Pharmacological interventions in type 2 diabetes: the role of nurses

Type 2 diabetes is complex and difficult to treat, and patients often present with hyperlipidaemia and hypertension. We now have compelling evidence that adequate treatment of hyperglycaemia, together with tight blood pressure control, can reduce the risk of developing long-term complications of diabetes. This article explores the syndrome of type 2 diabetes, including some of the causal mechanisms. The various forms of treatment are explored: diet, exercise, different oral hypoglycaemic agents and insulin therapy. Finally, the importance of the nurse in assessing the most suitable therapeutic intervention for people with type 2 diabetes is outlined.