A Study of Drug Use in Type 2 Diabetes Mellitus with and Without CoMorbidities in Patients Visiting A Tertiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Background: A good number of diabetes patients suffer from co-morbidities such as hypertension, hyperlipidaemia and ischemic heart disease. Owing to the presence of co-morbid conditions, geriatric patients usually receive more than one drug. Objective of the study is to evaluate the drug use in type 2 diabetes mellitus (DM) with and without co-morbidities in patients visiting a tertiary care hospital. Methods: Prospective, observational study was carried out at diabetic OPD of B. J. Government Medical College and Sassoon General hospital, Pune, where Consecutive 400 prescriptions from diabetic OPD were positioned into a case record form and antidiabetic drug utilization pattern was analyzed. Results: In the present study, 43% patients had DM without co-morbidities while 57% patients had comorbidities. Majority of Type 2 DM was found to be most prevalent in the age group of 61-75 years, with Hypertension was the most prevalent co-morbidity (60.52%). In DM without co-morbidities there were change in anti-diabetic prescription seen in (29.06%) and in DM with co-morbidity there were change in anti-diabetic prescription seen in (25.87%) patients. DM without co-morbidities at 0 day and at 3 months 56.97%, 63.95% prescription had Drug-Drug Interactions (DDIs) and in DM with co-morbidities at 0 day and at 3 months 76.31%, 74.12% prescription had DDIs. Conclusions: Prescription after 3 months was changed in some patients due to uncontrolled diabetes mellitus. Hypertension was the most common co-morbid condition present while Tablet Metformin was most commonly prescribed drug in diabetes mellitus without co-morbidity and with co-morbidities patients respectively
Authors and Affiliations
Dr Vikram N. Patil
Keywords
Related Articles
- EP ID EP285221
- DOI -
- Views 87
- Downloads 0
A Rare and Aggressive, Subcutaneous Panniculitis-like T-cell Cutaneous Lymphoma
Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a distinct variant of cutaneous T-cell lymphoma, characterized by primary involvement of the subcutaneous tissue in a manner imitating panniculitis. It accounts f...
Effects of Hypothyroidism on Renal Physiology
Objectives: To assess the effects of hypothyroidism on renal physiology. Methodology: The study was conducted on subjects in the age group of 20-65 years. Subjects were divided into two subgroups: Euthyroid and hypothyro...
Abdominal Manifestations of Dengue
Dengue fever has assumed epidemic proportions in urban India. The diverse presentations of this disease can confuse the internist. A wide range of abdominal symptoms closely mimicking an acute surgical abdomen necessitat...
Degree of Renal Dysfunction in Patients of Subclinical and Overt Hypothyroidism
Background: Thyroid hormones deficiency may lead to impaired renal function either directly or indirectly. Impaired renal function is characterized by increased serum creatinine and decreased creatinine clearance. This s...
Preeclampsia and Periodontitis- Unearthing the Hidden Links.
Periodontal disease is a chronic inflammatory disease affecting the tooth supporting tissues and caused by gram negative anaerobic microorganisms. Preeclampsia is a pregnancy specific disease characterized by hypertensio...