Evid Based Nurs doi:10.1136/ebnurs-2011-100264
  • 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}

Commentary on:

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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