The purpose of this paper is to highlight the individual who suffers from type 1 diabetes, because there appears to be a disparity in the equity of their healthcare needs as compared to other chronic illness. Type 1 diabetes is a progressive illness that places a tremendous burden on the person inflicted with it, including emotional, physical, and financial strains, and these burdens contribute to an emotional condition known as diabetic distress (Orben et al., 2022). This distress impacts the individual’s self-efficacy, and they see more frequent exacerbations of their diabetes like diabetic ketoacidosis (DKA) (Fisher et al., 2018; Hood et al. 2018; Orben et al., 2022). The cost of insulin is high but the cost of a hospitalization with a diagnosis of DKA on average costs the individual $30,000 (Lyerla et al., 2021).

An evidence-based approach to improving this healthcare inequity for the type 1 diabetic is to provide a text-based intervention that educates, encourages self-efficacy, and empowers the type 1 diabetic patient to take ownership of their disease process. The evidence-based practice question that guided my search through the literature is as follows: In young adults with type 1 diabetes discharged to home following a post diabetic ketoacidosis (DKA) episode, how does diabetes discharge instructions with a follow up educational text message at 48 hours and at 2 weeks after discharge, compare to diabetes discharge instructions without a follow up educational text message affect the rate of rehospitalizations with recurrent DKA within 3 months after intervention?

The plan is to implement this project that utilizes a text-based intervention to recently discharged type 1 diabetic patients. Each case will be evaluated over a three-month span of time after discharge. The desired outcome and aim are that there be no additional hospitalizations following the patient’s initial hospitalization for DKA for those who received the intervention.

Date of publication

Spring 4-19-2024

Document Type

MSN Capstone Project



Persistent identifier



Master of Science in Nursing

Included in

Nursing Commons