González Villoria Marina, Jarque Fuertes Maria Jesús
Graduada en Farmacia. Máster en Evaluación y Diseño de Medicamentos. Universidad de Salamanca Universidad de Salamanca España.
Centro de Información del Medicamento del Colegio Oficial de Farmacéuticos de Valladolid, España. Colegio Oficial de Farmacéuticos de Valladolid España.
Farm Comunitarios. 2023 Mar 17;15(2):12-19. doi: 10.33620/FC.2173-9218.(2023).11. eCollection 2023 Apr 14.
The complications that DM2 can develop, and the undiagnosed population (6%) highlight the importance of screening at the population level. The aim of this work is to evaluate and verify whether the professional activity performed in pharmacies is a good point to detect patients with undiagnosed type 2 diabetes mellitus and to refer them for a possible diagnosis. Moreover, to evaluate the environmental impact of the actions.
Findrisc questionnaire for patients who met the inclusion criteria and agreed to participate in the study. Basal capillary blood glucose measurement if the result was ≥15 points and referral to a physician if blood glucose was ≥110mg/dL.
44 pharmacies participated. The sample included 434 users; those with high or very high risk (Findrisc ≥15) underwent capillary basal glycemia, with a mean result of 124.51 mg/dL (SD=33.6). Out of the 89 patients referred to the physician (20.5%), the patients diagnosed with diabetes type 2 accounted for 3% of the analyzed sample.
The number of newly diagnosed patients (3%) reflects that the community pharmacy is a good place for diabetes detection. In addition, the study reveals pharmacists' usefulness in their role as a health educator, since they provide guidance on healthy lifestyle habits to those patients not subject to physician referral. Furthermore, closer collaborations between physicians and pharmacists would be necessary in diabetes screening, since the return of information was low; although we can observe that in rural areas, where the relationship is close, the return rate was 85.2%.
2型糖尿病（DM2）可能出现的并发症以及未被诊断出的人群（6%）凸显了在人群层面进行筛查的重要性。这项工作的目的是评估并验证在药房开展的专业活动是否是检测未被诊断出的2型糖尿病患者并将他们转诊以便进行可能诊断的良好切入点。此外，还要评估这些行动对环境的影响。
对符合纳入标准并同意参与研究的患者使用芬兰糖尿病风险评分（Findrisc）问卷。如果结果≥15分则测量基础毛细血管血糖，若血糖≥110mg/dL则转诊至医生处。
44家药房参与其中。样本包括434名使用者；那些高风险或极高风险（Findrisc≥15）的人接受了基础毛细血管血糖检测，平均结果为124.51mg/dL（标准差=33.6）。在转诊至医生处的89名患者中（20.5%），被诊断为2型糖尿病的患者占分析样本的3%。
新诊断出的患者数量（3%）表明社区药房是检测糖尿病的良好场所。此外，该研究揭示了药剂师作为健康教育者角色的有用性，因为他们为那些未被转诊至医生处的患者提供健康生活方式习惯方面的指导。此外，在糖尿病筛查中医生和药剂师之间需要更紧密的合作，因为信息反馈率较低；尽管我们可以观察到在关系紧密的农村地区，反馈率为85.2%。
