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Primary health care
Randomised controlled trial
Nurse case management with a therapeutic algorithm for people living with diabetes, hypertension and raised LDL cholesterol: after 1 year 22% of those receiving the intervention have all three parameters under control versus 10% of those receiving usual care
  1. Susan J Appel
  1. Capstone College of Nursing, University of Alabama, Tuscaloosa, Alabama, USA
  1. Correspondence to Susan J Appel
    Capstone College of Nursing, University of Alabama, PO Box 870358, Tuscaloosa, AL 35487-0358, USA; sappel{at}ua.edu

http://dx.doi.org/10.1136/ebnurs-2011-100264

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Commentary on: Ishani A, Greer N, Taylor BC, et al. Effect of nurse case management compared with usual care on controlling cardiovascular risk factors in patients with diabetes: a randomized controlled trial. Diabetes Care 2011;34:1689–94.OpenUrlAbstract/FREE Full Text

Implications for practice and research

  • ■ Nurse case managers can improve simultaneous control of hypertension, hyperglycaemia and hyperlipidaemia among patients living with Type 2 diabetes with the use of an algorithm guiding changes in medications versus usual care.

  • ■ Frequent patient contact with nurse case managers can lead to improved lifestyle modifications and intensified medication regimes which reduce cardiometabolic risk.

  • ■ Clinical inertia by primary care providers is an issue when managing diabetes as well as other chronic illnesses.

  • ■ The use of algorithms and/or protocols by nurse …

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