Kontakt 2026, 28(2):179-184 | DOI: 10.32725/kont.2026.015

Diabetes management in patients in primary careNursing - Review article

Gal Fanedl, Barbara Kegl ORCID...*
University of Maribor, Faculty of Health Sciences, Maribor, Slovenia

Introduction: Diabetes is a chronic disease that demands continuous management and poses a major public health challenge. Its rising prevalence and treatment costs highlight the need for holistic, non-pharmacological approaches. Registered nurses play a key role in diabetes care, particularly through patient education. This article analyses nursing interventions in diabetes management and evaluates their effects on clinical outcomes and patient satisfaction.

Methods: A systematic review of the scientific literature was conducted using PubMed, Cochrane Library, and ScienceDirect. Source selection was guided by a PRISMA diagram, after which we conducted a content analysis of the included studies.

Results: Fourteen studies published between 2020 and 2025 were included in the detailed analysis. Four main diabetes management interventions performed by registered nurses were identified: (1) patient education, which proved to be one of the most effective methods for improving diabetes self-management; (2) implementation of screening tests; (3) support for self-management of the disease; and (4) care coordination or interdisciplinary collaboration. Content analysis resulted in the main category: "Interventions of Registered Nurses in Primary Health Care for Diabetes Management." Subcategories were: (1) Clinical Outcomes, (2) Prevention of Complications, (3) Self-Management and Education, and (4) Patient Satisfaction. The results demonstrated improved glycaemic control, earlier detection of complications, increased patient self-efficacy, and higher patient satisfaction.

Conclusion: Registered nurses make a significant contribution to diabetes management in primary health care. Their interventions reduce complications, enhance patients' quality of life, and support the sustainable development of the health system.

Keywords: Diabetes; Nurse interventions; Primary health care; Registered nurses
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: December 2, 2025; Revised: February 3, 2026; Accepted: February 24, 2026; Prepublished online: March 9, 2026; Published: June 11, 2026  Show citation

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Fanedl G, Kegl B. Diabetes management in patients in primary care. Kontakt. 2026;28(2):179-184. doi: 10.32725/kont.2026.015.
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    References

