Abstract
This month, there are two papers that deal with the outcomes of diabetic care, albeit in quite different settings. Achieving the best possible outcomes for patients with type II diabetes (T2DM) is a challenge even in the best of circumstances. The introduction of the Quality Outcomes Framework with performance pay related incentives for primary care in the UK has resulted in definite improvements using glycated (HbA1c) haemoglobin as an outcome measure. However, despite this initiative, there is scope for improvement as many T2DM patients will have HbA1c levels that are above 7.5%. Achieving appropriate outcomes for this group of patients is even more of a challenge in developing countries. In this situation, clinicians are faced with under developed healthcare infrastructures, vastly inadequate levels of resource with limited choice and availability of appropriate medication. These difficulties are increased in rural isolated areas. Gill and colleagues from Liverpool describe their experience of using a nurse led intervention programme for T2DM patients in Natal, South Africa. The …
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