Introduction & Objective:
Small group discussions are commonly used in medical education to enhance learning. Digital tools like gaming, virtual environments, audio discussions, and audience response systems have improved engagement. Simulations and integrated methods have been particularly effective for nursing students in mastering pharmacological concepts. The objective was to design a case-based simulation to teach the pharmacological management of diabetes to nursing pharmacology students.

Design & Methods:
A case simulation using PointSolutions audience-response system was conducted after a lecture on diabetes management. Permission was obtained from the course director of the Nursing Pharmacology course to pilot this as a new format for this small group. The simulation guided students through selecting the next step in diabetes pharmacological management and explored the nursing implications. Forty-one students were divided into three groups, with sixty seconds to discuss and respond to each question. After polling, groups explained their answers, followed by a facilitator-led discussion. Feedback was collected through a QR code form, targeting satisfaction, knowledge gained, confidence, and critical thinking.

Results:
The activity received an overall rating of 4.44 out of 5, with 95% of students enjoying the experience and 97% finding it effective for understanding diabetes management. Additionally, 87% felt the activity improved their knowledge and patient management skills, and 78% felt confident in applying what they learned. The activity also clarified nursing roles in patient care for 87% of participants.

Conclusion:
The case simulation was well-received by nursing students, who found it engaging and effective in enhancing their understanding of diabetes pharmacological management. It provided a valuable, interactive learning experience that improved both knowledge and practical application.

Keywords: Medical education, pharmacology, case simulations.