Effect of a pharmaceutical care program on vascular risk factors in Type 2 diabetes: the Fremantle diabetes study
MetadataShow full item record
Copyright © 2005 by the American Diabetes Association
Objective: To examine the effect of a 12-month pharmaceutical care (PC) program on vascular risk in type 2 diabetes. Research design and methods: We recruited 198 community-based patients randomized to PC or usual care. PC patients had face-to-face goal-directed medication and lifestyle counseling at baseline and at 6 and 12 months plus 6-weekly telephone assessments and provision of other educational material. Clinical, biochemical, and medication-related data were sent regularly to each patient’s physician(s). The main outcome measure was change in HbA1c. A diabetes-specific risk engine was used to estimate changes in 10-year coronary heart disease (CHD) and stroke risk in patients without a history of cardiovascular disease. Conclusions: A 12-month PC program in type 2 diabetes reduced glycemia and blood pressure. Pharmacist involvement contributed to improvement in HbA1c independently of pharmacotherapeutic changes. PC could prove a valuable component of community-based multidisciplinary diabetes care.
Showing items related by title, author, creator and subject.
Clifford, Rhonda (2004)People with diabetes mellitus are more likely to die from cardiovascular causes than those without diabetes, and modifiable risk factors, such as hyperglycaemia, dyslipidaemia and hypertension can be targeted in intervention ...
Identifying type 2 diabetes risk classification systems and recommendations for review of podiatric care in an Australian Aboriginal health clinicBlatchford, L.; Morey, Pam; McConigley, Ruth (2015)Background - There are several risk classification systems developed to facilitate diabetic foot assessments and prioritise diabetes patients for foot prevention services according to risk factors. Utilisation of both The ...
Lee, Crystal; Colagiuri, S. (2016)Globally, 382 million adults aged 20-79 years are estimated to have diabetes and 46% are unaware of their condition. Another 316 million adults are at increased risk of developing diabetes. Although there are suggestions ...