Publication Date
5-2025
Document Type
Poster
Primary Faculty (Chairperson)
Dr. Dawn Magee
Secondary Faculty
Dr. Denise Ogorek
Abstract
Background
Prediabetes affects one in three US adults. Over 80% of individuals with prediabetes are unaware of having the condition. Evidence-based clinical practice guidelines (CPG) recommend screening adults 35 to 70 years old with a BMI of 25 or higher. Prediabetes treatment consists of lifestyle modification, referrals to nutrition counseling, and metformin for individuals who cannot make lifestyle changes. Diagnosis and treatment of prediabetes reduces the risks or delays the progression to type 2 diabetes.
Purpose
The purpose of this DNP quality improvement project was to impact primary care providers beliefs, knowledge, and practices in identifying, diagnosing, and treating prediabetes.
Methods
The study design was retrospective and descriptive incorporating prediabetes CPG education to a convenience sample with pre- and post-education provider surveys and chart audits.
Results/Analysis
Pre- and post-education provider surveys demonstrated positive beliefs for prediabetes care with variable knowledge of recommended treatment. Six weeks of chart audits pre- and post-education found a significant increase in screening using chi-square analysis (p=0.0024). A chart review indicated percentage of missed diagnosis for prediabetes increased post-education, reaching 88.9% compared to 84.71% pre-education. The pre- and post-education treatment group did not meet the projected sample size to determine statistical significance.
Implications for practice
Prediabetes CPG education improved prediabetes screening. Despite increased screening, however, prediabetes diagnosis was frequently missed, and no documentation of treatment was discovered in chart reviews. Further research is essential to identify barriers to screening, diagnosing, and treatment of prediabetes in primary care.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Bodle-Shingu, Rebecca M., "Prediabetes in Rural Primary Care: Screening, Diagnosis and Treatment" (2025). Doctor of Nursing Practice. 2.
https://repository.gonzaga.edu/nursing_dnp/2
Research Paper
Comments
See Additional Files (below) for research paper.