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Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)

Department / School

Graduate Nursing

First Advisor

Barbara Heater


non-insulin-dependent diabetes treatment, diseases among North American Indians, regulation of metabolism


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



Number of Pages



South Dakota State University


Copyright © 1997 Darci Harper. All rights reserved