Diabetes specialist nurse support, training and ‘virtual’ advice reduces district nurse visits and improves outcomes for people with diabetes requiring visits for insulin administration
Main finding · Patients with a hypoglycaemic eventResult — go to the resultX2 19.71Authors' conclusion
Significant financial savings and reduced patient harms were identified following our intervention in this cohort. Roll-out to other sites in England is a next step.
Study context
- Population
- People with diabetes requiring DN visits for insulin administration, community diabetes service in England130 followed up at 6 months
- Participants
- 148 people
- Exposure
- Post- vs pre-introduction of community diabetes specialist nurse (cDSN) support to district nurses (DNs)
- Outcome
- Patients with a hypoglycaemic event
- Follow-up
- 6 months
Methodological detailspre-post, pre- and post-intervention comparison, 6-month follow-up
- Pre-post
- Pre- and post-intervention comparison
- 6-month follow-up
Main finding
As reported in the abstract
X2
19.71
P < 0.001
Events by group
Pre-intervention
21 of 129
events
Post-intervention
1 of 128
events
Observational data: associations, not effects.
Further findings
| Outcome | Post-intervention | Pre-intervention | X2 | P value |
|---|---|---|---|---|
| Patients with a hyperglycaemic event · 6 months | 23/128 events | 53/129 events | 16.48 | P < 0.001 |
DN visits and acute hospital service use
- Number of DN visits and use of acute hospital services improved significantly
Estimated cost savings (reduced DN visits, insulin usage, hospital service use)
- Total estimated cost savings
- £1.9 million
Original publication
Diabetes specialist nurse support, training and ‘virtual’ advice reduces district nurse visits and improves outcomes for people with diabetes requiring visits for insulin administration. Diabetes Res Clin Pract. Published 6 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →