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  • Insulin adjustment by a diabetes nurse educator improved glucose control in patients with poorly controlled, “insulin requiring” diabetes

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Insulin adjustment by a diabetes nurse educator improved glucose control in patients with poorly controlled, “insulin requiring” diabetes

https://doi.org/10.1136/ebn.3.2.51

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    Thompson DM, Kozak SE, Sheps S.Insulin adjustment by a diabetes nurse educator improves glucose control in insulin-requiring diabetic patients: a randomized trial.CMAJ1999 Oct 19;161:959–62OpenUrlAbstract/FREE Full Text

    QUESTION: Does regular telephone advice by a diabetes nurse educator for insulin adjustment improve glucose control in patients with poorly controlled, “insulin requiring” diabetes?

    Design

    Randomised (allocation concealed), blinded (outcome assessor), controlled trial with 6 months of follow up.

    Setting

    Hospital diabetes clinic in Vancouver, British Columbia, Canada.

    Patients

    46 patients with diabetes (mean age 49 y, 52% women) who had a glycated haemoglobin (HbA1c) levels ≥8.5%, were on insulin therapy, had received standard diabetes education, were able to monitor blood glucose levels at home, and were receiving care by an endocrinologist. Exclusion criteria were inability to have regular telephone communication, …

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    Footnotes

    • Source of funding: Eli Lilly and Co.

    • For correspondence: Dr DM Thompson, Division of Endocrinology, University of British Columbia, 380-575 W 8th Avenue, Vancouver, BC V5Z 1C6, Canada. Fax +1 604 875 5925.