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Randomised control trial
Compared to standard physician care for diabetes, nurse specialists provide similar care in terms of quality of life
  1. Michelle L Litchman
  1. College of Nursing, University of Utah, Salt Lake City, Utah, USA
  1. Correspondence to : Michelle L Litchman
    College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT 84112, USA; michelle.litchman{at}

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Implications for practice and research

  • Care provided by diabetes nurse specialists to uncomplicated patients with diabetes was not inferior to physician care, in terms of patient quality of life and expenditures.

  • Care patterns were not equal between study groups; diabetes nurse specialists followed a preset protocol and had referral limitations.


Diabetes is economically burdensome worldwide. Treating diabetes and preventing its complications cost at least US$465 billion in 2011, translating to 11% of total healthcare expenditures in adults.1 Despite the overwhelming costs of diabetes, overall care remains undesirable. Programmes demonstrating reduction in diabetes-related healthcare costs, while resulting in positive outcomes, will be important to replicate. …

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  • Competing interests None.