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Evidence-Based Change In Practice: Development And Implementation Of Type Ii Diabetic Flow Sheet, Kathryn Grimleybaker

Doctor of Nursing Practice (DNP) Projects

Ten percent of the National Health Service annual budget goes to treat complications from diabetes (Lancet, 2010). The American Diabetes Association® (ADA, 2013) estimated that diabetics in the United States incur $176 billion annually in direct medical costs for treatment with hospitalization being the main component of the expenditures. California has the largest population of diabetics and the highest annual cost at $27.6 billion (ADA, 2013). The Healthcare Cost and Utilization Project (HCUP, 2008) found that the average cost of hospitalization in 2008 for a patient with diabetes was $10,937 in contrast to $8,746 for a patient without diabetes. The …

Association Of Serum Immunoglobulin G (Igg) Antibodies Against Periodontal Bacteria In Type 2 Diabetes And Pre-Diabetes And Cardiovascular Risk Factors, Deepika Shrestha

Theses and Dissertations

Periodontal disease is an inflammatory disease caused by polybacterial infection and inflammation plays key role that associates periodontal disease with different systemic diseases including diabetes and cardiovascular diseases. The main objective of this study is to evaluate and explore the association of serum IgG antibodies in four distinct clusters that were formed empirically from species specific 19 periodontal antibody titers with T2DM and pre-diabetes adjusting for known confounders such as age, sex, race-ethnicity, income to poverty ratio, education, smoking and drinking alcohol, BMI, WC, physical activity, missing teeth, dentist visits and other nutritional factors.

From the first aim, we formed …

The Role Of Obesity, Diabetes, And Hypertension In Cleft Lip And Cleft Palate Birth Defects, Hebah Alawi Kutbi

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Orofacial clefts (OFCs) are birth defects characterized by immediately recognizable disruption of normal facial structure caused by abnormal facial development during the first six to eight weeks of gestation, causing a cleft in the lip or the palate. OFCs are among the most common structural birth defects and a public health problem. Some studies have found that maternal obesity, diabetes, hypertension, or the underlying metabolic abnormalities known as the metabolic syndrome, might be associated with the risk of OFCs, though other studies have been inconsistent. Data of mothers who have had children with OFCs were compared to those of children …

Promoting Behavior Changes In Patients With Type 2 Diabetes Through Shared Medical Appointments, Shonda Lanette Williams

Doctoral Projects

Diabetes Mellitus (DM) is a chronic disease that affects many individuals in the United States. It was reported that a total of $245 billion is spent annually on both direct and indirect health care costs associated with the treatment of diabetes and diabetic related complications. Diabetes related complications can be prevented or delayed if proper education is done and individuals are willing to practice positive behavior changes and self-manage their disease. The purpose of this doctoral capstone project was to promote behavior changes in patients with diabetes through diabetes self-management education (DSME) in shared medical appointments (SMAs).

This project was …

Healthcare Access And Health Outcomes In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

In a publication from the Robert Woods Johnson Foundation, it was recognized that a person’s zip code was a more important predictor of health than their genetic code. Where we live influences not only our access to health care, but other health indicators as well. Clark County has a low primary care physician to population ratio compared to other counties in Nevada and in the US. Clark County also has highest rates of uninsured in the Mountain West and among the highest in the nation.

Southern Nevada fared worse than other Mountain West Metropolitan areas in health indicators and preventative …

The Effectiveness Of St. Joseph Mercy Center For Diabetes Education Program At One And Two Years Post Education, Clisty Kinlin

Master's Theses and Doctoral Dissertations

Background: Diabetes is a disease of the endocrine system characterized by hyperglycemia, which can lead to multiple microvascular and macrovascular complications. Successful control of blood glucose levels can decrease associated complications.

Objective: This study evaluated the effectiveness of nutrition and lifestyle interventions in people diagnosed with type 2 diabetes.

Methods: A retrospective study reviewed laboratory data of individuals that attended the St. Joseph Mercy Center for Diabetes education program. HbA1c and lipid value were evaluated to determine the effectiveness of the program.

