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Evid Based Nurs doi:10.1136/ebn1145
  • Health promotion
  • Randomised controlled trial

In individuals with poorly controlled diabetes, a reciprocal peer support programme gives greater 6-month improvement in HbA1c than does nurse care management

  1. Mary Carolan
  1. School of Nursing and Midwifery, Victoria University, Melbourne, Victoria, Australia
  1. Correspondence to: Mary Carolan
    School of Nursing and Midwifery, Victoria University, PO Box 14428, Melbourne, McKechnie Street, St Albans Vic 3021, VIC 8001, Australia; mary.carolan{at}vu.edu.au

Commentary on:

Type 2 diabetes is a growing epidemic in developed countries, such as the USA, UK and Australia.1,,3 It is significantly associated with early morbidity such as cardiovascular disease and nephropathy4 and with excess health expenditure.5 When type 2 diabetes is well managed, however, risks are greatly reduced.6 This study explored the utility of a matched peer support programme to improve diabetes outcomes among US veterans.

In this randomised controlled trial (n=244), inclusion criteria were based on the following: (1) diagnosis of diabetes and (2) HbA1c levels >7.5% in the previous 6 months. Participants were accessed via …

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