Nwaji, Esther. Strategies to improve Type II DM prevention among undiagnosed prediabetics in a faith-based setting. Retrieved from https://doi.org/doi:10.7282/t3-yyzz-6q13
DescriptionRecent studies have discussed the effects of diet and lifestyle modification on the progression of type 2 diabetes among people living with the disease. The primary care clinician is at the forefront, charged with initiating diabetes prevention among her patient population long before being diagnosed with diabetes. The role of the National Diabetes Prevention Program in mitigating the risk of T2DM among the population that is undiagnosed and unaware is a promising area of research. Purpose of Project: This project aims to ascertain the effect of a modified Diabetes Prevention Program on diabetes attitude, body weight, BMI, and HgA1C among prediabetics who were undiagnosed and unaware from a sample selected from a local church in West Orange, New Jersey.
Methodology: This Quasi-experimental pre-test/post-test study utilized a sample of 15 adults aged 35–79 years, with no prediabetes diagnosis, who were at moderate to high risk for diabetes based on a prediabetes risk score of 4 or more, and self-reported as non-diabetic. The prediabetes risk score was measured using the CDC-approved prediabetes risk assessment tool. Diabetes attitude was calculated using a modified version of the diabetes attitude scale.
Results: Results showed an increase in diabetes attitude score for the sample after three months of intervention. The mean HBA1C, body weight, and BMI for the sample decreased post-intervention. An unintended consequence of this project was finding four participants with HBA1C above 7.0 and a positive family history of type 2 diabetes in a first-degree relative. These participants have followed up with their primary care providers.
Implications for Practice: This project demonstrates the need for primary care clinicians and their patients to work together to improve preventive practices that curtail progression to type 2 diabetes.