2 weeks' worth of transfat in a single meal . Your diabetic educator will contact you to discuss the latest developments in diabetic care and to be sure you're familiar with how your nutrition & physical activity impacts your health & blood sugars. Your physical therapist will contact you to be make sure you're still exercising regularly using good technique.Your nutritionist will contact you to be sure you're eating in a healthy fashion (Mediterranean diet, right?) and avoiding
But what about your pharmacist? If you've read any of my Avvo and HealthTap posts, you know that I always include them as a resource when patients ask questions related to their medications. After all, pharmacists are the last defense between you and drug-drug (and drug-disease) interactions. Well, in a cluster randomized trial published in today's JAMA , the authors concluded that home blood pressure telemonitoring w/medication adjustment by pharmacists improves hypertensive control better than usual care.
The authors followed for up to 18 months 228 patients in clinics randomized to home blood pressure telemonitoring w/pharmacist management compared to 222 patients in clinics randomized to usual care (typically physician-managed based upon sporadic office blood pressure). While the participants only received pharmacist input for 12 months, their blood pressure control remained superior to usual care even at 6 months after intervention.
As I've said, if you haven't noticed, there's change in our future, despite some delays to our nation's healthcare act . There's a new sheriff in town who's instituting a new way of caring for you.
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