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 .
The effects of participation in a support group on self-assessed quality of life in people with insulin-dependent diabetes mellitus.
The aim of the present study was to examine the effect of participation in a support group on self-assessed quality of life . Based on an initial self-report assessment of  quality of life 25 people were allocated to 5 groups comprising 4 - 6 participants ( intervention group ) and 36 controls .  The support groups met fort-nightly for 6 months and were facilitated by the investigator and a diabetic nurse specialist . Group processes were aim ed at alleviating distress and improve satisfaction with life and included installation of hope , imparting information and group cohesiveness . Both the intervention and control group completed the quality of life measure at the end of 6 months . There were no significant differences between the intervention and control group on background characteristics or quality of life pre-test scores . No significant differences were found between the intervention and control group on difference in pre and post-test scores , indicating that support group participation did not effect self-assessed quality of life . This finding may be due to method ological issues i.e. selection , sample size and the instrument used , the implementation of the intervention and /or the concept of quality of life as an outcome variable
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 .