Abstract

Diabetes is a chronic disease state affecting millions of patients, many of which have uncontrolled diabetes and not under a physician's care. The economic and health impacts that a pharmacist can have on patients overall health is well known. As an increasing number of patients suffer from uncontrolled diabetes and its complications which makes the role of pharmacists more important than ever to provide patients with knowledge of the many therapeutic options available, appropriate self-testing techniques, and other important lifestyle modifications. The role of pharmacists has expanded to include ambulatory care in an outpatient setting. The purpose of this study is to evaluate the impact of pharmacist involvement in diabetes management in an ambulatory clinic, where there previously has been no pharmacist participation. Comparing data from a pilot study performed without pharmacist involvement, pharmacists have been able to achieve better Hgb A1C reductions than the pilot study performed in fiscal year 16 (FY16) at an average of 3.36 ± 1.76. Although the sample size of patients was small at only 5, these are promising results of the impact that in depth patient education can have on improving outcomes.

Highlights

  • Diabetes is a chronic disease state that has significant impact on patients

  • Prescription medications accounted for 30% of medical expenditures to treat diabetes and its complications. [2,3] Because of these rising costs, pharmacists can play an integral role on a healthcare team providing patients with knowledge, resources, and support in the treatment of diabetes

  • The purpose of this study is to evaluate the impact of pharmacist involvement in diabetes management in an ambulatory clinic, where there previously has been no pharmacist participation

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Summary

Introduction

Diabetes is a chronic disease state that has significant impact on patients. Diabetes affects 30.3 million people in the United States, with approximately 7.2 million patients remaining undiagnosed. [2,3] Because of these rising costs, pharmacists can play an integral role on a healthcare team providing patients with knowledge, resources, and support in the treatment of diabetes. There are currently a large number of therapeutic options to treat diabetes so a pharmacist’s role in caring and educating patients is more vital than ever. Pharmacists have the unique ability to educate patients regarding: proper use and side effects of medications, appropriate use of self-testing supplies, proper insulin administration, screening for drug interactions, as well as recommendations for lifestyle improvements

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