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“Many patients, and healthcare providers for that matter, may not appreciate or understand how to effectively manage medicines when dietary carbohydrates are reduced,” says Jonathan Little, associate professor of health and exercise sciences at University of British Columbia and lead researcher of an ongoing study into a pharmacist-led intervention in T2DM.
“Pharmacists do understand. They recognise the speed at which medicines need to be adjusted as people reduce their consumption of carbohydrates,” he adds.
Campbell Murdoch, a GP in south-west England and medical officer for www.diabetes.co.uk takes the same view.
“Some people will greatly benefit from intensive coaching to support this lifestyle change and GPs may not have time or be unable to do this alone,” he says. “A team approach is needed. Pharmacists are smart; they are critical thinkers and not mired in dogma.”