    1. Aldahmashi H, Maneze D, Molloy L, Salamonson Y (2024). Nurses' adoption of diabetes clinical practice guidelines in primary care and the impact on patient outcomes and safety: An integrative review. Int J Nurs Stud 154: 104747. DOI: 10.1016/j.ijnurstu.2024.104747. Go to original source...
    2. Alexandre K, Vallet F, Peytremann-Bridevaux I, Desrichard O (2021). Identification of diabetes self-management profiles in adults: A cluster analysis using selected self-reported outcomes. PLoS One 16(1): e0245721. DOI: 10.1371/journal.pone.0245721. Go to original source...
    3. Banday MZ, Sameer AS, Nissar S (2020). Pathophysiology of diabetes: An overview. Avicenna J Med 10(4): 174-188. DOI: 10.4103/ajm.ajm_53_20. Go to original source... Go to PubMed...
    4. Bulc M, Petek D, Zaletel J (2022). Slovenian guidelines for clinical management of type 2 diabetes. Ljubljana. [online] [cit. 2024-12-15]. Available from: https://endodiab.si/wp-content/uploads/2022/10/Knjizica-Sladkorna-bolezen-tipa-2-100x160-mm-2022-06-13-v5-4-za-web-VSEBINA.pdf
    5. Campbell JA, Yan A, Egede LE (2020). Community-based participatory research interventions to improve diabetes outcomes: A systematic review. Diabetes Educ 46(6): 527-539. DOI: 10.1177/0145721720962969. Go to original source... Go to PubMed...
    6. Davis KM, Eckert MC, Hutchinson A, Harmon J, Sharplin G, Shakib S, Caughey GE (2021). Effectiveness of nurse-led services for people with chronic disease and achieving an outcome of continuity of care at the primary-secondary healthcare interface: A quantitative systematic review. Int J Nurs Stud 121: 103986. DOI: 10.1016/j.ijnurstu.2021.103986. Go to original source...
    7. De la Fuente Coria MC, Cruz-Cobo C, Santi-Cano MJ (2020). Effectiveness of a primary care nurse delivered educational intervention for patients with type 2 diabetes mellitus in promoting metabolic control and compliance with long-term therapeutic targets: Randomised controlled trial. Int J Nurs Stud 101: 103417. DOI: 10.1016/j.ijnurstu.2019.103417. Go to original source... Go to PubMed...
    8. Elo S, Kyngäs H (2008). The qualitative content analysis process. J Adv Nurs 62(1): 107-115. DOI: 10.1111/j.1365-2648.2007.04569.x. Go to original source... Go to PubMed...
    9. Ferjan S, Janić M, Boc V, Urbančič Rovan V, Blinc A (2022). Periferna arterijska bolezen [Peripheral arterial disease]. Slovenian guidelines for the clinical management of type 2 diabetes [online] [cit. 2025-05-15]. Available from: https://endodiab.si/wp-content/uploads/2022/06/13-PERIFERNA-ARTERIJSKA-BOLEZEN.pdf
    10. Globočnik Petrovič M, Urbančič M (2022). Diabetična retinopatija. Slovenian guidelines for the clinical management of type 2 diabetes. [online] [cit. 2025-05-15]. Available from: https://endodiab.si/wp-content/uploads/2022/06/17-DIABETICNA-RETINOPATIJA.pdf
    11. Horvat M, Jagodic R, Jagrič JJ, Jelušič KB, Krajnc A, Lobe K, et al. (2025). Navodilo za izvajanje, beleženje in obračunavanje storitev v patronažnem varstvu [Instructions for the implementation, recording and billing of services in patronage care]. Ljubljana. [online] [cit. 2025-03-11]. Available from: https://nijz.si/wp-content/uploads/2024/10/navodila-patronaza.pdf
    12. IDF - International Diabetes Federation (2024). Facts & figures. [online] [cit. 2024-11-24]. Available from: https://idf.org/about-diabetes/diabetes-facts-figures/
    13. IDF - International Diabetes Federation (2025). Diabetes Atlas. 11th ed. Brussels, Belgium: IDF. [online] [cit. 2024-11-24]. Available from: https://diabetesatlas.org/media/uploads/sites/3/2025/04/IDF_Atlas_11th_Edition_2025-1.pdf
    14. İlhan N, Telli S, Temel B, Aşti T (2021). Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes 15(1): 74-79. DOI: 10.1016/j.pcd.2020.06.009. Go to original source...
    15. Ju HH, Momin R, Cron S, Jularbal J, Alford J, Johnson C (2023). A nurse-led telehealth program for diabetes foot care: Feasibility and usability study. JMIR Nurs 6: e40000. DOI: 10.2196/40000. Go to original source...
    16. Leonard VS (2024). Increasing diabetic foot exam rates in primary care via a toolkit for registered nurses. Clin Diabetes 42(3): 443-447. DOI: 10.2337/cd23-0103. Go to original source... Go to PubMed...
    17. Ma Z, Zhang D, Cheng L, Ye N (2021). The value of high quality nursing and health education in elderly patients with diabetes mellitus. Am J Transl Res 13(12): 14015-14022.
