- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Nurse-led clinics improve glycemic control in type 2 diabetes patients
Last updated July 18, 2026
Key finding
Average paired difference of 1.75 (1.12 to 2.38), statistically significant at the 0.05 level of significance.
This study evaluated the impact of nurse-led diabetic follow-up clinics on glycemic control in Type 2 diabetes patients, finding significant improvements in HbA1c levels and treatment satisfaction.
Quick read
Study at a glance
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Short-Term (≤3 mo)
Risk of bias
Some Concerns
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Plain-language summary
What this paper says
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated the impact of nurse-led diabetic follow-up clinics on glycemic control in Type 2 diabetes patients, finding significant improvements in HbA1c levels and treatment satisfaction.
Clinical relevance
Improving glycemic control is crucial for reducing the risk of diabetes-related complications. The findings suggest that nurse-led follow-up clinics can enhance patient outcomes and satisfaction, potentially leading to better long-term health for individuals with Type 2 diabetes.
Keep in mind
The study's sample size may limit the generalizability of the findings. Potential confounding factors were not fully controlled for. The follow-up duration may not capture long-term effects.
Published in
Journal Reference
Publication details and source links for this paper.
Alexander M, John RA, Kalpana T, Suresh KS, Ravi K, Vasantha K. The Impact of Nurse-Led Diabetic Follow-Up Clinics on Glycemic Control in Type 2 Diabetes Patients. Cureus. 2025;17(2):e79659. doi:10.7759/cureus.79659
Main Effects
Participants in the nurse-led clinic showed a significant decrease in HbA1c levels by 1.75% (p = 0.05).
The control group had a smaller, non-significant decrease in HbA1c levels of 0.64% (p = 0.05).
Satisfaction regarding hyperglycemia improved significantly in the intervention group (-0.95 score, p = 0.001).
Satisfaction regarding hypoglycemia also improved significantly in the intervention group (-0.35 score, p < 0.001).
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Nurse-led diabetic follow-up clinic, Usual care and HbA1c, Treatment satisfaction.
This study contributes evidence to
Primary intervention
Nurse-led diabetic follow-up clinic
Primary outcomes
- HbA1c
- Treatment satisfaction
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
Why this study matters
See why this paper is useful beyond its individual results.
Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
1
Related topics
3
Evidence pairs
310
Related studies
Why it is useful
- Contributes to 3 evidence relationships
- Includes primary outcome data
- Linked to 1 direct semantic evidence topic
Topic contributions
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
HbA1c Reduction
matched_outcome
Core evidence
Study findings
The primary outcomes reported in this study.
Treatment satisfaction
Nurse-led diabetic follow-up clinic → Treatment satisfaction
Nurse-led diabetic follow-up clinic → Treatment satisfaction
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 25
- Negative
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- 86
- Strong
- ImpactScore™
- 56
- Slightly Positive
- ConsistencyScore™
- 89
- consistent
Evidence Library
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Evidence Suggest
- Nurse-led clinics reduced HbA1c levels by 1.75%, indicating better blood sugar control.
- Control group showed a non-significant decrease of 0.64% in HbA1c levels.
- Satisfaction scores for hyperglycemia and hypoglycemia improved significantly in the intervention group.
Who this applies to
- Adults diagnosed with Type 2 diabetes.
- Patients seeking improved management of their diabetes.
- Individuals who have access to nurse-led healthcare services.
Keep in Mind
- Results may not apply to populations outside the study's demographic.
- The effectiveness of nurse-led clinics may vary based on local healthcare systems.
- Further research is needed to confirm long-term benefits.
Between the Lines
- The study's sample size may limit the generalizability of the findings.
- Potential confounding factors were not fully controlled for.
- The follow-up duration may not capture long-term effects.
Evidence Library
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Connected Evidence
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Usual care and HbA1c, Nurse-led diabetic follow-up clinic and HbA1c.
Related evidence relationships
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
Usual care → HbA1c
Behavioral & Lifestyle
- EvidenceScore™
- 86
- Strong
- ImpactScore™
- 56
- Slightly Positive
- ConsistencyScore™
- 89
- consistent
Nurse-led diabetic follow-up clinic → HbA1c
Behavioral & Lifestyle
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
HbA1c Evidence Hub
All studies measuring HbA1c
Measures HbA1c as a key outcome.
Usual care Evidence Hub
All studies on Usual care
Contributes to Usual care evidence base.
Nurse-led diabetic follow-up clinic Evidence Hub
All studies on Nurse-led diabetic follow-up clinic
Contributes to Nurse-led diabetic follow-up clinic evidence base.
Recent Diabetes Research
Latest published studies
Published within the last 2 years.
Explore more in Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on Usual care and HbA1c
9 results
All studies on Nurse-led diabetic follow-up clinic and HbA1c
1 results
All studies on Usual care
9 results
All studies on Nurse-led diabetic follow-up clinic
1 results
All studies measuring HbA1c
9 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Usual care improve HbA1c?
Usual care may improve HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 85.7 | weak positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Population details are unavailable.
Does Nurse-led diabetic follow-up clinic improve HbA1c?
Nurse-led diabetic follow-up clinic appears to improve HbA1c.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Consistency cannot yet be determined.
- Population details are unavailable.
Does Nurse-led diabetic follow-up clinic improve treatment satisfaction?
Nurse-led diabetic follow-up clinic may worsen Treatment satisfaction or be associated with harm.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Treatment satisfaction
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Consistency cannot yet be determined.
- Population details are unavailable.
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