Opportunistic screening and health promotion for type 2 diabetes: an expanding public health role for the community pharmacist
Opportunistic screening and health promotion for type 2 diabetes: an expanding public health role for the community pharmacist
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DOI：
10.1093/pubmed/fds078
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发表时间：
2013-06-01
影响因子：
4.4
通讯作者：
Chaiyakunapruk, Nathorn
中科院分区：
文献类型：
--
作者：
Dhippayom, Teerapon;Fuangchan, Anjana;Chaiyakunapruk, Nathorn
背景早期发现糖尿病高危人群是预防或延缓2型糖尿病的重要途径。本研究旨在利用糖尿病风险预测工具在社区药房实施糖尿病预防计划。方法在泰国曼谷的7家药店进行。参与者是年龄在35岁、无糖尿病史的药房客户。使用一种经过验证的风险预测工具来评估个体的糖尿病风险。向所有参与者提供了教育信息。那些高风险评分（>= 9 / 17）的患者接受了空腹毛细血管血糖（CBG）的自检。对CBG >= 126 mg/dl的患者进行转诊。结果在为期3个月的服务中，397人参加了该计划。近一半的参与者（49.4%）患糖尿病的风险很高（风险评分：>= 9）。95名（48.5%）高危人群进行了空腹CBG。12人（12.7%）发现空腹CBG升高（>= 126 mg/dl）。总体而言，两名糖尿病患者在提供该计划期间被确定。结论：社区药房的糖尿病预防项目发现了一半有糖尿病风险的客户，并为参与者提供了更多了解糖尿病预防的机会。
Background Early detection to identify people at risk of diabetes is an important approach to prevent or delay type 2 diabetes. This study aimed to implement the Diabetes Prevention Program in community pharmacy using a diabetes risk prediction tool.Methods The program was conducted in seven pharmacies in Bangkok, Thailand. Participants were the pharmacy's clients aged >= 35 years without the history of diabetes. A validated risk prediction tool was used to assess individuals' diabetes risk. Educational information was offered to all participants. Those with a high risk score (>= 9 out of 17) were offered a self-check of fasting capillary blood glucose (CBG). A referral was made for those with CBG >= 126 mg/dl.Results During a 3-month service, 397 individuals participated in the program. Nearly half of the participants (49.4%) were at a high risk of diabetes (risk score: >= 9). Ninety five (48.5%) of these high risk individuals undertook fasting CBG. Elevated fasting CBG (>= 126 mg/dl) was found in 12 persons (12.7%). Overall, two patients with diabetes were identified during the provision of the program.Conclusions The Diabetes Prevention Program in community pharmacies uncovered half of the clients who were at risk of diabetes and provided an opportunity for participants to learn more about the prevention of diabetes.