Cookie policy: This site uses cookies (small files stored on your computer) to simplify and improve your experience of this website. Cookies are small text files stored on the device you are using to access this website. For more information please take a look at our terms and conditions. Some parts of the site may not work properly if you choose not to accept cookies.

Join

Subscribe or Register

Existing user? Login

Tailored care package fails to improve glycaemic control

Some cardiovascular benefits are achieved with an enhanced diabetes care package for UK residents of South Asian origin, but improving glycaemic control remains a major challenge, according to a study published in a diabetes special issue of The Lancet (2008;371:1769).

A total of 1,486 newly diagnosed type 2 diabetes patients of South Asian origin from 21 inner city practices in the UK were randomised to receive enhanced care — including additional time with a practice nurse, support from an Asian link worker and input from a diabetes specialist nurse — or standard care. Primary outcomes were changes in blood pressure, total cholesterol and glycaemic control after two years.

The researchers recorded a reduction in diastolic blood pressure (P=0.0001) and arterial pressure (P=0.0180) in the intervention group compared with the placebo group but no difference in total cholesterol, systolic blood pressure or HbA1c.

Over the study population as a whole, the researchers recorded improvements in blood pressure and total cholesterol (but not in HbA1c). These improvements were associated with increased prescribing of antihypertensives and statins and are consistent with those reported by other investigators after the introduction of the Quality and Outcomes Framework (which started during the course of the study), they say.

“In view of the healthcare resources provided, we find it disappointing that neither the QOF incentives nor our culturally sensitive enhanced care package significantly effected glycaemic control,” say the researchers.

The authors of an accompanying editorial (ibid p1728) suggest that a substantial structured patient-education component seemed to be missing from the study.

Alia Gilani, a bilingual prescribing support pharmacist for NHS Glasgow, believes that pharmacists are ideally placed in the community to support South Asian diabetes patients and help reduce inequalities. Pharmacist independent prescribers can allow patients quicker access to medicines and are able to monitor adherence, she added.

Citation: The Pharmaceutical Journal URI: 10025530

Have your say

For commenting, please login or register as a user and agree to our Community Guidelines. You will be re-directed back to this page where you will have the ability to comment.

Recommended from Pharmaceutical Press

  • Integrated Pharmacy Case Studies

    Integrated Pharmacy Case Studies

    Over 90 case studies based on real life patient-care scenarios. Each case includes learning outcomes and references.

    £47.00Buy now
  • Disease Management

    Disease Management

    Disease Management covers the diseases commonly encountered in primary care by system, with common therapeutic issues. Includes case studies and self-assessment sections.

    £54.00Buy now
  • Introduction to Renal Therapeutics

    Introduction to Renal Therapeutics

    Introduction to Renal Therapeutics covers all aspects of drug use in renal failure. Shows the role of the pharmacist in patient care for chronic kidney disease.

    £38.00Buy now
  • Introducing Palliative Care (IPC 5)

    Introducing Palliative Care (IPC 5)

    A key resource for students, covering the recommended palliative curriculum for medical undergraduates.

    £25.00Buy now
  • Health Economics

    Health Economics

    Health Economics is a practical analysis of the prominent economic issues facing the American health care system, and what mechanisms exist to counter it.

    £33.00Buy now

Search an extensive range of the world’s most trusted resources

Powered by MedicinesComplete
  • Print
  • Share
  • Comment
  • Save
  • Print Friendly Version of this pagePrint Get a PDF version of this webpagePDF

Jobs you might like

Newsletter Sign-up

Want to keep up with the latest news, comment and CPD articles in pharmacy and science? Subscribe to our free alerts.