1例胰岛素过敏合并胰岛素自身抗体阳性的暴发性1型糖尿病患者的药学监护

Pharmaceutical care for a case of fulminant type 1 diabetes with insulin allergy and positive insulin autoantibodies

目的探讨1例胰岛素过敏合并胰岛素自身抗体阳性的暴发性1型糖尿病患者的用药调整与实施药学监护的方案。方法临床药师参与整个治疗过程,查阅相关文献,根据患者血糖波动特点提出相应建议。结果医师和患者认可临床药师的建议与药学监护,患者血糖控制平稳。结论临床药师运用药学知识,协助医师共同制定治疗方案,对患者进行药学监护,保障了患者合理用药安全。

Objective To investigate the importance of medication adjustment and pharmaceutical care for a case of fulminant type 1 diabetes with insulin allergy and positive insulin autoantibodies.Methods Clinical pharmacists participated in the whole process of treatment,reviewed the related literature and offered recommendations according to the fluctuations of the patient’s blood glucose.Results The physicians and patient took the advice of the clinical pharmacists.The blood glucose of the patient was brought under control.Conclusion By using the intimate knowledge of pharmacy,clinical pharmacists can assist physicians in establishing the therapeutic regimen and performing pharmaceutical monitoring of the patient,which can help ensure rational drug use.