Medication Regimen Complexity and Glycemic Control in Patients With Diabetes

Kasr El Aini Hospital

Status

Completed

Conditions

Diabetes Mellitus

Treatments

Other: Medications review

Study type

Interventional

Funder types

Other

Identifiers

NCT03324971

KA-13071

Details and patient eligibility

About

Polypharmacy is an alarming health issue that is defined as prescription of multiple medications, of which some are redundant or unnecessary. Due to comorbidities, diabetic patients are often prescribed multiple medications. Over prescribing occurs either due to, prescribing medications that are not indicated, continuation of certain medications beyond the time of indication, or prescribing more than one medication with the same effect. Improving glycaemic control is the cornerstone for the prevention and treatment of the diabetic complications.

Full description

Hypothesis In addition to the side effects and cost of the unnecessary medications, the investigators hypothesis is that poly-pharmacy will adversely affect patients' compliance with the necessary medications.The investigators propose that elimination of unnecessary medications might improve patients' compliance and consequently improve glycemic control diabetic patients.

Enrollment

78 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

All diabetic patients who are eligible by fulfilling all of the following criteria:

HGBA1c ≥7 mg/dl.
1. Poly-pharmacy: defined as the use of five or more medications.
Non- compliance: patients were surveyed with both direct and indirect methods to identify non adherence.

Exclusion criteria

Exclusion after recruitment Any patient whose diabetic medications regimen changed after recruitment due to hospitalisation, illness, stress or patients preference, will be excluded.