الفهرس 
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Abstract
Diabetes mellitus is a chronic disorder characterized by impaired metabolism. A Patient with diabetes mellitus on insulin therapy needs to learn self-management and changes life style to prevent or slow the progression of complications. The aim: assessing the nurse’s performance in caring for patients with DM on insulin therapy, and recommending guideline of the nurse’s performance based on needs of patients with DM on insulin therapy. Methodology: Setting: Endocrine department (medicine 5), and Transplantation Unit of Pancreatic Cells and Diabetic Researches at Ain Shams University Hospitals. Subjects: A purposive sample of 60 adult patients with DM on insulin therapy, (43 females & 17 males), and all available 30 nurses. Tools. 1) An interview questionnaire sheet; it includes 2 parts: a) Patients’ needs assessment sheet, b) Interview questionnaire sheet about nurses’ knowledge. 2) Nurses’ performance checklist. Results: the majority of patients didn’t received any health teaching about DM, weren’t identified the name, dose, and insulin calculation by syringe, weren’t able to take insulin injection by themselves, all studied subject didn’t identify different sites of insulin injection, most of them didn’t rotate sites of injection, nearly two thirds of them had no diet program of DM, most of patients weren’t identified importance of physical activity, nearly two third of them weren’t identified the importance of foot care. As regards to nurses knowledge: all nurses had unsatisfactory level of knowledge regarding nursing care of insulin treatment, nursing care of complications of DM, diet. As regards practice; no statistically significant relations were found between nurses knowledge/practice and their level of education, majority of nurses had unsatisfactory knowledge and practice levels. Conclusion: Majority of patients need health education of DM as it will impact on their physiological, socioeconomic, spiritual, environmental safety, and educational aspects. Majority of nurses have unsatisfactory knowledge and practice regarding insulin therapy. Recommendations: Educational guideline and in-service training should be available for diabetic nurses caring for diabetic patients to improve their knowledge, and skills.