Americans have diabetes, which makes up around 11.3% of the overall American population. From this population, almost 37.1 million patients are adults or 18 years old and older. Furthermore, other statistical reports have highlighted that out of all the diabetic cases within the country, 90.9% are of diabetes type 2, making up 21 million of all the cases (Julia, 2022). Studies have highlighted that diabetes and obesity often increase the future risk of cardiovascular diseases, making it more difficult to treat either of the conditions (Sharma et al., 2020). Also, other studies have highlighted that an unhealthy lifestyle and diabetes increase the risk of developing other coronary heart diseases, which may include vascular problems, issues in electrical mechanisms, and arrhythmias (Piché et al., 2020). There are studies that have linked the worsening condition of the heart with uncontrolled diabetes as well (Zareinu et al., 2020).
PICOT Question
In adults with Type 2 diabetes, a healthy diet and regular exercise have a more significant impact as compared to standard diabetes management without a specific focus on lifestyle changes, which leads to lower blood glucose levels and weight management within a year.
Population: Adults
Intervention: Implementation of comprehensive lifestyle changes (dietary modification and regular exercise)
Comparison: Standard Diabetes Management without Lifestyle Changes
Outcome: lower levels of blood glucose and weight reduction
Time: 1 year.
Action Plan to Implement an Evidence-Based Plan
Physical activities are associated with an increased risk of type 2 diabetes as the sedentary lifestyle works on the insulin resistance in the body, leading to overweight and other health-related issues (Li et al., 2022). whereas the World Health Organization (2023) has reported that a healthy diet, regular exercise, and maintaining a normal body weight have been linked with prevention and delay in the onset of diabetes type 2. Considerable evidence supports the idea that weight management has been identified as the cornerstone of metabolic health, while the quality of the diet is significantly more important (Forouhi et al., 2018). The lifestyle intervention has significantly reduced the risk of onset of type 2 diabetes to 36% in an RTC trial experimental study as compared to the control group (Pot et al., 2020).
The study revealed that the effects of the lifestyle intervention were greater for intensive interventions that combine dietary and physical activity as compared to single-component interventions. The program was developed within the course of 1 year, where the patients who have a lack of glycemic control and obesity were introduced to lifestyle changes such as a healthy diet, such as control food and low-carb and fat-free food options, along with regular exercise such as walking and low-paced exercise, helping people to reduce and maintain weight.
The current plan was developed to ensure that people who are overweight are encouraged to regulate and change their lifestyle choices to encourage them to have long-term sustainable lifestyles and healthy habits. Studies have highlighted that lifestyle changes have significant positive impacts on diabetes management and tend to provide long-term and persistent results (Pot et al., 2020).
NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice
The action plan will be based on
- Project Overview and Objective: To help the type 2 diabetes patient adapt to healthier dietary habits and engage in regular physical activities to improve blood sugar levels, it is important to have clear goals for the project.
- Team Building: To provide a better experience for the patients, assemble a team of endocrinologists, dietitians, nurses, physicians, and other staff members to assign roles and responsibilities to the team and to ensure that everyone’s role is being monitored and helpful for patients.
- Need assessment. The initial step is to conduct a need assessment for the individuals to identify specific needs, preferences, and values of the target population.
- Education and prevention program: Developing patient-friendly resources to educate regarding healthy eating and exercise, such as portion control, meal planning, physical activity guidelines and benefits, etc., while ensuring that information is culturally sensitive
- Training and development: Training the development of healthcare professionals for delivering lifestyle interventions through workshops and effective communication training
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