Diabetes nurse case management: An effective tool

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Purpose:In March 2000, a large tertiary military medical treatment facility on the east coast implemented a diabetes nurse case management program to coordinate care for patients with diabetes mellitus type 1 or type 2 and a hemoglobin A1c value of 8.0% or greater. Although proven successful for patients while enrolled in the program, there was a lack of research that evaluated how successful patients were at continuing diabetes self-management once discharged. This study evaluated glycosylated hemoglobin A1c (A1c), total cholesterol (TC), triglyceride, and low-density lipoprotein (LDL) levels in patients at admission, discharge, and 6 months following discharge from the program.Data sources:A retrospective medical record review of laboratory data was evaluated using descriptive statistics and paired t-test.Conclusions:Significant reductions in A1c and TC values from admission to discharge were achieved, which the patients maintained 6 months following discharge. There was also a significant reduction in LDL value from admission to 6 months following discharge.Implications for practice:This study supports the value of nurse case management for patients with diabetes.

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