Using a primary nurse manager to implement DCCT recommendations in a large pediatric program

The Diabetes Educator
Jo Ann H AhernW V Tamborlane

Abstract

This study was conducted to determine whether recommendations from the Diabetes Control and Complications Trial (DCCT) could be implemented in a large pediatric population using a diabetes clinical nurse specialist program coordinator dedicated to intensive management. Patients' charts were reviewed to examine HbA1c levels from before the results of the DCCT were published and again 1 year after the recommendations were implemented. Patients who met the following criteria (N = 124) were enrolled: type 1 diabetes, less than 18 years old, followed at Yale for 1 year prior to the results of the DCCT and 1 year after, and HbA1c level recorded in the medical chart. HbA1c levels were significantly lower 1 year after implementing the DCCT protocol; 3 years later these same patients improved even further as evidenced by another decrease in HbA1c levels. The patients were taking more insulin (more Ultralente and regular insulin and less NPH) and had an increased number of injections at both the 1-year and 3-year follow-up points. The DCCT protocol can be implemented in a large population of pediatric patients with the help of a nurse who is dedicated and available to the patients for ongoing adjustments and provides creative ways to ove...Continue Reading

Citations

Dec 13, 2006·Reviews in Endocrine & Metabolic Disorders·William V TamborlaneStuart A Weinzimer
May 6, 2005·Treatments in Endocrinology·William V TamborlaneJoAnn H Ahern
Nov 23, 2005·Pediatric Clinics of North America·Stuart A WeinzimerWilliam V Tamborlane
Jun 16, 2006·Pediatric Diabetes·William V Tamborlane
Aug 30, 2008·The Mount Sinai Journal of Medicine, New York·Jennifer Sherr, William V Tamborlane
Aug 23, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·H R MurphyT C Skinner
Aug 5, 2006·The Journal of Pediatrics·Dena SpringerStuart A Weinzimer
Jun 14, 2003·The Cochrane Database of Systematic Reviews·E LovemanN Waugh
Jun 18, 2008·Journal of Pediatric Endocrinology & Metabolism : JPEM·Kazim SheikhStephen D Ketner

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.

Related Papers

Diabetic Medicine : a Journal of the British Diabetic Association
E Chantelau
Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Diabetic Medicine : a Journal of the British Diabetic Association
N J Vaughan, L Fogarty
© 2022 Meta ULC. All rights reserved