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Hypertension, Diabetes, Lipids Clinic (HDL-C)

Diabetes is one of the top ten causes of death in Singapore and one of the four most common conditions for polyclinic attendances. It is a chronic disease and if not managed well, can deteriorate steadily to cause complications such as blindness, nerve damage, kidney failure, heart disease and limb amputation. Studies show that about half the number of patients already have diabetes-related complications at the time of diagnosis.

The Hypertension, Diabetes, Lipids Clinic (HDL-C) is the first pharmacist-led chronic disease management clinic in Singapore. It was established in October 2007 and is now fully-functioning in six polyclinics (Bukit Batok, Choa Chu Kang, Clementi, Jurong, Toa Payoh and Woodlands) with plans for expansion.

With diabetes, hypertension, stroke and lipid disorders affecting one million Singaporeans, the clinic targets the top chronic conditions in Singapore. The HDL-C pharmacists work in collaboration with doctors, nurses and other allied health professionals to combat the growing burden of chronic disease. Clinic pharmacists provide care for patients with diabetes, hypertension and dyslipidemia based on referrals made by doctors from the National Healthcare Group (NHG) Polyclinic.

At pharmacist-managed clinical services, the HDL-C pharmacists aim to achieve drug optimization for all patients through a series of clinical activities described by the acronym CARE PILLS:

C
A
R
E

loser monitoring
dherence empowerment
esistance reduction in drug therapy
mpowerment of patient's own drug therapy


P
I
L

L

S

olypharmacy minimization 
nsulin titration
ack of drug-related knowledge -
addressed with individual needs
ack of drug-administering technique -
addressed with a focus on reinforcement
witching of drugs - from one type of medication/insulin to another


Through one-on-one consultation, HDL-C pharmacists strive to continue achieving positive clinical outcomes and adding value to patient care.

Patients who fulfill the following criteria may be referred to the HDL Clinic by the doctor at the polyclinic, to manage their conditions:

Condition Parameter Value
Diabetes HbA1c (%) ≥ 8
with or without
Hypertension BP (mmHg) > 130/80
Dyslipidemia LDL (mmol/L) > 2.6
Dyslipidemia TG (mmol/L) > 2.3

For more information on the HDL-C and its services, please call 6355 3000 or email feedback@pharmacy.nhg.com.sg.

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