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 .
An economic evaluation of home care for children with newly diagnosed diabetes: results from a randomized controlled trial.
OBJECTIVE This study was undertaken to determine the health and cost effects of using home care to treat newly diagnosed Type I diabetic children rather than traditional inpatient hospital care . There had been no well- design ed evaluations of home care for such children , and very few for children with other health conditions . METHODS Sixty-three children seen at the Montreal Children 's Hospital were r and omly assigned at diagnosis to home care or traditional inpatient care . The children in the former group were discharged once their metabolic condition stabilized ; insulin adjustments and teaching were done in their homes by a trained nurse . The children in the latter group remained hospitalized for insulin adjustments and teaching . All were followed for 24 months . The cost effects were estimated using hospital and parental data . RESULTS Social costs were only $ 48 higher with home care . It had little effect on social costs , because the increased costs of health care services with home care ( $ 768 ) were largely offset by parental cost savings ( $ 720 ) . Home care improved the children 's metabolic outcomes without adversely affecting their psychosocial outcomes . CONCLUSIONS Using home care to reduce hospital stays for children with newly diagnosed Type I diabetes improved the  children 's health outcomes without significantly increasing social costs
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 .