Addressing the landscape of diabetes care within community nursing: Learning from a Sussex‐based service evaluation

Diabet MedPublished Service evaluation

Authors' conclusion

This service evaluation uncovered evidence of high workload for community nursing teams. Commissioners should recognise this and the potential for future increases in workload with an ageing population. Glucose control was sub-optimal but hypoglycaemia rates were low.

Study context

Population
People receiving community nursing care for insulin administration in one Sussex community trust, UK499 cases identified
Participants
410 people
Exposure
T1D vs T2D; by insulin regimen
Outcome
Continuous glucose monitoring (CGM) glucose metrics by diabetes type
Methodological detailsretrospective review of electronic records, single community trust
  • Retrospective review of electronic records
  • Single community trust

Main finding

As reported in the abstract

GroupValueHypoglycaemia (median)
T1Dmedian 600.0
T2Dmedian 620.0

Value

T1Dmedian 60
T2Dmedian 62

Hypoglycaemia (median)

T1D0.0
T2D0.0

Observational data: associations, not effects.

Further findings

Patient characteristics and nursing visits

T1D participants were younger and less frail than T2D, with more nursing visits per day

Safety

Median

OutcomeT1DT2D
Hypoglycaemia0.00.0

Original publication

Addressing the landscape of diabetes care within community nursing: Learning from a Sussex‐based service evaluation. Diabet Med. Published 24 August 2026. doi:10.1111/dme.70467

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