Research Summary
Analyzed using Evidence Intelligence™

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

Save research, organize studies, and quickly find important evidence again.

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.

Primary intervention

Nurse-led diabetic follow-up clinic

Primary outcomes

  • HbA1c
  • Treatment satisfaction

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
1
Evidence topics
contributes_evidence

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.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

3

Evidence pairs

310

Related studies

High relevance in at least one topic

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

Add related evidence to your Evidence Tracker

Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.

Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

HbA1c

Nurse-led diabetic follow-up clinic → HbA1c

Nurse-led diabetic follow-up clinic → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Treatment satisfaction

Nurse-led diabetic follow-up clinic → Treatment satisfaction

Nurse-led diabetic follow-up clinic → Treatment satisfaction

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Usual care → HbA1c

Usual care → HbA1c

Evidence Intelligence™
EvidenceScore™
86
Strong
ImpactScore™
56
Slightly Positive
ConsistencyScore™
89
consistent
Supporting studies: Based on 9 studies
Add to Evidence Tracker

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

evidence suggest

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

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

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

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

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

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 Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Usual care improve HbA1c?

Strong Evidence

Usual care may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 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.
1 supporting studyUpdated: Jul 2026

Does Nurse-led diabetic follow-up clinic improve HbA1c?

Emerging Evidence

Nurse-led diabetic follow-up clinic appears to improve HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 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.
1 supporting studyUpdated: Jul 2026

Does Nurse-led diabetic follow-up clinic improve treatment satisfaction?

Emerging Evidence

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. 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.
1 supporting studyUpdated: Jul 2026
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.