Impact of Pharmaceutical Care in the Management of Drug Related Problems and Complications in the Treatment of Type II Diabetes Mellitus: A Review

• Main Authors: S Z Inamdar, R V Kulkarni
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Journal of Diabetology
• Subjects: Pharmaceutical care; Drug-related problems; Diabetes Mellitus.
• Online Access: http://www.journalofdiabetology.org/article.asp?issn=2078-7685;year=2016;volume=7;issue=1;spage=4;epage=4;aulast=Inamdar;type=0

Pharmaceutical care is a philosophy of practice, in w hich, the patient is the primary beneficiary of the pharm acist‟s actions. Pharm aceutical care involves the process through w hich a pharm acist cooperates w ith a patient and other professionals in designing, implementing and monitoring a therapeutic plan that will produce specific therapeutic outcomes for the patient. As the prevalence of type 2 diabetes mellitus (T2DM) continues to increase w orldw ide, there is an increased need for effective disease management. Since patients w ith diabetes mellitus gener ally receive multiple medications, the drug-related problems are likely to occur and can negatively influence the outcomes. The complexity of the condition requires the need for support from all healthcare professionals in the delivery of pharmaceutical ca re in collaboration w ith a pharmacist. In this review , 12 studies w ere included, w here pharmaceutical care in terms of interventions w as successful in reducing drug-related problems (DRPs), HbA1c, plasma glucose levels, plasma lipids, blood pressure and cost of the treatment. Pharmacists intervention w as successful at increased number of patients (73.5%) to achiev e the target value of HbA1c (≤7), reduction in plasma glucose level (maximum of 54.5mg %), blood pressure (mean reduction of 19.6/7 mmHg) and plasma lipids (mean reduction of 0.3 to 0.6m m ol/l). There w as a positive im pact of pharm acist‟s intervention on health, m edication adherence, the cost of the treatment, and diabetes-related patient‟s quality of life. The concept of pharmaceutical care w as effective in improving disease state management in diabetics by optimizing and resolving pharmaceutical care issues and reducing the econ omic burden of treatment on the patient.