Effectiveness of a nurse-led insulin tele-titration program on diabetes control in Primary Care
Care Process & Redesign
Technology
Singapore Healthcare Management Congress
National University Health System
31 December 2021
To optimize insulin therapy for Type 2 diabetes patients, reducing HbA1c and risks of hypo-/hyperglycemia. Nurse-led tele-titration effectively optimized glycemic control, demonstrating potential for wider implementation.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Technology, Quality Improvement, Workflow Redesign, Digital Health, Telehealth, Tele-Rehabilitation, Value Based Care, Functional Outcome, Job Effectiveness
About this Content
Aims
To optimize insulin therapy for Type 2 diabetes patients, reducing HbA1c and risks of hypo-/hyperglycemia.
Background
Delays in insulin dose adjustments contributed to poor diabetes management.
Methods
Nurses conducted tele-titration calls for insulin adjustment based on glucose readings and patient feedback.
Results
Improved mean HbA1c from 10.1 to 9.2; 80% of patients had improved glycemic control post-intervention.
Conclusion
Nurse-led tele-titration effectively optimized glycemic control, demonstrating potential for wider implementation.
Lessons Learnt
Regular teleconsultations sustain HbA1c improvements; further studies needed for sub-group analysis.
Additional Information
Merit Award (Patient Experience Category)
Keywords
Diabetes Management, Telehealth, Insulin Therapy
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Polyclinics |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Endocrinology |
Project Lead(s) | Janice Koh Huimin |
Project Member(s) | Esther Goh Li Shan |
Connect with this contributor!
SSN Janice Koh Huimin - singaporehealthcaremanagement@singhealth.com.sg
Project Attachment
C110_NUP_SHM_2021_Effectiveness_of_a_nurse_led_insulin_tele_titration_program.pdf