An intensive nurse-led, multi-interventional clinic is more successful in achieving vascular risk reduction targets than standard diabetes care.
AffiliationAcademic Department of Diabetes and Endocrinology, Beaumont Hospital/RCSI Medical School, Beaumont Road, Dublin 9, Ireland. email@example.com
Diabetes Mellitus, Type 2
Health Status Indicators
Hemoglobin A, Glycosylated
Risk Reduction Behavior
MetadataShow full item record
CitationAn intensive nurse-led, multi-interventional clinic is more successful in achieving vascular risk reduction targets than standard diabetes care. 2009, 178 (2):179-86 Ir J Med Sci
JournalIrish journal of medical science
AbstractThe aim of this research was to determine whether an intensive, nurse-led clinic could achieve recommended vascular risk reduction targets in patients with type 2 diabetes as compared to standard diabetes management.
Two hundred patients with type 2 diabetes were recruited to receive either intensive nurse-led or standard diabetes care in a 1-year open study.
In each group 94 patients completed the study. The groups were matched for age and baseline HbA1c, blood pressure and lipid profiles. More patients in the intensive group achieved vascular risk targets than in the standard group: SBP (<130 mmHg) 33 versus 12.1%, (P < 0.001); DBP (<80 mmHg) 75.5 versus 40.2%, (P < 0.001); cholesterol (<4.8 mmol/L) 84.8 versus 63.6% (P = 0.003); LDL (<2.6 mmol/L) 73.4 versus 54.5% (P = 0.007); HbA1c (<6.5%) 53.2 versus 32.9% (P = 0.005).
An intensive nurse-led clinic is more successful in achieving vascular risk targets than standard diabetes care.
- Successful cardiovascular risk reduction in Type 2 diabetes by nurse-led care using an open clinical algorithm.
- Authors: Woodward A, Wallymahmed M, Wilding J, Gill G
- Issue date: 2006 Jul
- Nurse-led cardiovascular risk factor intervention leads to improvements in cardiovascular risk targets and glycaemic control in people with Type 1 diabetes when compared with routine diabetes clinic attendance.
- Authors: Wallymahmed ME, Morgan C, Gill GV, Macfarlane IA
- Issue date: 2011 Mar
- Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the Adult Diabetes Control and Management.
- Authors: Sazlina SG, Mastura I, Ahmad Z, Cheong AT, Adam BM, Jamaiyah H, Lee PY, Syed-Alwi SA, Chew BH, Sriwahyu T
- Issue date: 2014 Jan
- Randomised controlled trial of intensive multifactorial treatment for cardiovascular risk in patients with screen-detected type 2 diabetes: 1-year data from the ADDITION Netherlands study.
- Authors: Janssen PG, Gorter KJ, Stolk RP, Rutten GE
- Issue date: 2009 Jan
- Model of care for the management of complex Type 2 diabetes managed in the community by primary care physicians with specialist support: an open controlled trial.
- Authors: Russell AW, Baxter KA, Askew DA, Tsai J, Ware RS, Jackson CL
- Issue date: 2013 Sep