Evid Based Nurs 16:89-90 doi:10.1136/eb-2012-100954
  • Primary healthcare
  • Systematic review and meta-analysis

Quality improvement strategies for diabetes management decrease HbA1c, cholesterol and blood pressure, and increase screening for disease complications

  1. Kelley Newlin Lew
  1. School of Nursing, University of Connecticut, Storrs, Connecticut, USA
  1. Correspondence to : Dr Kelley Newlin Lew
    School of Nursing, University of Connecticut, Nursing, 231 Glenbrook Road Storrs, CT 06269–4026, USA; kelley.newlin_lew{at}

Commentary on:

Implications for practice and research

  • Quality-improvement (QI) strategies improved glycated haemoglobin (HbA1c), low-density lipoprotein (LDL-C), cholesterol (TChol) and blood pressure (BP) levels and increased aspirin and antihypertensive drug use in addition to retinopathy, renal and foot screening compared with usual care.

  • Further research is needed to identify which diabetes interventions, in combination with QI strategies, improve patient outcomes at an acceptable cost to aid health system planning.


Evidence indicates that patients with diabetes mellitus (DM) may achieve improved physiological outcome with preventative and therapeutic interventions. Given the complexities of DM management, such interventions often require coordinated services of primary care physicians, allied health professionals and subspecialists to effectively assist patients with achievement of improved outcomes. Yet, many patients with DM fail to receive such interventions. …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article