Irish Journal of Medical Science

, Volume 178, Issue 2, pp 179–186

An intensive nurse-led, multi-interventional clinic is more successful in achieving vascular risk reduction targets than standard diabetes care

  • J. MacMahon Tone
  • A. Agha
  • M. Sherlock
  • F. Finucane
  • W. Tormey
  • C. J. Thompson
Original Article

DOI: 10.1007/s11845-009-0316-6

Cite this article as:
MacMahon Tone, J., Agha, A., Sherlock, M. et al. Ir J Med Sci (2009) 178: 179. doi:10.1007/s11845-009-0316-6

Abstract

Background

The aim of this research was to determine whether an intensive, nurse-led clinic could achieve recommended vascular risk reduction targets in patients with type 2 diabetes as compared to standard diabetes management.

Method

Two hundred patients with type 2 diabetes were recruited to receive either intensive nurse-led or standard diabetes care in a 1-year open study.

Results

In each group 94 patients completed the study. The groups were matched for age and baseline HbA1c, blood pressure and lipid profiles. More patients in the intensive group achieved vascular risk targets than in the standard group: SBP (<130 mmHg) 33 versus 12.1%, (P < 0.001); DBP (<80 mmHg) 75.5 versus 40.2%, (P < 0.001); cholesterol (<4.8 mmol/L) 84.8 versus 63.6% (P = 0.003); LDL (<2.6 mmol/L) 73.4 versus 54.5% (P = 0.007); HbA1c (<6.5%) 53.2 versus 32.9% (P = 0.005).

Conclusion

An intensive nurse-led clinic is more successful in achieving vascular risk targets than standard diabetes care.

Keywords

Nurse-led Vascular risk reduction Type 2 diabetes 

Copyright information

© Royal Academy of Medicine in Ireland 2009

Authors and Affiliations

  • J. MacMahon Tone
    • 1
  • A. Agha
    • 1
  • M. Sherlock
    • 1
  • F. Finucane
    • 1
  • W. Tormey
    • 2
  • C. J. Thompson
    • 1
  1. 1.Academic Department of Diabetes and EndocrinologyBeaumont Hospital/RCSI Medical SchoolDublin 9Ireland
  2. 2.Department of Clinical ChemistryBeaumont Hospital/RCSI Medical SchoolDublin 9Ireland

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