities in controlling blood glucose levels of type 2 DM patients admitted with infections. This suggested that the active participation of clinical pharmacists in glycemic control along with other health care professionals is effective and safe. Hence a collaborative team is essential for the management of hyperglycemia in internal wards.

Keywords: Hyperglycemia, infections, management, the role of Clinical Pharmacist.