Life as a Diabetes Nurse


Diabetes nurse mainly take care of the patients diagnosed with Diabetes, a disease that inhibits the production and absorption of insulin in the body. Diabetes nurse usually are involved in the monitoring and education of the patients and the nursing staffs looking after them. Adjustment with the type and dosage of medication, planning and providing nutritional therapy, exercise, behavioural and psychosocial counselling are added responsibilities of the diabetes nurse. Moreover, their foremost responsibility is prevention, that can only be achieved by educating patients and their families about diabetes and the self-care management skills.

Expected characteristics of a Diabetes Nurse:

The diabetes nurse should possess

  • Upto date knowledge on diabetes and its management 
  • Self-management skills
  • Teaching and Counselling skills
  • Utilization of evidence-based nursing for developing practices and improvement in results
  • Leadership skills
  • Provide and facilitate clinical supervision
  • Participation in research
  • Possess good communication skills and be a bridge between primary and secondary care providers.
Roles of Diabetes Nurses includes: –

The priority work of a diabetes nurse is:

  • Monitoring blood glucose levels.
  • Working closely with physicians, Nurses and other healthcare professionals.
  • Restore fluid and electrolyte imbalances
  • Correction of metabolic functions
  • Management of underlying cause of diabetes and its process
  • Prevention of complications associated with Diabetes
  • Educating patients about diabetes and the disease process-medication, diet and nutritional monitoring; foot care, prevention and care of complications; blood glucose  monitoring and the techniques of self-monitoring, self-administration of insulin injection
  • Development of an educational programs for diabetic patients, staff and families.
  • Assisting patients in monitoring blood glucose for the purpose of medication control  and adjustment for both insulin and non-insulin dependent diabetics
  • Encourage healthy life style that includes diet control, exercise, weight control.
  • Providing continuous assessment and recommendations for further treatment of  patient/family and adjustments in the plan of care.
  • Creating awareness of how mental health like stress, anxiety or depression can affect diabetes
  • Assessment of documents and planning interventions for patients
Barriers encountered by Diabetes nurse

There are multiple factors that causes a barrier to diabetes education and implementation in their lifestyle. Patient education is a cornerstone in diabetes management. Patients, themselves may cause barriers to learning and nurse might find it challenging on their part. They are usually classified into factors associated with patients and factors associated with diabetes nurse.

Nurse measuring blood sugar
Nurse measuring blood sugar
Factors associated with patients includes
  • Patient’s characteristics
    1. Age
    2. Gender
    3. Education
    4. Life style
    5. Perception of illness
    6. Well being
    7. Baseline knowledge of the disease condition
    8. Family support
  • Psychological factors
    1. Anxiety, stress and depression
    2. Lack of self-efficacy
    3. Lack of expectations from diabetes education
  • Economical factors
Factors associated with diabetes nurse:

The factors associated with the diabetes nurse are basically related to their skills and  attributes. They are:

    1. Personal traits
    2. Communication skills
    3. Competency
    4. Knowledge
    5. Empathy
    6. Interpersonal skills

Diabetes nurse skill and knowledge development faces challenges. Lack of long-term job security can also result in recruitment and retainment difficulties.

Outcomes of a diabetes nurse

The Diabetes nursing workforce is important in diabetes care. They help in improving patient  experience and outcomes. The outcomes of their actions includes:

  • Reduction in average length of patient stay in hospital
  • Prevention of hospital admissions
  • Increase both patient and staff self-efficacy
  • Reduced inpatient problems and complications
  • Improved patient satisfaction
  • Improved cost-effectiveness.
Career Opportunity for Diabetic Nurses

A diabetic nurse is not only limited to a hospital setting but their role is widespread. They can render their services in the community or other institutes. They can  perform further specialization in diabetic courses i.e. Certificate in diabetes, advanced certificate in diabetes and fellowship in diabetes which would help them excel further in their careers. These are sequence of graded courses which would lead to better understanding about diabetes and its management. These are self-paced courses that definitely helps to enhance practical skills and makes one clinically sound.


A diabetes nurse role is essential for understanding and refining diabetes patient care. They have a varied and growing role that is critical to diabetes care. Diabetes nurses impact diabetes patients’ experiences in hospital. Education of patients and healthcare professionals, direct patient care and reducing inpatient harms, reducing length of stay and hospital admissions, and an increase in patient satisfaction are few of the outcomes of having a diabetes nurse in a facility.

Life as a Geriatric Nurse

A geriatric nurse, or gerontological nurse, is a nurse who assists in caring of aging and elderly individuals. Geriatric nurses are some of the most essential health care professionals required in the hospitals. They are basically trained to perform need based nursing tasks. Geriatric nurses can also pursue special training which eventually helps them better understand the distinct needs of elderly people.

