Date of Award/Publication


Document Type


Degree Name

Doctor of Nursing Practice


The landmark diabetes studies of the 1990’s demonstrated to the world the importance of blood glucose control in diabetes mellitus. It is now with out question controlling blood sugar significantly reduces the development of or delays the onset of diabetes related complications. Since the time of these research findings, there has been a tremendous amount of effort to both develop and study strategies that were most effective in managing diabetes. Despite this, it has been said that diabetes care in the United States is suboptimal (Mc Laughlin, 2000, p.5). Many studies individually show promise. Collectively these studies may also form the basis of support to the best approach to care. A description of the problem of diabetes in adults and a description of the current practice in the primary care setting precedes an analysis of the studies which have been categorized as to their relevance in support of the components of the Chronic Care Model.