Where reported , emergency admissions and quality of life were not found to be significantly different between groups .
No information was found regarding BMI , mortality , long term diabetic complications , adverse effects , or costs .
REVIEW ER 'S CONCLUSIONS The presence of a diabetes specialist nurse / nurse case manager may improve patients ' diabetic control over short time periods , but from currently available trials the effects over longer periods of time are not evident .
There were no significant differences overall in hypoglycaemic episodes , hyperglycaemic incidents , or hospital admissions .
Quality of life was not shown to be affected by input from a diabetes specialist nurse/nurse case manager
BACKGROUND The patient with diabetes has many different learning needs relating to diet , monitoring , and treatments .
In many health care systems specialist nurses provide much of these needs , usually aim ing to empower patients to self-manage their diabetes .
The present review aims to assess the effects of the involvement of specialist nurse care on outcomes for  people with diabetes  , compared to usual care in hospital clinics or primary care with no input from specialist nurses .
OBJECTIVES To assess the effects of diabetes specialist nurses / nurse case manager in diabetes on the metabolic control of patients with type 1 and type 2 diabetes mellitus .
Effects of an Intervention by a Diabetes Team in Hospitalized Patients With Diabetes
OBJECTIVE Hospitalized patients with diabetes have a prolonged length of stay  in the hospital . We conducted a controlled prospect i ve r and omized feasibility study of the effects of a diabetes team ( a diabetes nurse educator and an endocrinologist ) on the length of stay and other outcomes of hospitalization in these patients . RESEARCH DESIGN AND METHODS A total of 179 hospitalized patients with diabetes were r and omly assigned to receive usual care supplemented with ( 85 patients ) or without ( 94 control patients ) a diabetes team intervention . Outcome measures included the length of stay , blood glucose control , and rates of readmission . RESULTS For the primary diagnosis of diabetes , the median length of stay was 5.5 days ( 95 % CI 4 - 8 days ) for patients who received diabetes team intervention and 7.5 days ( 5–11 days ) for the control patients ( NS ) . For the secondary diagnosis of diabetes , the median length of stay was 10.0 days ( 8–13 days ) in the intervention group and 10.5 days ( 8–13 days ) in the control group ( NS ) . One month after the team intervention was initiated , 75 % of patients in the intervention group were in good glycemic control , compared with 46 % in the control group . Readmissions at 3 months after discharge included 13 ( 15 % ) patients from the intervention group and 30 ( 32 % ) patients in the control group ( P = 0.01 ) . CONCLUSIONS R and omized controlled prospect i ve trials of clinical interventions in hospitalized patients with diabetes are feasible . Diabetes team intervention appears to reduce the hospital length of stay and to improve glycemic control . Team intervention significantly reduces the rate of recurrent hospitalization
Where reported , emergency admissions and quality of life were not found to be significantly different between groups .
No information was found regarding BMI , mortality , long term diabetic complications , adverse effects , or costs .
REVIEW ER 'S CONCLUSIONS The presence of a diabetes specialist nurse / nurse case manager may improve patients ' diabetic control over short time periods , but from currently available trials the effects over longer periods of time are not evident .
There were no significant differences overall in hypoglycaemic episodes , hyperglycaemic incidents , or hospital admissions .
Quality of life was not shown to be affected by input from a diabetes specialist nurse/nurse case manager
BACKGROUND The patient with diabetes has many different learning needs relating to diet , monitoring , and treatments .
In many health care systems specialist nurses provide much of these needs , usually aim ing to empower patients to self-manage their diabetes .
The present review aims to assess the effects of the involvement of specialist nurse care on outcomes for  people with diabetes  , compared to usual care in hospital clinics or primary care with no input from specialist nurses .
OBJECTIVES To assess the effects of diabetes specialist nurses / nurse case manager in diabetes on the metabolic control of patients with type 1 and type 2 diabetes mellitus .