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Document Type
Thesis - University Access Only
Award Date
1997
Degree Name
Master of Science (MS)
Department / School
Graduate Nursing
First Advisor
Barbara Heater
Keywords
non-insulin-dependent diabetes treatment, diseases among North American Indians, regulation of metabolism
Abstract
Native Americans have a high prevalence of diabetes and diabetes complications (Gohdes, Kaufman, & Valway, 1993). However, there are few published accounts of diabetes intervention studies with Native Americans. The purpose of this study was to examine the effect of Staged Diabetes Management on metabolic control in Native American patients with Type It diabetes as compared to traditional diabetes management.
The experimental group consisted of 54 Native American patients with type n diabetes who were treated with Staged Diabetes Management. The control group consisted of an equal number of Native American patients with type n diabetes who were treated with traditional diabetes management. Levels of glycated hemoglobin or HbAlc at 0, 6, and 12-month intervals were recorded for both groups.
The experimental group had an initial decrease in mean HbAlc from 8.29% to 8.18% over the first 6 months. However, this trend was not sustained over a 12-month period. Instead, the mean HbAlc increased to 8.65% at 12 months. A similar 12-month increase was found for the control group. This suggests there was no added value over traditional diabetes management with implementation of Staged Diabetes Management in this Native American population.
Library of Congress Subject Headings
Type 2 diabetes -- Treatment
Indians of North America -- Diseases
Metabolism -- Regulation
Format
application/pdf
Number of Pages
53
Publisher
South Dakota State University
Rights
Copyright © 1997 Darci Harper. All rights reserved
Recommended Citation
Harper, Darci J., "The Effect of Staged Diabetes Management on Metabolic Control in Native Americans with Type II Diabetes" (1997). Electronic Theses and Dissertations. 844.
https://openprairie.sdstate.edu/etd/844