BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTS
Diabetes mellitus (DM) is a leading caused morbidity in geriatric patients. The prevalence of type-2 DM is more than 90% of DM population and increase with age, and half of those patients were geriatric. Blood glucose (BG) control is important for prevention diabetes complications, but attention...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Universitas Gadjah Mada
2014-04-01
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| Series: | Indonesian Journal of Pharmacy |
| Subjects: | |
| Online Access: | http://indonesianjpharm.farmasi.ugm.ac.id/index.php/3/article/view/261 |
| _version_ | 1819105327438626816 |
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| author | Budi Suprapti Nony Vilaningtyas Wenny Putri Nilamsari Jusri Ichwani |
| author_facet | Budi Suprapti Nony Vilaningtyas Wenny Putri Nilamsari Jusri Ichwani |
| author_sort | Budi Suprapti |
| collection | DOAJ |
| description | Diabetes mellitus (DM) is a leading caused morbidity in
geriatric patients. The prevalence of type-2 DM is more than 90%
of DM population and increase with age, and half of those patients
were geriatric. Blood glucose (BG) control is important for
prevention diabetes complications, but attention must be given in
geriatric patients due to the increasing susceptibility to risk of
hypoglycemia. The aimed of this study was to identify BG
achievement in diabetic geriatric patients and its therapeutic
management. This study was done in Outpatient Geriatric Clinic,
Dr. Soetomo General Hospital Surabaya Indonesia in the period of
March to June, 2012. The inclusion criteria were type-2 diabetic
geriatric patients with/without diabetic complication that received
antidiabetic therapy and had BG data. The results from 165
patients showed that BG target achieved by 53% patients, 41%
patients not achieved the target, while 6% patients in risk of
hypoglycemia. Management therapy for patients with achieved BG
target was done by (1) continued therapy as before, (2)
increasing dosage regimen for patients with BG already in the
target but still within the upper limit target or decrease dosage
regimen for patients with BG in lower limit target to avoid
hypoglycemia, (3) change type of medication for patients who
experienced side effects. Meanwhile, from all patients that failed
to achieve BG target there were some patients received additional
medications and regimen changes, but the rest of those didn’t
receive any additional medication or regimen changes, which were
many of them eventually became one of the drug-related
problems in this patient group. In conclusion, there were still quite
large number patients that did not achieve BG target, therapy
management changes were made based on BG profile and there
were drug related problems related to dosage regimen that needs
pharmaceutical care intervention |
| first_indexed | 2024-12-22T02:20:29Z |
| format | Article |
| id | doaj.art-2e298c6c467d4aabbe8ce77762166bc1 |
| institution | Directory Open Access Journal |
| issn | 2338-9427 2338-9486 |
| language | English |
| last_indexed | 2024-12-22T02:20:29Z |
| publishDate | 2014-04-01 |
| publisher | Universitas Gadjah Mada |
| record_format | Article |
| series | Indonesian Journal of Pharmacy |
| spelling | doaj.art-2e298c6c467d4aabbe8ce77762166bc12022-12-21T18:42:08ZengUniversitas Gadjah MadaIndonesian Journal of Pharmacy2338-94272338-94862014-04-012529810410.14499/indonesianjpharm25iss2pp98BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTSBudi Suprapti0Nony Vilaningtyas1Wenny Putri Nilamsari2Jusri Ichwani3Department of Clinical Pharmacy, Faculty of Pharmacy, Airlangga University Surabaya, Jl. Dharmawangsa dalam, Surabaya 60286Department of Clinical Pharmacy, Faculty of Pharmacy, Airlangga University Surabaya, Jl. Dharmawangsa dalam, Surabaya 60286Department of Clinical Pharmacy, Faculty of Pharmacy, Airlangga University Surabaya, Jl. Dharmawangsa dalam, Surabaya 60286Department of Clinical Pharmacy, Faculty of Pharmacy, Airlangga University Surabaya, Jl. Dharmawangsa dalam, Surabaya 60286Diabetes mellitus (DM) is a leading caused morbidity in geriatric patients. The prevalence of type-2 DM is more than 90% of DM population and increase with age, and half of those patients were geriatric. Blood glucose (BG) control is important for prevention diabetes complications, but attention must be given in geriatric patients due to the increasing susceptibility to risk of hypoglycemia. The aimed of this study was to identify BG achievement in diabetic geriatric patients and its therapeutic management. This study was done in Outpatient Geriatric Clinic, Dr. Soetomo General Hospital Surabaya Indonesia in the period of March to June, 2012. The inclusion criteria were type-2 diabetic geriatric patients with/without diabetic complication that received antidiabetic therapy and had BG data. The results from 165 patients showed that BG target achieved by 53% patients, 41% patients not achieved the target, while 6% patients in risk of hypoglycemia. Management therapy for patients with achieved BG target was done by (1) continued therapy as before, (2) increasing dosage regimen for patients with BG already in the target but still within the upper limit target or decrease dosage regimen for patients with BG in lower limit target to avoid hypoglycemia, (3) change type of medication for patients who experienced side effects. Meanwhile, from all patients that failed to achieve BG target there were some patients received additional medications and regimen changes, but the rest of those didn’t receive any additional medication or regimen changes, which were many of them eventually became one of the drug-related problems in this patient group. In conclusion, there were still quite large number patients that did not achieve BG target, therapy management changes were made based on BG profile and there were drug related problems related to dosage regimen that needs pharmaceutical care interventionhttp://indonesianjpharm.farmasi.ugm.ac.id/index.php/3/article/view/261antidiabeticregimenblood glucose achievementgeriatric |
| spellingShingle | Budi Suprapti Nony Vilaningtyas Wenny Putri Nilamsari Jusri Ichwani BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTS Indonesian Journal of Pharmacy antidiabetic regimen blood glucose achievement geriatric |
| title | BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTS |
| title_full | BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTS |
| title_fullStr | BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTS |
| title_full_unstemmed | BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTS |
| title_short | BLOOD GLUCOSE TARGET ACHIEVEMENT AND ANTIDIABETES REGIMEN IN TYPE-2 DIABETIC GERIATRIC PATIENTS |
| title_sort | blood glucose target achievement and antidiabetes regimen in type 2 diabetic geriatric patients |
| topic | antidiabetic regimen blood glucose achievement geriatric |
| url | http://indonesianjpharm.farmasi.ugm.ac.id/index.php/3/article/view/261 |
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