Diabetes affects more than 34 million Americans, with approximately 90-95 percent of them having type 2 diabetes. Diabetes is primarily managed by the patient with assistance from their healthcare team (Centers for Disease Control and Prevention, 2021). Diabetes is a costly disease that affects individuals, healthcare systems, economies, and entire societies globally. Based on the knowledge, lifestyle interventions have shown to be effective in the management of type 2 diabetes (Garcia, 2020), a more holistic approach to disease management was pursued. Garcia (2020) conducted a study in which lifestyle intervention data for treatment of diabetes was compared to pharmaceutical management of diabetes. Diabetes is a common topic worldwide, and there is much discussion when it comes to the prevention and overall management of the disease. In a study Advika (2017) concluded that physical activity improves glycemic control and insulin action along with weight loss. It was stated that at least one-hundred-and-fifty-minute walk total weekly was recommended for best outcome. Another study mentioned that adequate levels of physical activity reduced the risk by 8- 30% for diabetes (Galaviz et al., 2018). Metformin is primarily used for the treatment of type 2 However, metformin can cause side effects such as lactic acidosis and nephrotoxicity (Nasri & Rafieian-Kopaei, 2014). Lifestyle modifications has been proven to lower hemoglobin A1c and does not have harmful side effects. A new and more holistic type of treatment for this disease is imperative for these patients.

Date of publication

Spring 4-17-2023

Document Type

MSN Capstone Project



Persistent identifier



Masters in Nursing Leadership