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Nurse-led diabetes management leads to better outcomes, finds study


This article is misleading in both its headline and detail. This trial does not lead to improved outcomes. It couldn't in such a short space of time. The actual authors are more modest in their conclusions: " The Stepping Up model of care was associated with increased insulin initiation rates in primary care, and improvements in glycated haemoglobin without worsening emotional wellbeing." Whilst long term glycaemic control does influence microvascular outcomes, this trial does not demonstrate long term better glycaemic control. I suppose the more important misleading impression of this article is that diabetes control equates to glycaemic control. It does not. BP lifestyle and statin treatment are at least as important. All that said, trained nurse insulin initiation and monitoring is undoubtedly the right thing for most people with type2 diabetes.

Posted date

14 Mar 2017

Posted time