Improved glycaemic control--an unintended benefit of a nurse-led cardiovascular risk reduction clinic

A Woodward, M Wallymahmed, J Wilding, G Gill

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

AIMS: One hundred and ten patients with Type 2 diabetes were referred into a nurse-led cardiovascular risk reduction clinic. The primary aim of the clinic was to optimize blood pressure (BP) control and address cardiovascular risk factors.

METHODS: Those attending outpatient clinics were referred into a nurse-led cardiovascular risk reduction clinic if BP was above 140/85 mmHg. There was no intervention strategy designed in the nurse clinic protocol to improve glycaemic control.

RESULTS: Following attendance at the clinic, there was a significant improvement in HbA1c noted when patients were reviewed 9 months later. HbA1c improved from 8.7 +/- 1.6 to 8.1% +/- 1.6% (P < 0.001) in the whole cohort. Further analysis showed that, after excluding those who had received intervention to improve glycaemic control from another source, during the same period there remained a significant improvement in the non-intervention group of patients.

CONCLUSION: Frequent regular contact and health education in a nurse-led clinic to reduce cardiovascular risk may improve HbA1c in the absence of any specific intervention to improve glycaemic control.

Original languageEnglish
Pages (from-to)1272-4
Number of pages3
JournalDiabetic Medicine
Volume22
Issue number9
Early online date15 Aug 2005
DOIs
Publication statusPublished - Sep 2005

Keywords

  • Administration, Oral
  • Blood Glucose/analysis
  • Blood Pressure/physiology
  • Body Mass Index
  • Cardiovascular Diseases/prevention & control
  • Cohort Studies
  • Diabetes Mellitus, Type 2/blood
  • Diabetic Angiopathies/prevention & control
  • Female
  • Glycated Hemoglobin A/analysis
  • Humans
  • Hypoglycemic Agents/administration & dosage
  • Insulin/administration & dosage
  • Male
  • Middle Aged
  • Nursing Care/methods
  • Risk Factors

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