Being employed as a geriatric nurse is often very gratifying and rewarding. While you choose to become a geriatric nurse, you need to assess yourself personally. Geriatric nurses requires to be of an upbeat and a cheerful personality. Being patient, understanding, empathetic, and compassionate, with a true desire to work with ageing patients are some of the attributes of a geriatric nurse. However, the work can also be frustrating or disheartening at times as well but geriatric nurses should also be able to handle stress and bounce back from depressing events, such as the death of a patient.

Geriartic nurse caring old patient
Geriartic nurse is caring old patient.

In-depth knowledge and skills are needed for the nurses to take care of the elderly patients. Nurses should enquire about the present and past illness of the patients as they are likely to have one or more chronic health conditions. Elder patients need more health care services in comparison to younger ones. Therefore, it is essential for all the nurses to have dedicated knowledge about older adults.

Attributes required of a geriatric nurse

The geriatric nurses should possess these attributes that are listed below:

  • Patience
  • Compassion
  • Empathetic
  • Strong Attention to Detail
  • Creative
  • Consistent
  • Cheerful
Roles and responsibilities of a geriatrics nurse

Geriatric nurses are required to keep patient records and coordinate with the physician’s recommendations. They are not only accountable for patients physical well-being, but for their mental and emotional well-being. There may be times when these elderly patients will appear to be depressed or angry, due to their deteriorating health, lack of freedom, and isolation from their loved ones. As a geriatric nurse, you need to be watchful for patients and try to remain cheerful and compassionate, even during these challenging times.

Geriatric nurses should usually be encouraged to connect with patients’ family members. There’s always a need to explain about patient’s care routine or medications or act as a link  between the family members, the patient, and the doctor.

The following are the responsibilities of a geriatric nurse:

  • Assessment of vital signs
  • Administration of medications and injections
  • Helping patients with their activities of living such as bathing, dressing, and using the bathroom
  • Assist in range of motion exercises and massaging
  • Observing for signs of abuse
  • Assisting physicians during exams and procedures
  • Transporting patients to doctor’s visits and other appointments
  • Making a nursing care plan for the patients based on the assessment
  • Educating family members about a patient’s condition
  • Promoting self-care skills
  • Assess patient’s mental health and cognitive skills
  • Provide a safe environment such as prevention from falls or accidents
  • Oversee the nutritional needs of the patient
  • Maintain accurate and complete healthcare records 
Challenges and overcoming complexities

Geriatric patients often require more physical assistance as their bodies become more complex and complicated with their growing age. Patients in their end-of-life care can be stressful and exhausting which can drain nurses emotionally. Management of chronic illnesses, comorbidities, and medications needs a strong knowledge base and varied range of skills. Geriatric nurses needs to think critically and listen to the needs, wants, and feelings of  the patient.

Nurse helping an elderly patient walk
Nurse helping an elderly patient for walk

Loss of independence could also be a struggle with the elderly patients. Some elderly patients might practice high level of independence, while others would completely rely on their family for activities of daily living. Thus, there are chances that they might fall into feelings of resentment, embarrassment, or grief.

All ageing people are distinct in their pattern of thoughts, capabilities, and world views. The physical strength, memory and senses keep declining with the growing age. It’s imperative to keep an open mind and avoid assuming regarding anything related to the patients. Every patient has their own individual experiences and the lives they’ve lived so far.

Rewards of being a geriatric nurse

Nurses are in contact with patients than any other healthcare worker. Since you work as

a patient advocate, it is essential to understand the need of building a positive relationship with elderly patient and his or her family. It requires high levels of patience, empathy, and compassion. Valuing and forming relationship with elderly patients gives you so much joy and satisfaction in the work. Overall, it is a rewarding and a pleasant experience.

Also, it gives a platform to learn diverse perspective of life and experiences and can lead to better understanding. Patients will be comfortable, feel more supported, will be honest and more cooperative over time, if you respect your patients and express gratitude. If you’re planning to become a geriatric nurse, you must keep in mind that the aging process affects everyone differently.

Career overview for geriatric nurses:

Geriatric nurse work in hospitals, clinics or residential facilities for the elderly. Some may also work as home healthcare nurses. They usually complete their basic nursing education. Some may opt for an additional gerontological nursing degree. There will always be a high demand for geriatric nurse professionals as the ageing population, continues to grow .This would require specialized nurses and thereby would help in expanding their career opportunities. Growing individuals also possess multiple ailments and requires patient focused care. Specialized nursing care can only help improve their quality of life of the vulnerable population.