The Journal for Nurse Practitioners
Volume 3, Issue 4 , Pages 259-270, April 2007

A Practical Guide for Aggressive Management of Type 2 Diabetes

  • Melissa L. Fisher, MS, CRNP

      Affiliations

    • Melissa L. Fisher, MS, CRNP, is an adult nurse practitioner at Maryland Primary Care Physicians in Arnold, Maryland.
    • ,
  • Jane F. Kapustin, PhD, CRNP

      Affiliations

    • Jane F. Kapustin, PhD, CRNP, is an assistant professor of nursing at the University of Maryland, Baltimore, where she is the program director of the adult nurse practitioner program. She maintains a faculty practice at the Joslin Diabetes Center in Baltimore.

Abstract 

The incidence of diabetes mellitus is increasing at alarming rates in the United States which presents a management challenge for primary care practitioners. Evidence from landmark trials such as the Diabetes Control and Complications Trial and the United Kingdom Prospective Diabetes Study has shown that tight glycemic control markedly reduces long-term diabetic complications. However, practitioners are often hesitant to institute measures such as multiple drug regimens, insulin therapy, or both. This article offers practitioners an evidence-based guide for managing patients with diabetes while maintaining the clinical practice guidelines as outlined by the American Diabetes Association and the American Association of Clinical Endocrinologists.

Keywords:  aggressive control , clinical practice guidelines , evidence-based practice , insulin management , type 2 diabetes mellitus

 

 Neither author has relationships with business or industry to disclose.

PII: S1555-4155(06)00961-5

doi:10.1016/j.nurpra.2006.12.003

The Journal for Nurse Practitioners
Volume 3, Issue 4 , Pages 259-270, April 2007

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