Date of Award

Spring 5-4-2018

Document Type

DNP Project

Project Team Faculty Member

Dr. Melodie Rowbotham

Project Team Faculty Member

Dr. Linda Omondi

Keywords

Diabetes, Diabetes Education, Type II Diabetes

Abstract

Background: Diabetes Self-Management Education (DSME) has been shown to improve diabetes management. However, a Midwest academic clinic does not offer formal diabetes education. The health department offers formal diabetes education classes twice a year. However, the classes are not flexible, long, and offered infrequently. Objective: The purpose of this project is to improve access to and standardize DSME for patients newly diagnosed with type II diabetes. Methods: The project design includes a one group pre-test/post-test convenience sample of adult patients who are newly diagnosed with type II diabetes in an academic outpatient setting. Results: At the time of diagnosis, the average A1C was 8.4%, with a range of 6.6% to 12.5%. The average BMI at the time of the education was 38.86. The range of starting BMI was 26.83 to 50.17. At the 3 month follow up appointments, the average A1C was 6.8%, with a range of 6.3% to 7.4%. The average BMI was 37.15, with a range of 26.96 to 46.74. Conclusions: A1C improved for 4 out of 5 patients, while BMI improved for only 1 patients. A change in diet and starting medication should produce an improvement in A1C.

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Background Introduction_atrump.docx (12 kB)
Introduction and Background

Problem Statement_atrump.docx (12 kB)
Local Problem

Clinical Relevance_atrump.docx (13 kB)
Clinical relevance

Literature Review_atrump.docx (18 kB)
Literature Review

Conceptual Framework_atrump.docx (14 kB)
The Chronic Care Model

Project Methods_atrump.docx (12 kB)
Project Methodology

Evaluation Process_instruments_atrump.docx (12 kB)
Evaluation Process

Final Reference List_atrump.docx (17 kB)
Final Reference List

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