Getting the job done: the diabetes nurse specialist

Moshang, Joan

doi:10.1111/j.1742-1241.2007.01430.x

Cited by 4 publications

(6 citation statements)

References 3 publications

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“…Recent studies have demonstrated that in public health and university centres, nurses that follow treatment algorithms can produce significantly better Data were n (%) or mean ± SD. diabetes outcomes than those can be achieved with physician-directed care (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), even if the physicians are endocrinologists themselves (32). But unfortunately, diabetes care programmes run by health workers without the physical presence of a physician might not be psychologically acceptable to the diabetic patients who choose to seek care in private diabetes or endocrinology clinics or offices.…”

Section: Discussionmentioning

confidence: 99%

“…We therefore redesigned the delivery of diabetes care and applied it to diabetic patients attending a private endocrinology clinic for a period of 12 months. The new model was a nurse-assisted diabetes care (NADC) instead of a nurse-managed care programme (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). In this model, in terms of task distribution among team members, the pretrained nurse functioned in a complementary capacity.…”

Section: What's Newmentioning

confidence: 99%

“…In community and public health centres, especially trained nurses who follow detailed protocols and algorithms under the supervision of a diabetologist can markedly improve diabetes outcomes (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31). The feasibility of a similar care and its possible impact on financial outcomes of private diabetes clinics or offices as well as the duration of patient's visit in such setting have not been studied and so far remains unknown.…”

Section: Introductionmentioning

confidence: 99%

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The impact of an assisted diabetes care programme on a private practice

Pishdad

2008

International Journal of Clinical Practice

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Section: Discussionmentioning

confidence: 99%

Section: What's Newmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The impact of an assisted diabetes care programme on a private practice

Pishdad

2008

International Journal of Clinical Practice

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“…The patients require accurate educational information and follow-up sessions by competent professionals to self-manage safely, however physicians often have only time to address the immediate problem during a patient visit. 16 The doctors usually have to deal with other more immediate problems of the patients. 17 All health care workers need to be prepared for the different situations depending on their responsibilities and workplace where patients interact with them.…”

Section: Levels Of Education and Training Of Health Care Workers In Dmentioning

confidence: 99%

“…Personnel for training: Nurses have been utilized most often as instructors in the delivery of formal Diabetes Self Management Education programme with the support of dieticians and other Health Care Professionals, apart from their involvement in the education and care of patients in the routine health care as Diabetes Specialist Nurse. 3,8,16 Systematic reviews report the best results in terms of improved metabolic control, weight loss, and diabetes-related knowledge in cases where mainly nurses provide patient education combined with structured and regular patient review. 19 To achieve Certified Diabetes Educators (CDE) credentials in the US, the Eligible health care professionals include nurses and others as appropriate to the local situation with a minimum of 2 years of their practice experience.…”

Section: Outline Of Cdncd Educator Trainingmentioning

confidence: 99%

Comprehensive Diabetes and Non-Communicable Disease Educator in the Low-Resource Settings

Bhattarai¹

2016

J Nepal Med Assoc

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The role of self-management education in diabetes and other major non-communicable diseases is clearly evident. To take care of and educate people with diabetes and other major NCD under the supervision of medical professionals and for education of other health care professionals, Comprehensive Diabetes and NCD Educators are needed in the routine service in peripheral health clinics and hospitals. The areas of training of CDNCD educator should match with the cost-effective interventions for diabetes and other major NCD that are feasible and planned for implementation in primary care in the low resource settings. Most of such interventions are part of diabetes education as required for Diabetes Self-Management Education programmes and traditional Diabetes Educator. The addition of use of inhaled steroids and bronchodilator in chronic respiratory disease and identification of presenting features of cancer, also required for many people with diabetes with various such common co-morbidities, will complete the areas of training of traditional Diabetes Educator as that of CDNCD Educator. Staff nurse and health assistants, who are as such already providing routine clinical service to all patients including with diabetes and major NCD in peripheral health clinics and hospitals, are most appropriate for CDNCD Educator training. The training of CDNCD Educator, like that of traditional Diabetes Educator, requires fulfillment of sufficient hours of practical work experience under supervision and achievement of the essential competencies entailing at least 6 month or more of intensive training schedules to be eligible to appear in its final certifying examination. Keywords: CDNCD Educator; diabetes; diabetes educator; DSME; global NCD alliance; NCD; non-communicable diseases; WHO PEN. | PubMed

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Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique

Poudel

Shrestha

Bhandari

et al. 2018

Case Reports in Endocrinology

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Majority of patients with diabetes mellitus (DM), who are on insulin therapy, use insulin pen for convenience, accuracy, and comfort. Some patients may require two different types of insulin preparations for better glycemic control. We have reported a case of poor glycemic control as a consequence of inappropriate insulin injection technique. A 57-year-old man with type 2 DM had been using premix insulin 30 : 70 for his glycemic control for the last 12 years. On follow-up visit, his blood sugar level (BSL) had increased; therefore the treating physician increased the dose of premix insulin and added basal insulin with the aim of controlling his blood sugar level. Despite these changes, his BSL was significantly higher than his previous level. On investigation, the cause of his poor glycemic control was found to be due to inadequate delivery of insulin (primarily premix) as a consequence of lack of priming and incompatibility of single insulin pen for two cartridges. His basal insulin was discontinued and the patient along with his grandson was instructed to administer insulin correctly. After correction of the errors, the patient had a better glycemic control.

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Getting the job done: the diabetes nurse specialist

Cited by 4 publications

References 3 publications

The impact of an assisted diabetes care programme on a private practice

The impact of an assisted diabetes care programme on a private practice

Comprehensive Diabetes and Non-Communicable Disease Educator in the Low-Resource Settings

Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique

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