Practice nurses can improve blood glucose control in diabetes

Transferring care of diabetes patients from GPs to practice nurses can improve blood glucose control, a Dutch study has suggested.

Nurses can be better in improving blood glucose control  in diabetes patients
Nurses can be better in improving blood glucose control in diabetes patients

Researchers from the University Medical Centre, in Utrecht, examined outcomes in 397 patients whose diabetes care was transferred from a GP to a practice nurse.

The patients were treated at one of five general practices in the Netherlands.

The researchers found that patients' mean HbA1c levels fell from 6.8% to 6.5%. In addition, mean LDL cholesterol levels fell from 3.2mmol/L to 2.7mmol/L and the mean ratio of total cholesterol to high-density lipoprotein cholesterol fell from 4.5 to 3.7.

Nurses were also more likely than GPs to take measurements of HbA1c, systolic blood pressure and lipid levels and to assess overall health and foot health annually.

The researchers suggest that transferring care to nurses may mean patients are given more time for individualised treatment.

‘Delegating diabetes care from a GP to a practice nurse might be a solution to deliver high-quality diabetes care in an era in which this care becomes more complex and time consuming,' they said.

‘The implementation of the activities of a practice nurse is relatively easy, with the use of written protocols and regular consultations between practice nurse and GP.'

Primary Care Diabetes 2009;3:165-171

  • For the full version of this story read next week's Independent Nurse dated 2 November




Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

£20 notes spread out

VAT trap for PCNs could strip millions of pounds from general practice

Tens of millions of pounds could be stripped from general practice because work carried...

Talking General Practice logo

Podcast: Is the BMA representing GPs effectively, why GPs face a pension tax hit, and views on the workload crisis

In our regular news review the team discusses representation of GPs, a new survey...

Man sleeping

NICE guidance on insomnia backs app to replace sleeping pills

Hundreds of thousands of people with insomnia could be offered treatment via a mobile...

Health worker prepares a dose of COVID-19 vaccine

JCVI backs autumn COVID-19 booster campaign for high-risk adults and NHS staff

Frontline health and social care staff and adults at increased risk of severe illness...

GP consultation

Government accused of 'misleading' claims on general practice workforce

GP leaders have accused the government of making misleading claims about the general...

Consulting room door

LMC calls for enhanced access to be scrapped after abuse forces practice to close reception

A Midlands LMC has backed a practice forced to close its reception desk after abuse...