© 2002 by the American Diabetes Association, Inc.
Metabolic Control and Adherence to American Diabetes Association Practice Guidelines in a Pharmacist-Managed Diabetes Clinic
1 Department of Pharmacy Practice, Wayne State University, Detroit, Michigan
The provision of diabetes care has shifted from the specialist to the generalist in primary care practice. Evidence suggests utilization of nonphysician providers in conjunction with physician-directed protocols improves glycemic control (1). The purpose of this study was to evaluate the impact of a pharmacist-managed diabetes clinic (PMC) on glycemic control and adherence to American Diabetes Association (ADA) standards of medical care in a collaborative physician-pharmacist practice. This was a retrospective analysis comparing patients referred to the PMC for diabetes management with a randomly selected group of patients with diabetes, managed exclusively by their primary care physicians. Only patients with a minimum of 3 months of laboratory data and two visits to the pharmacist or physicians were included.
Pharmacist-managed clinic patients (16
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