Journal article

Stepping up: a nurse-led model of care for insulin initiation for people with type 2 diabetes

John S Furler, Irene D Blackberry, Christine Walker, Jo-Anne Manski-Nankervis, Jenny Anderson, David O'Neal, Doris Young, James Best



BACKGROUND: Most people with type 2 diabetes (T2D) have glycaemic levels outside of target. Insulin is effective in improving glycaemia and most people with T2D eventually need this. Despite this, transition to insulin therapy is often delayed in primary care. OBJECTIVE: To develop a model of care (Stepping Up) for insulin initiation in routine diabetes care in Australian general practice. To evaluate the model for feasibility of integration within routine general practice care. METHODS: Drawing on qualitative work and normalisation process theory, we developed a model of care that included clarification of roles, in-practice systems and simple clinical tools. The model was introduced in an ..

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Funding Acknowledgements

Australian Better Health Initiative, a joint Australian, State and Territory Government initiative, an Australian Diabetes Society-Servier National Diabetes Strategy grant and General Practice Education and Training. Australian National Health and Medical Research Council Centre of Clinical Research Excellence (NHMRC CCRE) in diabetes science (to IB and JF).