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Quality of diabetes care driven by practice nurses

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Nurse-led clinics in primary care are associated with better adherence to diabetes guidelines and lower HbA1c levels, according to researchers.

Their study involved 193 Danish general practices with 12,960 type 2 diabetes patients, aged from 40 to 80.

The Aarhus University researchers compared practices with “well-implemented” nurse-led clinics against those that did not employ a nurse or did not offer independent nurse consultations.

There were fewer patients with an HbA1c of 8% or more in practices with well-implemented nurse-led type 2 diabetes consultations, the authors said.

They said: “Compared with practices with no nurse(s) employed, the quality of diabetes management was generally higher in terms of that HbA1c was measured according to the guidelines in a larger proportion of the diabetes population and the proportion of patients with an HbA1c level ≥8% was lower in practices with well-implemented nurse-led type 2 diabetes consultations.”

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