ABSTRACT:
Diabetes is a complex disorder which requires constant attention to diet, exercise, glucose monitoring, and medication to attain better glycemic control. The main goals of diabetes care are good metabolic control, and minimization of complications which are modified by patient compliance - the extent to which a person’s behavior coincides with medical or other health care regimen. Poor adherence to medication regimens is common, contributing to substantial deterioration of disease, mortality and increased health-care costs. Low adherence to treatments has resulted in poor outcomes, even when the treatment was a placebo. It was planned to determine improving patients compliance with blood glucose monitoring, dietary schedule and exercise in patients of DM. A prospective observational study was conducted in a Tertiary care hospital. Patients demographic and laboratory investigation was collected from case sheets for a period of 1 year. Patients were included in the study based on the following characters, 1)Patient who are diagnosed with diabetes mellitus with treatment of more than one medications, 2)Patient above 18 years of age, and 3)Patients who are willing to participate in the study were included in the study. Patients were excluded if they were mentally incompetent, pregnant and lactating or if they suffer from Macrovascular complications in DM. All the collected relevant data’s were assessed and were analyzed. Patient counseling was provided at the initial level and the patient knowledge about cause, risk, management, treatment and life style modifications of Diabetes mellitus were assessed during the Pre-counselling phase and Post-counselling phase. It has been reported that at least half of the diabetic elderly population do not realize that they have the disease. This study concludes that patient counseling by Pharmacists aids in the improvement of Quality of life of patients who are diagnosed and living with Diabetes Mellitus.