Prescribing pattern

Diabetes mellitus is a chronic disorder emerging as a major health problem which increases the rate of morbidity and mortality.  The study was a prospective, cross sectional, observational study conducted on both inpatients and outpatients of a tertiary hospital in Bangalore, who were diagnosed with type 2 Diabetes mellitus after obtaining the approval from the institutional review board. A suitable data collection form was designed to collect and document the data pertaining to sociodemographic details, treatment , including costs for patients with Diabetes mellitus. Diabetes mellitus was observed to be higher in patients in the age group of 45-64 years, affecting (61%) males and (48.02%) females. We observed that 44 (14.66%) patients were treated with insulin+oral hypoglycemic agents, 159 (53%) were treated with only Insulin while 97(32.66%) patients were prescribed only oral hypoglycemic agents. In our study average number of drugs per prescription was found to be 5.54 ±1.59, and average number of antidiabetic drugs was found to be 1.14±0.59. The mean prescription cost of inpatients for 5 days was found to be 679.24INR for diabetic drugs. For outpatients the mean prescription cost of antidiabetic drugs for 5 days was 98.73INR for antidiabetic drugs. This study has provided baseline data regarding the prescribing pattern in diabetes patients. The use of drugs on the essential medicine list to reduce the cost of treatment and to improve compliance of the patients must be encouraged.

Management of Diabetes mellitus type 2 with hypertension is very complex process as it is very difficult to find which therapy gives better action in diabetic and hypertensive patients  The patients with Diabetes Mellitus and Hypertension were identified and they are enrolled based on inclusion and exclusion criteria. Data was collected through standard data documentation form. A prospective study was carried out and cost effective analysis of those drugs was done. The scores obtained are evaluated & analyzed using statistical tools and Microsoft Excel software This study has shown that oral hypoglycemic drugs which are cheap i.e.  Is 1.0 rs, per day, per week it costs 7rs, per fifteen days it costs 15 rs, per month it costs 30.5 rs and per year it costs 365 rs. for diabetes and  for hypertension  Beta blockers were low priced  10.17 rs per day ,per week  it costs 71.19rs, per fifteen days it costs 152.55rs,  per month it is 315.27 rs,  per  year   it is  3712 rs, categorized  medication and at the same time it gives better therapeutic action in terms of  treatment  outcomes. Over all study has shown that combination therapy will attribute to the better treatment outcomes. Use of generic drugs should be encouraged than prescribing brand drugs because of same therapeutic out come and it cause more economic burden to patient and more complications. There is a need of educating patients to motivate them in order to make them realize the risk involved if untreated.