Clinical Case Analysis of Clinical Pharmacists Participating in the Treatment of an Elderly Patient with Type B Insulin Resistance Syndrome
10.3969/j.issn.1008-049X.2018.03.024
- VernacularTitle:临床药师参与老年B型胰岛素抵抗综合征患者的药物治疗1例
- Author:
Ying YU
1
;
Yijun WANG
Author Information
1. 南京医科大学第二附属医院药学部 南京210011
- Keywords:
Type B insulin resistance syndrome;
Immunoregulation;
Insulin;
Pharmaceutical care
- From:
China Pharmacist
2018;21(3):463-465
- CountryChina
- Language:Chinese
-
Abstract:
Type B insulin resistance syndrome (TBIRS) is known as a rare autoimmune disease which usually presents with con-tinuous hyperglycemia under large amount of insulin. This article described and analyzed the medical treatment of an elderly patient with TBIRS participated by clinical pharmacists. In the whole process of treatment,clinical pharmacists helped physicians establish an individual treatment scheme according to the patient's basic situation,characteristics of blood glucose,pathophysiology and concomitant diseases. On the basis of proper anti-hyperglycemic scheme,clinical pharmacists suggested that the patient be treated with glucocorti-coids and immunoregulators,and then thorough pharmaceutical care was provided for the patient. Finally, the patient's insulin dose decreased and blood glucose was better than that before the admission,which indicated the effect of medical treatment and the value of clinical pharmacists.
