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STUDY ON THE IMPACT OF CLINICAL PHARMACY 4 INTERVENTIONS ON DIABETES MELLITUS WITH OR WITHOUT 5 COMPLICATIONS IN A TERITARY CARE TEACHING HOSPITAL 6 AT PALAKKAD
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Diabetes Mellitus is a progressive, chronic and multifactorial endocrine disorder characterized by elevated serum glucose levels.Clinical pharmacist through medication therapy management and patient counselling can render services by guiding, identifying and monitoring disease and drug related issues faced by the patients. This study evaluated the impact of clinical pharmacy intervention on diabetes mellitus with or without complications. This study assessed medication adherence and the therapeutic outcome of the patients and to educate the patients regarding the self monitoring of blood glucose. This prospective intervention study was conducted in 2021 among patients who had diabetes with or without complications aged >20 years at Karuna Medical College Hospital, chittur India. Patients were randomly assigned to the study population and were matched for sociodemographics, clinical and laboratory results and their life routines which were entered in a self designed data collection form. All participants were responding to Morisky Medication Adherence scale. The fasting blood sugar (FBS) and Post Prandial blood sugar (PPBS) were analysed. Clinical pharmacist intervention emphasized on Modifiable risk factors like diet, exercise, smoking and alcohol cessation, need for timely follow-up and importance of medication adherence. The data was analysed and reliability were assessed using paired T test. Out of 160 patients, 53.13% were males, 28.125% of people are of age group 51-60 with a mean age of (55.57±3.34).The medication adherence, sleep pattern and quality of life of patients improved significantly after pharmacist intervention in study population at the follow -up time (p <0.0001).The medication adherence of the patients increased from 15%-30% (5.22±1.86 to 6.23±1.29) at the follow-up. Thus the above results suggests the importance of clinical pharmacist activities which had a positive impact on sleep pattern, medication adherence and quality of life of diabetic patients with or without complicationsddd