Current trends in the pharmacological treatment of diabetic complications in a tertiary care settin

  • Benita Lisa Baji Department of Pharmacy Practice, Faculty of Pharmacy, Ramaiah University of Applied Sciences, Bangalore-560054 India
  • Tasmiya K Department of Pharmacy Practice, Faculty of Pharmacy, Ramaiah University of Applied Sciences, Bangalore-560054 India
  • Saraswathy GR Department of Pharmacy Practice, Faculty of Pharmacy, Ramaiah University of Applied Sciences, Bangalore-560054 India
  • Ann Mary Swaroop Department of Pharmacy Practice, Faculty of Pharmacy, Ramaiah University of Applied Sciences, Bangalore-560054 India
  • Maheswari Eswaran Department of Pharmacy Practice, Faculty of Pharmacy, Ramaiah University of Applied Sciences, Bangalore-560054 India
  • Viswam Subeesh Department of Pharmacy Practice, Faculty of Pharmacy, Ramaiah University of Applied Sciences, Bangalore-560054 India

Abstract

Type 2 Diabetes Mellitus (DM) is a condition primarily defined by the level of hyperglycemia giving rise to the risk of microvascular and macrovascular complications. It is associated with reduced life expectancy, significant morbidity and diminished quality of life. The aim of the study was to assess the prevalence and prescribing pattern in Type 2 DM and its complications in a tertiary care hospital. It was a prospective observational study carried out among 200 patients for 6 months in a tertiary care hospital. Patient's details were collected from case sheets and entered into data collection form. Hyperglycemia was managed with insulin (75.5%) due to its proven effectiveness; oral hypoglycemic agents (OHA) (24.5%) were prescribed to a limited extent. For diabetic nephropathy, beta-blockers (43%) were the highest prescribed. Pregabalin was mostly prescribed (35.8%) in diabetic neuropathy. The diabetic foot was commonly managed with clindamycin (61.5%), but treatment differed based on cultural sensitivity. Ischemic heart disease (IHD) was found to be the most prevalent complication in our study setting (41.5%). Macrovascular complications were managed with antihypertensives, diuretics, antianginals, anticoagulants, antiplatelets and antihyperlipidemics. The association of risk factors with diabetic retinopathy and IHD with duration of DM and HbA1c was statistically significant (p=0.007, p=0.05; p=0.007,p=0.004 respectively) Prescribing trend of drugs was based on the severity of complication, associated comorbid conditions and presently existing evidence to promote the rational use of drugs.

Keywords: Diabetes mellitus, Diabetic complications, Prescribing pattern, Insulin, Oral hypoglycemic agents

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Published
2019-01-05
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How to Cite
Benita Lisa Baji, Tasmiya K, Saraswathy GR, Ann Mary Swaroop, Maheswari Eswaran, & Viswam Subeesh. (2019). Current trends in the pharmacological treatment of diabetic complications in a tertiary care settin. International Journal of Research in Pharmaceutical Sciences, 10(1), 140-145. Retrieved from https://www.pharmascope.org/index.php/ijrps/article/view/23
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Original Articles
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