ISSN 2321–3647
Sun, 19 Nov 2017

Need of Pharmacist’s role in patient counseling on Insulin dependent Diabetes Mellitus Management

Dayana Nicholas1, Muhammad Zahid Iqbal1, Tharmalingam Palanivelu2, Kenneth Nelson3, Samson P. George4*

1.Department of Clinical Pharmacy & Pharmacy Practice, Faculty of Pharmacy, AIMST University, Bedong 08100, Kedah, Malaysia.

2.Consultant Physician and Head of Department, Department of Medicine, Hospital Sultan Abdul Halim Kedah, Malaysia.

3. Grace College of Pharmacy, Department of Pharmacy Practice, Palakkad, Kerala, India.

4.Drug Information Centre, Karnataka State Pharmacy Council, Bangalore-40, Karnataka, India


The patient was with known diagnosis of diabetes mellitus type 1 with a headache and giddiness at the time of admission. We herein describe a case of the 14 years old patient with the plasma glucose level had given negative results to DM, as well as her laboratory tests also showed that she had poorly controlled DM and minor ear wax problem. Patients present with diabetic ketoacidosis after several days of polyuria, polydipsia, polyphagia and weight loss. The patient was found underweight due to her low BMI and she had multiple admissions of diabetic ketoacidosis and DM. Her RBS was too high until out of normal range. Furthermore, the lab result showed the glucose was found presence in her urine test. The effective patient counselling was given to diabetes mellitus along with the insulin treatment and along with other relative drugs to increase the patient’s quality of life. Our case emphasizes that early recognition and appropriate patient counselling by the pharmacists may significantly overcome the symptoms and prevent complications of diabetes mellitus which may enhance the quality of life in patients at any age.

Keywords: Patient Counseling, Chronic complications, Diabetic ketoacidosis, Hypoglycemia

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