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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Nicole Gibson

Second Advisor

Lori Hendrickx


Background: Diabetes type II (DMII) is a rapidly growing condition of dysfunctional glucose use within the body, often caused by excess intake of refined carbohydrates and low physical activity (American Diabetes Association, 2016; Centers for Disease Control [CDC], 2019a). As many as 9 out of 10 Americans are unaware they have prediabetes. Both diabetes and prediabetes show significant improvement in symptoms with diet and exercise intervention (CDC, 2019a; NDPP, 2018). Methods: Patients seen in a rural facility between 20-39 years of age were screened for an obese body mass index (BMI) of 30 or greater (CDC, 2020). Those identified with an atrisk BMI were offered the CDC 1-minute screening for prediabetes. If that screening reveals a moderate or greater risk, the patient was given CDC information on the risks associated with their BMI and follow up with primary care was scheduled at that time. Gaps: A lack of information regarding availability of diabetes screening and education in younger populations and rural locations is identified as a gap in the literature. Recommendations for Practice: This project aimed to improve providers’ and patients’ awareness on the risks of elevated BMI, and how education and intervention can change long term outcomes.

Library of Congress Subject Headings

Non-insulin-dependent diabetes -- Diagnosis.
Non-insulin-dependent diabetes -- Risk factors.
Prediabetic state.
Medical screening.

Number of Pages



South Dakota State University


© 2021 Lea Niederbaumer