Pharmacist-Managed Clinic Helped Patients Maintain LDL, HbA1c Goals

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Patients with type 2 diabetes maintained LDL cholesterol and HbA1c goals with the pharmacist-led program.
Patients with type 2 diabetes maintained LDL cholesterol and HbA1c goals with the pharmacist-led program.

(HealthDay News) — Veterans with type 2 diabetes had durable maintenance of their LDL cholesterol and HbA1c goals, but not systolic blood pressure goals, after discharge from a pharmacist-managed ambulatory care clinic, according to a study published in Diabetes Spectrum.

P. Benjamin Erwin, PharmD, from the St. Louis College of Pharmacy and VA St. Louis Health Care System, and colleagues examined the ability of patients with type 2 diabetes to maintain systolic blood pressure, LDL cholesterol, and HbA1c at goal levels after discharge from a pharmacist-managed ambulatory care clinic. 

Data were reviewed from the medical records of veterans with diabetes who were discharged after attaining their goal systolic blood pressure, LDL cholesterol, or HbA1c.

The researchers found that 69 patients who were discharged from the clinic subsequently failed to maintain their goals. The mean time to failure was 9.4, 25.8, and 20.4 months, respectively, for systolic blood pressure, LDL cholesterol, and HbA1c. For systolic blood pressure and HbA1c goals, multiple risk factors correlated with the shorter time to failure.

"Veterans with type 2 diabetes in this study demonstrated durable maintenance of their goal LDL cholesterol and HbA1c levels after being discharged from a pharmacist-managed ambulatory care clinic," the researchers wrote. "Patients who meet their [systolic blood pressure] goal may benefit from receiving continued disease state management services from a pharmacist-managed ambulatory care clinic instead of being discharged to receive their usual care."

Reference

  1. Erwin PB, Pitlick MK, Peters GL. Maintenance of Goal Blood Pressure, Cholesterol, and A1C Levels in Veterans With Type 2 Diabetes After Discharge From a Pharmacist-Managed Ambulatory Care Clinic. Diabetes Spectr. 2015;28(4):237-244.
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