Does regular educational support for patients with newly diagnosed type 2 diabetes achieve glycemic control?

By

ACKNOWLEDGEMENTS

This dissertation is an opportunity for me to extend my regards to my research supervisor, my beloved friends, and my family for their untiring support that they furnished throughout my research. I am grateful to them for their belief in me and the guidance that they provided me without which I would have never been able to work on and complete this research. It also signifies my own views and does not closely relate to the university.

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DECLARATION

I, (), would like to declare that all contents included in this study stand for my individual work without any aid, and this proposal has not been submitted for any examination at academic as well as professional level, previously. It is also represents my very own views and not essentially those that are associated with other university.

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Abstract

The type2 diabetes is one of a metabolic disease resulting from the defects in the production of glucose cell absorption and insulin. This condition causes serious and long term threats and complications with a high mortality and morbidity ratio. This study explores and discovers the valid current studies existing to recommend the need of educational support being one of a treatment option for newly diagnosed type 2 diabetic patients for the purpose of achieving glycemic control. Qualitative critical approach is employed for finding out the pertinent data so that the research aims and objectives can be explored in detail. A total of nine articles were selected which assisted in meeting the criteria to answer the proposed research question. The findings of the study reveal the benefits of the individual education programs in achieving glyceamic control. This study concludes that the educational support provided by specially trained professionals of health care and nurses is effective to produce positive outcomes in terms of psychological performance, insulin injection skill, weight changes, improved dietary knowledge, decrease in glycemic levels, and moderate weight loss. Additional studies are required for delineating these findings further.

ACKNOWLEDGEMENTSI

DECLARATIONII

ABSTRACTIII

INTRODUCTION1

Background of the Study1

Problem of the Study2

Purpose of the Study3

Aims and Objectives3

Research Question4

LITERATURE REVIEW5

Overview of Diabetes5

Type 1 Diabetes5

Type 2 Diabetes5

Patient Education7

Early Glycemic Control7

Glycemic Control Impact on Outcomes of Type 2 Diabetes8

METHODOLOGY10

Search Strategy10

Inclusion or Exclusion Criteria11

Identification of Themes11

Ethical Insights12

FINDINGS/RESULTS13

Papers selected14

Critical Analysis14

DISCUSSION19

Relevant Themes19

Enhancing Active Participation of Patients in Decision-Making19

Glycemic Control and Educational Needs of the type2 Diabetic Patients20

Diabetes Self Management Education21

Critique of Ethical Insights of the Selected Articles22

CONCLUSION/RECOMMENDATIONS23

Strengths and Limitations23

Practice Implications and Recommendations24

REFERENCES26

APPENDIX35

INTRODUCTION

Background of the Study

The term Diabetes Mellitus is a group of disease characterized by elevated glucose levels in the blood resulting from the insulin action (insulin resistance), and insulin deficiency (defects in insulin production) or may be both. The hormone insulin is chiefly produced by the pancreas (Hossain, 2007, pp. 213). Whenever the food is consumed it converts into a sugar type “Glucose” entering into the stream of blood. The glucose is moved into the cells of the body by insulin. Hence, the glucose is needed for energy production, excess ...