Results: Baseline HbA1c for all groups was 8.33%. Post-Program HbA1c was 6.70%, showing a 1.63% (p<0.0001) reduction from Baseline to Post-Program. There was a significant reduction in HbA1c of 1.4% (p<0.0001) for all groups from Baseline to 2-years Post-Program. Lipid levels did not show a significant change from Baseline to Post-Program, however, lipid levels reached target levels and continued to improve through 2-years Post-Program.

Conclusion: This …

Switch From Canonical To Noncanonical Wnt Signaling Mediates High Glucose-Induced Adipogenesis, Emily C. Keats, James M. Dominguez, Maria B. Grant, Zia A. Khan

Paediatrics Publications

Human bone marrow mesenchymal progenitor cells (MPCs) are multipotent cells that play an essential role in endogenous repair and the maintenance of the stem cell niche. We have recently shown that high levels of glucose, conditions mimicking diabetes, cause impairment of MPCs, resulting in enhanced adipogenesis and suppression of osteogenesis. This implies that diabetes may lead to reduced endogenous repair mechanisms through altering the differentiation potential of MPCs and, consequently, disrupting the stem cell niche. Phenotypic alterations in the bone marrow of long-term diabetic patients closely resemble this observation. Here, we show that high levels of glucose selectively enhance autogenous …

Knowledge Of The Risks Of Heart Disease In Uninsured And Insured Persons With Diabetes In A Rural Community In Southeastern United States, Lisa S. Howard

Nursing Theses and Capstone Projects

Diabetes and heart disease are chronic illnesses affecting many lives in the United States. Both diseases have complications, and when coupled together, the mortality rate and risk of complications increase. Heart disease is the leading cause of death in most countries across the world, and the majority of individuals diagnosed with diabetes die of a heart disease complication. Literature review reveals a plethora of research regarding the relationship between diabetes and heart disease, but limited research was found regarding health disparities with diabetes and heart disease awareness. No research was found assessing the knowledge base regarding diabetes and heart disease …

Sleep Duration And Diabetes In An Adult Population Of Rural Upstate New York, Tarak Shrestha

Legacy Theses & Dissertations (2009 - 2024)

Introduction: Within the past five decades, there has been a rapid increase in the number of diabetic cases in the US. The number of diabetic cases increased from 1.5 million in 1959 to 25.8 million in 2011. Around the same time period, the average sleep duration per night decreased from 8 hours to 6.9 hours.

Is Marital Status A Determinant Of Self-Monitoring Of Blood Glucose?, Jasmine Evelyn Dixon Jones

Electronic Theses and Dissertations

Glycemic control is one of the most important aspects of diabetes management and is necessary for the prevention or delay of complications associated with diabetes mellitus (DM). Self-monitoring of blood glucose (SMBG) is a technique used achieve glycemic control by revealing day-to-day changes in blood glucose levels. Since marriage protective effects have been shown for mortality, especially for men, it is useful to determine whether a similar relationship is found between marriage and SMBG. The purpose of this study is to examine whether marital status is a determinant of SMBG, when controlling for other variables, and whether marital status determines …

Diabetes Prevention Of The Hispanic Population: Health Lifestyle Management Education At Our Lady Of Guadelupe Clinic In Worthington, Minnesota., Laura J. Bade, Amber E. Dionne, Erin A. Manoles, Lisa R. Milbrant

All Electronic Theses and Dissertations

The purpose of this research study was to utilize educational tools on healthy lifestyles in order to promote Diabetes Mellitus Type II (DMII) prevention in the Hispanic population in Worthington, Minnesota. Hispanic adults are 1.7 times more likely to be diagnosed with Diabetes Mellitus (DM) by a physician than non-Hispanics. Since DMII is a preventable disease, education focused on nutrition and activity will help prevent diabetes and its associated comorbidities. An educational seminar was conducted at Our Lady of Guadalupe in Worthington, Minnesota. A pretest/posttest was administered to assess the knowledge gained with the utilization of the educational tool. Despite …