Award Date


Degree Type

Doctoral Project

Degree Name

Doctor of Nursing (ND)



First Committee Member

Karyn Holt

Second Committee Member

Susan Van Beuge

Third Committee Member

Arpita Basu

Number of Pages



Prediabetes and Type 2 diabetes mellitus (T2DM) are two common conditions diagnosed in the primary care setting. Both conditions benefit from a healthy lifestyle, managing blood sugar levels, and getting diabetes self-management education and support (DSMES). Within the past two decades, the healthcare community in the US has witnessed a substantial rise in diabetes among adults. Overall, the self-management of diabetes continues to worsen nationally. The purpose of this project is to improve patients’ self-management of both Prediabetes and T2DM through nutrition and show how nutritional counseling via telehealth provided by a nurse practitioner can improve HgbA1C values over 3 months. The quality improvement project included 34 patients randomized into two groups, and three 30 minute nutritional counseling sessions once a month for 3 months. The level of patient readiness was assessed using the Transtheoretical Model of Behavior Change. Results showed nutritional counseling provided via telehealth by a nurse practitioner improved patients’ hemoglobin AIC values in 3 months. The methods of improving diabetic self-management followed the DSMES toolkit (CDC, 2021) and the American Diabetes Association (2022), Standards of Medical Care in Diabetes. These findings align with the literature stating integrating a diabetes self-management and support (DSMES) program is important for patients to self-manage their diabetes condition with confidence and provide a foundation for improving the management of their disease; in addition, this project showed success in lowering HgbA1C in T2DM and Prediabetes using telehealth nurse-led nutritional counseling.


Education; HgbA1C; Nurse Practitioner; Nutrition; Prediabetes; Type 2 Diabetes


Nursing | Nutrition | Science and Mathematics Education

File Format


File Size

1649 KB

Degree Grantor

University of Nevada, Las Vegas




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