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Document Type

DNP - University Access Only

Award Date

2016

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Robin Arends

Keywords

type 2 diabetes mellitus, prediabetes, screening, A1C, risk factors

Abstract

The purpose of this project was to implement a diabetic screening program for early detection of diabetes using American Association of Clinical Endocrinology (AACE, 2015) screening guidelines in an Advanced Practice Registered Nurse (APRN) managed convenient care clinic. Asymptomatic adults were offered A1C screening if they were aged >45 or those aged >18 with one or more risk factor which included obesity, cardiovascular disease (CVD), hyperlipidemia, hypertension, polycystic ovarian syndrome (PCOS), metabolic syndrome, family history of diabetes, previous history of gestational diabetes, chronic glucocorticoid exposure, history of a sleep disorder, sedentary lifestyle, and those on antipsychotic therapy. Descriptive statistics including frequencies, percentages, standard deviations, and means provided the data needed to determine the prevalence of undiagnosed diabetes and prediabetes, a logistic regression determined the strength of associated risk factors. Prediabetes was found in 32% of patients. The strongest predictors for diabetes were those who were aged >45, male gender, and family history of diabetes. Using evidence-based standards to guide nursing interventions improved quality of care. Screening for diabetes in a convenient care setting positively impacted this underserved rural population. It offered the opportunity for adequate diabetic screening and early detection and treatment of prediabetes.

Library of Congress Subject Headings

Non-insulin-dependent diabetes -- Diagnosis
Non-insulin-dependent diabetes -- Risk factors
Medical screening

Description

Includes bibliographical references (pages 66-72)

Format

application/pdf

Number of Pages

90

Publisher

South Dakota State University

Rights

In Copyright - Educational Use Permitted
http://rightsstatements.org/vocab/InC-EDU/1.0/

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