[ Diabetes Solutions ]

Treat to goal: impact of clinical pharmacist referral service primarily in diabetes management. – PubMed


The national initiative, Project IMProving America’s Communities Together (IMPACT): Diabetes, was intended to scale a proven American Pharmacists Association (APhA) Foundation process model, which integrates pharmacists on the collaborative health-care team, in communities greatly affected by diabetes to improve key indicators of diabetes. That’s up from the previous estimate of 26 million in 2010, according to the Centers for Disease Control and Prevention (CDC). For the MTM group, a pharmacist engaged patients in patient-centered services to optimize therapeutic outcomes. I applied to become a champion for Diabetes UK because I believe that pharmacists can play a bigger role in the delivery of healthcare to people with diabetes. Physicians invited to participate were randomly selected from a published national directory [34]. The challenge for the patient education-treatment team will be effective communication and collaboration as the patient passes from one care level to the next. For the time sub-analysis, 14 subjects in the intervention group were excluded, leaving 21 subjects and their matched control subjects.

The pharmacist group showed a greater percent change in A1C and improvement between the initial and final clinic visits, after adjusting for baseline confounders. During the intake interview, he reported a fair diet, with intake of simple carbohydrates being a prominent dietary source of glucose. The remaining studies were controlled before-after (n = 2), cohort (n = 4), and uncontrolled before-after (n = 17) designs.

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