Weekly calls to improve nurse-led diabetes self-management education for older adults

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Diabetes, a significant health issue, affects 40% of older adult Americans and increases their risk of stroke, falls, osteoporosis, renal failure, blindness, coronary heart disease, urinary incontinence, chronic pain, depression, dementia, frailty, and polypharmacy. For older adults with type 2 diabetes, sustained elevated hemoglobin A1C levels can lead to life-altering complications and death. This single cohort, posttest, quasi-experimental evidenced-based quality improvement intervention aimed to determine if participation in nurse-led diabetes self-management education, including weekly follow-up phone calls, improves self-management and diabetes control over 12 weeks for older adults (n=3). Participant self-management outcomes were measured pre-post-intervention using the Diabetes Self-Management Questionnaire and HbA1c. Results show that 75% of participants reduced their HbA1c pre-to-post intervention, indicating participation had a beneficial impact on glycemic control. However, the results of the Diabetes Self-Management Questionnaire showed a decline in self-management throughout the intervention. The societal impacts of the intervention include increasing the number of older adult northeastern Kansans engaged in diabetes self-management, decreasing the incidence of adverse events related to poor diabetes control in the aging population in northeast Kansas, and improving the health of older adult citizens of northeastern Kansas living with diabetes.

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