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The Role of a Nurse Practitioner in Diabetes Care

Care Team Spotlight: Christine Hoogasian - Diabetes Nurse Practitioner

Misconceptions about Nurse Practitioners in Diabetes Care

"Many patients don't understand the role and capabilities of a nurse practitioner when it comes to their diabetes care," said Christine. "NPs are taught two models of care, both the medical model and the nursing model. The role of a nurse practitioner varies from state to state."

Massachusetts has one of the largest NP workforces in the country, according to the U.S. Bureau of Labor Statistics. The state is one of 27 in the country that provides Full Practice Authority to an NP to diagnose and treat patients. That includes prescribing medication, insulin pumps and continuous glucose monitors.

Nurse practitioners in Massachusetts provide health care services including health promotion, disease prevention, health education, counseling and making referrals to specialists as needed. They may also diagnosis and manage chronic illness and disease. An NP fills multiple roles in diabetes care, as they diagnose, educate, counsel and treat this growing patient population.

A Team Approach to Quality Care at the UMass Memorial Diabetes Center of Excellence

The UMass Memorial Diabetes Center of Excellence (DCOE) operates under the unique model of a team approach to diabetes care. Endocrinologists work together with nurse practitioners, certified diabetes care and education specialists (CDCES), registered dietitians (RD), licensed practical nurses (LPN) and primary care assistants (PCA). The DCOE also works closely with other specialty clinics including diabetes eye specialists, behavioral health, kidney care and weight management.

Throughout the year, patients meet with each member of their care team, both in-person, or with the option of convenient telehealth appointments from the comfort of home.

The DCOE care team works closely with primary care physicians (PCP) to make sure all patients receive the best, most up to date and consistent diabetes care possible. After each office visit, the physician or NP enters appointment notes, not only to communicate with one another, but the notes are also sent to the patient’s PCP. Communication is essential for quality diabetes care. If a PCP finds an A1c to be high, they'll recommend an earlier appointment to the DCOE.

Nurse practitioners at the UMass Memorial Diabetes Center of Excellence provide full patient assessments, and in addition to prescribing, changing and/or regulating medication, can also screen for and diagnose complications from diabetes and make the appropriate specialist referrals. They can diagnose neuropathy, high cholesterol, hypertension, check for retinal changes, check kidney urine test results and determine whether a blood glucose level is acceptable for surgery.

Many patients see their endocrinologist once a year and their NP & CDCES for the other quarterly appointments. Diabetes care requires a trust-based relationship between the health care provider, patient and the patient’s support system. It's important to establish a rapport with your health care provider.

Christine Hoogasian, DNP, ACNP-BC, MSN, MS

BS in Biology from Framingham State
BS in Nursing from Fitchburg State
Master’s in Animal Science from University of New Hampshire
Master’s in Nursing from the Tan Chingfen Graduate School of Nursing
D.N.P (Doctor of Nursing Practice) from UMass Amherst
Currently (2022) working towards a Master’s degree in Public Health (MPH) from Rivier University.

Christine began working at UMass Memorial Health Care in 2008 as a staff nurse at Memorial Hospital. She enjoys helping people manage diabetes because it allows her to treat a multitude of health complications. Christine continues to educate herself by taking classes to broaden her knowledge of healthcare and health problems across the world. She's interested in the medical needs of people from various cultures.

In addition to working as a nurse practitioner (NP) at the UMass Memorial Diabetes Center of Excellence, Christine is an adjunct nursing professor at Massachusetts College of Pharmacy and Health Sciences (MCPHS) in Worcester, MA and Rivier University in Nashua, NH. She also precepts students from MCPHS and UMass Chan Medical School.