Medication Therapy Management in a Patient with Diabetes Complicated with Abnormal Blood Pressure Fluctuation
10.3870/j.issn.1004-0781.2025.09.020
- VernacularTitle:糖尿病合并异常血压波动患者的药物治疗管理
- Author:
Jigang SI
1
;
Ping LIU
;
Hongbin LIU
;
Ying ZAN
;
Yue DU
Author Information
1. 淄博市中心医院药学部,淄博 255036
- Publication Type:Journal Article
- Keywords:
Medication therapy management;
Diabetes;
Abnormal blood pressure fluctuation
- From:
Herald of Medicine
2025;44(9):1504-1508
- CountryChina
- Language:Chinese
-
Abstract:
Objective To provide a reference for medication therapy management(MTM)of diabetic patients complicated with abnormal blood pressure fluctuation.Methods A 71-year-old female diabetic patient with combined hypertension and abnormal blood pressure fluctuations was referred by the doctor to the pharmacy clinic.The pharmacists provided MTM services through pharmacy inquiry,medication evaluation,medication reconciliation,drug use education,and pharmacy follow-up.They reconciliated the medication regimen based on plasma glucose levels and dynamic blood pressure rhythms.Results Through twelve times MTM services for fourteen weeks,the atherosclerotic cardiovascular disease(ASCVD)risk factors,including morning peak blood pressure,fasting plasma glucose(FPG),plasma glucose two hours post breakfast(P2h PG)and glycosylated hemoglobin(HbA1c),reduced from 163/115 mmHg,7.54 mmol·L-1,12.87 mmol·L-1 and 7.2%before MTM to 137/84 mmHg,6.42 mmol·L-1,8.79 mmol·L-1 and 6.4%after MTM services,and the trough blood pressure post breakfast raised from 86/64mmHg to 115/76 mmHg.The patient's plasma glucose and blood pressure were effectively managed and controlled,and the abnormal non-spoon-shaped hypertension rhythm changed to the normal spoon-shaped diurnal blood pressure rhythm,and the patient's dizziness symptoms disappeared after breakfast.Conclusion The hospital develops pharmacy clinics,where pharmacists provide MTM services for patients with chronic diseases such as hypertension and diabetes,promote clinical rational drug use,and improve the level of patient health management.
