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Objective: Diabetes mellitus (DM) is a chronic metabolic disorder that can initiate organ damage inside the body if not treated appropriately. Apart from tight glycemic control, a suitable educational intervention is also needed from health-care providers to stop or decrease the progression of organ damage in diabetic patients. This study intended to measure the impact of pharmacist-led educational intervention on improvement in predictors of diabetic foot in two different hospitals in Malaysia. Materials and Methods: In two tertiary care selected hospitals, the included diabetic patients were randomly divided into two study arms. In the control group, 200 patients who were receiving usual treatment from hospitals were included. However, in the intervention group, those 200 patients who were receiving usual treatment along with counseling sessions from pharmacists under the Diabetes Medication Therapy Adherence Clinic (DMTAC) program were included. The study continued for 1 year, and there were four follow-up visits for both study arms. A prevalidated data collection form was used to measure the improvement in predictors of diabetic foot in included patients. Data were analyzed by using the Statistical Package for the Social Sciences (SPSS) software program, version 24.0. Results: With the average decrease of 1.97% of HbA1c values in the control group and 3.43% in the intervention group, the univariate and multivariate analysis showed a statistically significant difference between both of the study arms in the improvement of predictors belonging to the diabetic foot (P < 0.05). The proportion of patients without any signs and symptoms of the diabetic foot in the intervention group was 91.7%, which increased from 42.3% at baseline (P < 0.05). However, this proportion in the control group was 76.9% at the fourth follow-up, from 48.3% at baseline (P < 0.05). Conclusion: A statistically significant reduction in the signs and symptoms of diabetic foot was observed in the intervention group at the end of 1 year. The progression of diabetic foot was significantly decreased in the pharmacist intervention group. [ABSTRACT FROM AUTHOR]

Introduction: The management of type 2 diabetes mellitus requires extra care not only from health care providers but also from the patients. In the health care system of Malaysia, pharmacists are delivering these DMTAC departments in hospitals. Objectives: This study aimed to appraise the effect of pharmacist intervention in the form of DMTAC services on type 2 diabetes mellitus patients in two different hospitals of Malaysia. Materials and Methods: The patients were randomly selected and divided in to two groups. Control group contained those 200 patients who were receiving usual treatment from hospitals whereas intervention group contained those 200 patients who were receiving usual treatment from hospitals together with separate counselling sessions with pharmacists from DMTAC departments. The study continued for one year and 4 visits for both groups. Results: Paired t-test and one-way ANOVA was carried out by SPSS 24. At the end, intervention group patients revealed a greater reduction in HbA1c level as compared to the control group patients (-0.93% vs. -0.19%; p < 0.001). Significant reductions in FBS was also revealed in both groups on each follow-up visits (p < 0.031, 0.043, 0.012, 0.045). Statistical significant reduction was also observed in Systolic and Diastolic BP of the patients (p 0.019). Similarly, statistical significant reduction in cholesterol level was also observed in both groups (p < 0. Conclusion: At the end of the study, intervention group of patients belongs to pharmacist from DMTAC department shows significant improvement in outcomes of diabetes mellitus. [ABSTRACT FROM AUTHOR]