The Role of a Clinical Pharmacist in Lifestyle Modification in type 2 Diabetic Patients with Peripheral Neuropathy in Erbil, Iraq

Journal Title: Journal of Pharmaceutical and Medicinal Chemistry - Year 2017, Vol 3, Issue 2

Abstract

Background: This study was designed to evaluate the effectiveness of clinical pharmacist intervention in lifestyle modification to improve glycemic control and diabetic peripheral neuropathic (DNP) symptoms in type 2 diabetic patients. Methods: Onehundred diabetic peripheral neuropathic patients were randomly assigned into two groups, intervention and usual care group. The intervention group has received the three month’s lifestyle modification program by a clinical pharmacist. The usual care group was provided with standard medical services. Lifestyle modification was assessed by using summary of diabetes selfcare activity (SDSCA) scale while the Morisky scale was used to assess medication adherence. Douleur Neuropathique 4 (DN4), Neuropathic Pain Scale (NPS), and Brief Pain Inventory (BPI) were used to assess diabetic peripheral neuropathy. Results: Intervented patients had significant positive effects of selfmanagement education on selfreported dietary habits, physical activity and foot care. The percentage of patients scoring moderate and high adherence scores in the intervention group were 40.7% and 14.8% respectively after three months follow up. After lifestyle modification, significant reduction in the percent of response of patients feeling electric shock, tingling, and pin needle were observed in the intervention patients. Lifestyle modification significantly improved all assessed pain qualities, except of feeling cold to a greater extent than the usual care group. Significant reductions in pain interference were observed in intervention group after the three months of follow up. Conclusion: The provision of lifestyle modification has positive effects on glycemic control and clinically effective approach for patients with DPN that improves severity in peripheral neuropathic symptoms and pain interference.

Authors and Affiliations

Anfal N. Al-Mallah

Keywords

Related Articles

Effect of Antibiotics, Rehydration Therapy, Zinc and Probiotics in Diarrhoea in Children below 5 Years of Age

Introduction: Acute diarrhoea is defined as an abnormally frequent discharge of semisolid or fluid faecal matter from bowel, lasting less than 14 days. Enteropathogens that cause diarrhoea may affect physiology of gut in...

A Comparative Evaluation of Bupivacaine and Bupivacaine with Fentanyl in Lumbar Epidural Anaesthesia

Background: This study was carried out to assess the efficacy of epidural Fentanyl as intraoperative and postoperative analgesia when used along with bupivacaine epidurally. Materials and Methods: After taking the inform...

Study of Effects, Advantages and Disadvantages of Poly Pharmacy in Elderly Patients in a Teaching Hospital of Southeast Asia

Objective: This study was performed to assess and establish prevalence of polypharmacy in geriatric population, to identify adverse drug reactions due to polypharmacy and to investigate whether polypharmacy is an indicat...

Naproxen Delayed Release Drug Delivery Systems

Delayed release drug delivery systems are a major advance towards solving problems concerning the stability and solubility of drug in gastrointestinal tract and thereby release the drug in the small intestine. Naproxen i...

Studies on the Conducting Polymer Nanocomposites & it's Antimicrobial Activities: An Overview

In this review article the conducting polymer nanocomposites are highlighted as innovative material for the treatment against bacteria, fungi, microbes, etc. Conducting polymer nanocomposites have received a high interes...

Download PDF file
  • EP ID EP469460
  • DOI 10.21088/jpmc.2395.6615.3217.1
  • Views 117
  • Downloads 0

How To Cite

Anfal N. Al-Mallah (2017). The Role of a Clinical Pharmacist in Lifestyle Modification in type 2 Diabetic Patients with Peripheral Neuropathy in Erbil, Iraq. Journal of Pharmaceutical and Medicinal Chemistry, 3(2), 57-65. https://europub.co.uk/articles/-A-469460