Catarina Gomes Cani|Laura da Silva Girão Lopes|Márcia Silva Queiroz|Márcia Nery
Improvement in medication adherence and self-management of diabetes with a clinical pharmacy program: a randomized controlled trial in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo|Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo|Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo|Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
objectiveto evaluate impact clinical pharmacy program health outcomes patients type 2 diabetes undergoing insulin therapy teaching hospital brazilmethod randomized controlled trial 6month followup period performed 70 adults aged 45 years older type 2 diabetes taking insulin hba1c level 8patients control group cg n 36 received standard care patients intervention group ig n 34 received individualized pharmacotherapeutic care plan diabetes educationthe primary outcome measure change hba1csecondary outcomes included diabetes medication knowledge adherence medication insulin injection home blood glucose monitoring techniques diabetesrelated quality lifeoutcomes evaluated baseline 6 months using questionnairesresults diabetes knowledge medication knowledge adherence medication correct insulin injection home blood glucose monitoring techniques significantly improved intervention group remained unchanged control groupat end study mean hba1c values control group remained unchanged significantly reduced intervention groupdiabetesrelated quality life significantly improved intervention group worsened significantly control groupconclusion program improved health outcomes resulted better glycemic control patients type 2 diabetes undergoing insulin therapy