Pharmacist-Led Interventions for Type 2 Diabetes Mellitus : A Systematic Review
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Author:
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YUNITA LINAWATI, ERNA KRISTIN, YAYI SURYO PRABANDARI, SUSI ARI KRISTINA, RIZALDY TASLIM PINZON
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Abstract:
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Background: Pharmacists can also contribute positively to diabetes management. The aim of this study to
explore pharmacist interventions in the management of T2DM.
Methods: Article review was search of Pubmed, Embase and Science Direct during the period 2009-2019. A
Combination of keys terms such as “pharmacists”, “intervention”, “type 2 diabetes mellitus” was used for the
search. Trials were included if they were published in the English, evaluated any form of pharmacist
interventions in the management of T2DM.
Results: There were 9 articles included and the studies evaluated the impact of several pharmacist
interventions carried out in various countries and in community pharmacies. Pharmacist-led interventions had
a positive effect on A1c with the difference in change between groups ranging from -0.3% to -1.0%; blood
glucose (-1.43 mg/dL to -44 mg/dL); SBP (+0.6 mmHg to -23 mmHg); DBP (+1.3 mmHg to -22.3 mmHg); LDL
(+0.18 mg/dL to -17.5 mg/dL); HDL (+0.31 mg/dL to +6.4 mg/dL); total cholesterol (+0,49 mg/dL to -7,5
mg/dL); triglycerides (-0.3 mg/dL to -28.3 mg/dL). A beneficial effect on BMI was also described in the
intervention group. Pharmacist interventions had a positive impact on medication adherence and HRQoL in
most studies.
Conclusion: Pharmacist interventions can have a positive influence on metabolic control, medication
adherence and HRQoL of patients with T2DM.
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Keyword:
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pharmacist, intervention, management, T2DM
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EOI:
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-
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DOI:
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https://doi.org/10.31838/ijpr/2021.13.02.123
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