    18. Matthys E, Van Bogaert P, Blommaert S, Verdonck L, Remmen R (2021). Evidence-based early stage type 2 diabetes follow-up in Belgian primary care practices: Impact of multi-professional teams and care protocols. Prim Care Diabetes 15(2): 249-256. DOI: 10.1016/j.pcd.2020.09.003. Go to original source... Go to PubMed...
    19. Ministry of Health (2025). Preventivni zdravstveni pregledi [Preventive health checks]. [online] [cit. 2025-02-22]. Available
    20. from: https://www.gov.si/teme/preventivni-zdravstveni-pregledi/NIJZ - National Institute of Public Health (2024). Sladkorna bolezen [Diabetes]. [online] [cit. 2024-12-15]. Available from: https://nijz.si/nenalezljive-bolezni/sladkorna-bolezen/
    21. NIJZ - National Institute of Public Health (2022). Sladkorna bolezen - ključni podatki za leto 2021 [Diabetes management - key data for 2021]. Ljubljana. [online] [cit. 2025-09-30]. Available from: https://nijz.si/wp-content/uploads/2020/11/sladkorna_bolezen_slikovno_gradivo_2021_k.pdf
    22. NIJZ - National Institute of Public Health (2025). Zdravstvenovzgojni centri / Centri za krepitev zdravja (ZVCT) [Health education centers / Health promotion centers (ZVCT)]. [online] [cit. 2025-05-15]. Available from: https://nijz.si/podatki/podatkovne-zbirke-in-raziskave/zdravstvenovzgojni-centri-centri-za-krepitev-zdravja-zvct/
    23. Noroozi F, Dehghan A, Bijani M, Nikrouz L (2024). Effects of nurse-led intervention programs based on King's theory of goal attainment on health-promoting behavior and patient satisfaction with type 2 diabetes: A randomized controlled clinical trial. BMC Nurs 23(1): 684. DOI: 10.1186/s12912-024-02364-3. Go to original source... Go to PubMed...
    24. Oliveira REM, Franco LJ (2021). Glycemic control in elderly people with type 2 diabetes mellitus attending primary health care units. Prim Care Diabetes 15(4): 733-736. DOI: 10.1016/j.pcd.2021.04.011. Go to original source...
    25. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 372: n71. DOI: 10.1136/bmj.n71. Go to original source... Go to PubMed...
    26. Polit DF, Beck CT (2021). Nursing research: generating and assessing evidence for nursing practice. 11th ed. Philadelphia: Wolters Kluwer, 839 p.
    27. Reininger BM, Lee M, Hessabi M, Mitchell-Bennett LA, Sifuentes MR, Guerra JA, et al. (2020). Improved diabetes control among low-income Mexican Americans through community-clinical interventions: Results of an RCT. BMJ Open Diabetes Res Care 8(1): e000867. DOI: 10.1136/bmjdrc-2019-000867. Go to original source... Go to PubMed...
    28. Sanaeinasab H, Saffari M, Yazdanparast D, Karimi Zarchi A, Al-Zaben F, Koenig HG, Pakpour AH (2021). Effects of a health education program to promote healthy lifestyle and glycemic control in patients with type 2 diabetes: a randomized controlled trial. Prim Care Diabetes 15(2): 15(2): 275-282. DOI: 10.1016/j.pcd.2020.09.007. Go to original source...
    29. Sun J, Fan Z, Kou M, Wang X, Yue Z, Zhang M (2025). Impact of nurse-led self-management education on type 2 diabetes: A meta-analysis. Front Public Health 13: 1622988. DOI: 10.3389/fpubh.2025.1622988. Go to original source...
    30. Tamiru S, Dugassa M, Amsalu B, Bidira K, Bacha L, Tsegaye D (2023). Effects of nurse-led diabetes self-management education on self-care knowledge and self-care behavior among adult patients with type 2 diabetes mellitus attending a diabetes follow-up clinic: A quasi-experimental study design. Int J Afr Nurs Sci 18: 100548. DOI: 10.1016/j.ijans.2023.100548. Go to original source...
    31. WHO (2025). Primary health care. [online] [cit. 2025-04-01]. Available from: https://www.who.int/health-topics/primary-health-care#tab=tab_1
    32. Wuri Kartika A, Widyatuti W, Rekawati E (2021). The effectiveness of home-based nursing intervention in the elderly with recurrent diabetic foot ulcers: a case report. J Public Health Res 10(2): 2162. DOI: 10.4081/jphr.2021.2162. Go to original source... Go to PubMed...
    33. Zarora R, Immanuel J, Chivese T, MacMillan F, Simmons D (2022). Effectiveness of integrated diabetes care interventions involving diabetes specialists working in primary and community care settings: A systematic review and meta-analysis. Int J Integr Care 22(2): 11. DOI: 10.5334/ijic.6025. Go to original source... Go to PubMed...

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