Correlation between Non-Insulin Diabetic Patients and A1C Hemoglobin Levels
there a significant correlation between
diabetic diet educational teaching class
offered by a registered nurse and
hemoglobin A1C levels?
Statement of Purpose
To
determine if there is a significant
correlation between diabetic diet
educational teaching class offered by a
registered nurse and hemoglobin A1C
levels in non-insulin depended diabetic
levels
• Diabetic education provided by a nurse or
• Type: Non-experimental, consensus
dietician improved overall health of the participant.
• Diabetic education decreased hemoglobin A1C
levels and blood pressure.
• By reviewing carbohydrates in a diabetic diet
hemoglobin A1C levels will decrease
• Diet has a positive impact on blood glucose levels
in type 2 diabetics
• Hemoglobin A1C is a reliable predictor of
diabetes
• A simple regimen could reduce elevated A1C
levels without altering type 2 diabetics daily
routines which suggest successful selfmanagement strateg
• Diet has a significant effect on hemoglobin A1c
levels.
• A four hour day in-service will provided
to discuss the plan of carbohydrates, with
examples of a meal and portion control
•Visual aids, auditory discussions and
open question will be available.
• A written book with all the information
discussed in class will be provided
• Dietary journals will be provided
• Hemoglobin A1C levels of be evaluated
with educational programs within a three
month period.
• These materials will be analyzed along
with the post hemoglobin A1C levels
Operational Definitions
• Hemoglobin A1C- level less than 6%
•Education-Visual Aids, Pre/Post Test, Food diary
• Non-Insulin Dependent Diabetic- Blood sugar above
120
• Diabetic Diet-portion control, food substitution,
carbohydrate counts
Hypothesis
There
is a correlation between teaching a
patient regarding proper diabetic diet
offered by a registered nurse will lower
hemoglobin A1C levels in a non-insulin
dependent diabetic patients
Independent Variable
• Diabetic diet education class offered by
the registered nurse
Dependent Variable
•Hemoglobin A1C level of the patients in
the study
Theoretical Framework
• Adult learning theory by Malcolm Knowles
• Adults need specific information on why certain things
are taught
• Adults learn by hands on experience or by visual or
auditory learning
• Adults do not need supervision or guidance when
they make mistake s during learning. They learn by
their own mistakes
Pre in-service hemoglobin A1C
15
In-service
participant
10
5
0
1% 3% 5% 7% 9%
Noninservice
participant
Hem oglobin A1C
Post in-service hemoglobin A1C
Research Setting
Brazos
Valley Home Health Services.
15
Partipant
Is
Research Design
Partipant
Problem Statement
Literature Review
5
Population & Sampling
0
• 60 type 2 diabetics will be selected and 30
will participate in in-service based on the
American Diabetic Association diet and 30
participants will not be offered the in-service
• Male and female volunteers will be sought
between the ages of 30 and 75 with a
diagnosis of DM Type 2 within the last 6
months will be chosen
Collection Tools
• Pre-post test
• Food diary
• Hemoglobin a1c prior and post inservice
Data Collection
• Brazos Valley Home Health Facility
• Consent forms will be given.
• Hemoglobin A1C levels will be collected
on all participants by a phlebotomist
pre/post in-service class
• Blood specimen will be transported to
Clinical Laboratory Pathogens
• Ten question pre/post test will be given
to test knowledge pre/post in-service
class
• All these materials will be taken into
consideration to determine if the diabetes
in-service participants utilized the
nutritional guidelines to decrease their
hemoglobin A1c levels.
In-service
participant
10
1% 3% 5% 7% 9%
Noninservice
participant
Hem oglobin A1C
Data Analysis
Hemoglobin A1C levels should be
lower in those who took the four
hour in-service than those who did
not receive the in-service.
 Diabetic education helps lower
A1C levels.

Significance to Nursing
• Hemoglobin A1C is a reliabl predictor
of diabetic glycemic control
• Diabetic education is a successful tool
in helping diabetics control diabetes
without medication.
• Nurses are need to educate diabetics
on how to control diabetes to prevent
other medical complications such as
heart failure, neuropathy, renal failure
and poor wound healing.