BJSTR Journal: Academia.edu

Diabetes is a significant chronic disease, 424.9 million people worldwide are estimated to have diabetes in 2017, and this number is expected to increase to 628.6 million by 2045 [1]. More and more patients with diabetes are affected by other comorbidities, in fact, more than 40% of diabetic people have 3 or more comorbidities [2]. Another important aspect is that, as population ageing, health needs tend to become more complex, multimorbidity, the co-occurrence of multiple diseases in the same patient, represents the most relevant feature among older adults, with a prevalence from 55% to 98% [3]. Inevitably, the coexistence of chronic diseases is often accompanied by poly pharmacy (daily intake of ive or more drugs), that could create a frailty condition, poor adherence to therapies, unknown Diabetes Quality of life (DDI) and inappropriate hospital admission, with signiicant implications on economic resources [4, 5]. In light of these reasons the management of complex diabetic outpatients should be reviewed, and nurses might play a central role to improve quality of care and patient quality of life. 

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