Kayamkani Abedulla Khan 1*, Asthm A. Jabeen 2
- Ibn Sina National College, Jeddah, Saudi Arabia
- Department of Pharmacy Practice, Sultan-ul-Uloom College of Pharmacy, Mount Peasant, 8-2-249, Road No. 3, Banjara Hills, Hyderabad-34, Telengana State, India
Purpose of the Study :Diabetics is a chronic metabolic disorder associated with high blood glucose level, it causes various co-morbidities. Family physicians are responsible for diagnosing and treating the majority of people with diabetes mellitus and its associated co-morbidities. This study aims to screen the influence of comorbidities treatment on diabetic management in tertiary care hospital.Methodology : Demographic details of patient, present disease condition, drugs prescribed was collected from case report and their care takers were interviewed for their past medication history, family history and their priorities on diabetic care.Results :Out of 152 cases 61.8% were males and 38.1 % were females. The majority of patients belong to 51-60 years age group. When we combined all co morbidities into single score, we found the expected relationship the greater the number of co-morbities the lower the scores for diabetes prioritization and diabetes management. Different co-morbid conditions are responsible for the progression of the disease. Hypertension, Coronary artery disease, Chronic kidney disease has more effect on diabetic management.Conclusion :This study confirms the need for comprehensive guidelines to effectively care for patients with multiple diseases. Hence effective standard guidelines are needed for the management of diabetes and its comorbidities.
- Wells B, Dipiro, J, Schwinghammer T, Dipiro C. Pharmacotherapy Handbook, Seventh edition, The McGraw-Hill; 2009; 210-26.
- Reitsma, W. D. & Terpstra, J. [WHO Expert Committee on diabetes mellitus]. Ned. Tijdschr. Geneeskd. 1981;125;101�103.
- Druss BG, Marcus SC, Olfson M, Tanielian T, Elinson L, Pincus HA. Comparing the national economic burden of five chronic conditions. Health Aff. Millwood.2001; 20; 233-241.
- Wolff, J. L., Starfield, B, Anderson, G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch. Intern. Med.2002;162: 2269-2276.
- Maddigan, S. L., Feeny, D. H, Johnson, J. A. Healthrelated quality of life deficits associated with diabetes and comorbidities in a Canadian National Population Health Survey. Qual. Life Res.2005;14: 1311�1320.
- Yarnall, K. S. H., Pollak, K. I., Ostbye, T., Krause, K. M. & Michener, J. L. Primary care: is there enough time for prevention? Am. J. Public Health.2003;93: 635�641.
- Stange, K. C., Woolf, S. H. & Gjeltema, K. One minute for prevention: the power of leveraging to fulfill the promise of health behavior counseling. Am. J. Prev. Med.2002;22: 320�323.
- Kosecoff J, Kahn KL, Rogers WH, Reinisch EJ, Sherwood MJ, Rubenstein LV, Draper D, Roth CP, Chew C, Brook RH. Rogerset. Prospective payment system and impairment at discharge. The �quicker-and-sicker� story revisited. JAMA.1990;264: 1980�83.
- David Grembowski, David Paschane, MS, Paula Diehr, Wayne Katon, Diane Martin, PhD, Donald L Patrick. Managed care, physician job satisfaction and the quality of primary care. J. Gen. Intern. Med.2005; 20: 271�277.
- Dugdale, D. C., Epstein, R. & Pantilat, S. Z. Time and the patient-physician relationship. J. Gen. Intern. Med.1999.14 (1), S34-40 (1999).
- Krein, S. L., Heisler, M., Piette, J. D., Makki, F, Kerr, E. A. The effect of chronic pain on diabetes patients� selfmanagement. Diabetes Care. 2005;28: 65�70.
- Schoenberg, N. E. & Drungle, S. C. Barriers to non-insulin dependent diabetes mellitus (NIDDM) self-care practices among older women. J. Aging Health.2001;13: 443�466.
- Jaen, C. R., Stange, K. C. & Nutting, P. A. Competing demands of primary care: a model for the delivery of clinical preventive services. J. Fam. Pract.1994;38: 166-171.
- Chernof BA1, Sherman SE, Lanto AB, Lee ML, Yano EM, Rubenstein LV.. Health habit counseling amidst competing demands: effects of patient health habits and visit characteristics. Med. Care.1999;37: 738�747.
- Paul A. James, Suzanne Oparil, Barry L. Carter. Evidence-Based Guideline for the Management of High Blood Pressure in Adults. JAMA.2013; 1097: 1�14.
- Ittaman, S. V, VanWormer, J. J, Rezkalla, S. H. The role of aspirin in the prevention of cardiovascular disease. Clin. Med. Res.2014; 12: 147�54.