Patient selection tips
Although the service may be offered to any patient who meets the eligibility criteria, it will be important to identify patients who may benefit most from the service.
Children (<18 years old) and patients with current gestational diabetes are excluded – signpost these patients back to secondary care
Example Adult patients with type 2 diabetes Why a review may be beneficial
These patients are likely to have the greatest medicine management needs that the pharmacist will be able to address during the MUR
A patient with newly or recently diagnosed diabetes
This could be a good opportunity to engage the patient at an early stage, providing a good foundation of education. It is also an opportunity to signpost the patient to key educational resources e.g. the Diabetes UK online training
A patient reporting side-effects with medicines
These patients should be supported with appropriate information and advice. This may, for some patients, negate the need to move to more complex medication regimens.
A patient prescribed a new medicine for their diabetes or related co-morbidity (e.g. statin, antihypertensive)
The patient may benefit from a review to ensure optimal adherence with, and therapeutic benefit from, the new medicine.
A patient with diabetes who has frequent hypoglycaemic episodes
The patient may benefit from a review of the causes of hypoglycaemia – can
be caused by medication, lifestyle or a complication of their diabetes
A patient whose diabetic control causes concern
The patient may benefit from an
assessment of their understanding of how to manage their diabetes.
Top Tips for preparing your Diabetes MUR • Take the phone number of the patient, or alternatively an email address
• Give them an appointment card with the time and date of their appointment
• Remind them to bring in all their medication and monitoring equipment when they come in for the review
• Call patients the day before the review to remind them of their appointment. Ask them to give notice if they have to cancel
• Ensure that you have the MUR paperwork, a means of photocopying for your records and safe storage for keeping your paperwork
• Before a scheduled MUR, complete as much patient information as possible and print a copy of the patient’s PMR
• Anticipate the questions a patient may ask you
• It is not possible to have the answer to every question you might face and your patients will not expect you to. However, make sure you are aware of the most common problems associated with a patient’s medication
• Gather together any relevant patient information sources, such as leaflets, useful contact addresses etc
• Allow yourself sufficient time and remember every MUR will be different • Consider using support staff to help recruit and prepare for the MUR.
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