• J MacMahon Tone, A Agha, M Sherlock, F Finucane, W Tormey, and C J Thompson.
• Academic Department of Diabetes and Endocrinology, Beaumont Hospital/RCSI Medical School, Beaumont Road, Dublin 9, Ireland. jacquelinemacmahon@beaumont.ie
• Ir J Med Sci. 2009 Jun 1; 178 (2): 179186179-86.

BackgroundThe 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.MethodTwo hundred patients with type 2 diabetes were recruited to receive either intensive nurse-led or standard diabetes care in a 1-year open study.ResultsIn 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).ConclusionAn intensive nurse-led clinic is more successful in achieving vascular risk targets than standard diabetes care.

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