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Original Question

rewrite to make it sound human and avid ai detection Diabetes is one of the most common chronic conditions worldwide, and its burden is even greater among underserved communities who often face barriers to consistent, high-quality care. In the United States alone, more than 37 million adults are living with diabetes, with higher rates seen in low-income and minority populations (CDC, 2022). Nurse-led diabetes management programs have gained attention as an effective approach to bridging healthcare gaps by providing education, care coordination, and culturally sensitive support. Reviewing the current research on this topic is essential to understand whether nurse-led programs can improve glycemic control, self-management behaviors, and overall health outcomes for these vulnerable groups. The purpose of this paper is to evaluate whether nurse-led diabetes management interventions improve patient outcomes for adults living in underserved communities. The PICOT question guiding this review is: In adults with diabetes in underserved communities (P), how do nurse-led diabetes management programs (I) compared to standard physician-led care (C) affect glycemic control and self-management outcomes (O) over 12 months (T)?

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