scholarly journals Insulin adjustment by a diabetes nurse educator improved glucose control in patients with poorly controlled, "insulin requiring" diabetes

2000 ◽  
Vol 3 (2) ◽  
pp. 51-51
Author(s):  
E. Turner
Keyword(s):  
Glucose Control ◽  
Nurse Educator ◽  
Diabetes Nurse Educator

Abstract 3775: Education to Reduce Stroke Risk in Prediabetic Patients

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Nancy Jackson ◽  
Christy Ruhmann
Keyword(s):  
Glucose Control ◽  
Control Strategies ◽  
Large Population ◽  
Community Health Center ◽  
Patient Feedback ◽  
Number Of Patients ◽  
Diabetes Nurse Educator ◽  
Diabetic Education ◽  
Ischemic Attack ◽  
Future Evaluation

Background: Diabetes is a known risk factor for stroke. We sought to assess the reduction of secondary complications of diabetes in stroke patients through an education initiative. We identified prediabetic pts as a group not receiving any instruction in glucose control to prevent diabetes. Methods: At our private, community health center, we introduced a pilot education program for all ischemic stroke and transient ischemic attack patients from March to July 2011. Patients were included if they tolerated oral diet and were placed on the stroke protocol at our center. Patients were identified by a certified dietician and divided into two groups: HbA1c ≤ 6.4% and HbA1c > 6.4%. Patients with an HbA1c of 5.8 -6.4% (prediabetics) were placed on a calorie controlled diet and received diet and activity education from the dietician. Meters were available for them to take home if they desired. Patients with an HbA1c greater than 6.4% received diet and activity education, and also met with the diabetes nurse educator for more in depth education on controlling their diabetes. Our endpoint was to increase the number of patients receiving diabetic education. Results: The program saw 214 patients, and education was provided to 81 prediabetics and 51 diabetics. In the first 4 months of the pilot program, 76% of prediabetics and 71% of diabetics received education. Limitations to education included pts not on stroke protocol so HbA1c was not ordered, difficulty getting orders for calorie controlled diet, and difficulty placing order for Diabetes Educator. By month 5 only 1 pt did not receive education and 5 had not had HbA1c drawn to assess need for education. Conclusion: Education of glucose control strategies for prediabetic and diabetic stroke pts has been effectively initiated. The large population of prediabetic pts has received education to begin to reduce their risk of developing diabetes in the next 3-5 years. Patient feedback has been entirely positive at this time. Future evaluation to determine if pts with prediabetes were able to delay onset of diabetes and reduce development of future stroke would be beneficial.

The Impact of a Diabetes Nurse Educator on Nurses' Knowledge of Diabetes and Nursing Interventions in a Home Care Setting

1994 ◽  
Vol 20 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Carolyn E. Adams ◽  
David L. Cook
Keyword(s):  
Home Health Care ◽  
Nursing Care ◽  
Basic Knowledge ◽  
Nurse Educator ◽  
Nursing Interventions ◽  
Diabetes Nurse Educator ◽  
Patients With Diabetes ◽  
The Impact ◽  
Nurse Knowledge ◽  
Nurses Knowledge

The purpose of this study was to compare nurses' knowledge of diabetes and nursing interventions in a home health care agency (HHCA) that employed a diabetes nurse educator (DNE) and an agency that did not employ a DNE. Nurse knowledge of diabetes mellitus was measured using the Ditibetes: Basic Knowledge Test (DBKT). Nursing care interventions for patients with diabetes were measured using a researcher-developed tool, the Nursing Care Intervention Tool (NCIT). The data analysis showed that the nurses in the agency with the diabetes nurse educator were significantly more knowledgeable about diabetes. The data also showed that the nurses in the HHCA with a diabetes nurse educator provided a significantly higher standard of patient care than the nurses in the agency without a diabetes nurse educator.

A randomized trial of regular standardized telephone contact by a diabetes nurse educator in adolescents with poor diabetes control

2005 ◽  
Vol 6 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Margaret L Lawson ◽  
Nini Cohen ◽  
Christine Richardson ◽  
Elaine Orrbine ◽  
Ba' Pham
Keyword(s):  
Randomized Trial ◽  
Diabetes Control ◽  
Nurse Educator ◽  
Telephone Contact ◽  
Diabetes Nurse Educator
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