Impact of pharmacist intervention on glycemic control of type 2 diabetes
patients in a tertiary care hospital
Abstract
Objective: Diabetes is one of the most common chronic disease that
requires comparatively more care to achieve optimal therapeutic
outcomes. The aim of this study was to study the impact of pharmacist
intervention on glycemic control of type 2 diabetes patients in a
tertiary care hospital. The objectives were: To assess the parameters of
glycemic control namely FBS, PPBS, and HbA1c; To provide patient
education to one group of patients while other group of patients get
standard care; To assess the impact of the educational intervention on
blood sugar levels and HbA1c. Materials and methods: It was hospital
based prospective interventional study carried out in the general
medicine out-patient department of St. Philomena’s hospital, a tertiary
care hospital, in Bangalore, India. The patients recruited were divided
equally and randomly into control and intervention groups. Patients in
the interventional group received patient informational leaflets, and
education in addition to standard treatment, while the control group
patients received only standard treatment. Parameters of glycemic
control namely FBS, PPBS, and HbA1c of the patients were measured at
baseline and at the end of the follow up period of 3 months and compared
using appropriate statistical tests. Result: 50 patients having HbA1c
value of >8% were included in the study. FBS, PPBS, and
HbA1c values of all patients were measured at baseline and compared to
the values obtained at the end of the follow up period, and was found to
be statistically significant (p < 0.05). The difference in the
baseline and follow up values between the control and intervention
groups was also compared and found to be statistically significant
(p< 0.05). Conclusion: It was observed from our study that
pharmacist led educational intervention program for the management of
type 2 diabetes had a positive impact in lowering the levels of glycemic
parameter.