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Type 2s With Kidney Disease Better Off Seeing a Pharmacist-Diabetes Specialist Team
From the Spring Research Guide
Hong Kong researchers say that if you have type 2 and suffer from kidney disease, you may be better off getting structured care from a pharmacist-diabetes specialist team.
They write, “Structured care delivered by a pharmacist-diabetes specialist team reduced the incidence of end-stage renal disease or death compared with usual care in patients with type 2 diabetic nephropathy.”
The researchers conducted a two-year study where the clinical outcomes of patients managed by a structured-care protocol were compared to a group receiving usual care in the same hospital. Patients younger than 80 years of age who had type 2 diabetes, a serum creatinine between 150 and 400 micromol/l, and micro- or macroalbuminuria were recruited. A pharmacist-diabetes specialist team implemented the structured-care protocol with particular emphasis on “periodic laboratory assessments, patient adherence, risk factors control and use of renin-angiotensin system inhibitor.”
During 22.8 months of follow-up, kidney disease or all-cause death respectively developed in 24 and 40 patients in the structured care and usual care groups.
“Structured care slowed the rate of [kidney] decline,” write the researchers. “More intensive laboratory measurements, increased use of renin-angiotensin system inhibitor and greater reductions in blood pressure and low-density lipoprotein (LDL) cholesterol were reported by patients receiving structured care.”
—American Journal of Medicine, December 2005
Categories: Diabetes, Diabetes, Kidney Care (Nephropathy), Professional Issues, Type 2 Issues
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Apr 1, 2006
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Diabetes Health
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.
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