Graduation Semester and Year
Fall 2026
Language
English
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Patti Parker
Abstract
Background: Uncontrolled Type 2 Diabetes can contribute to severe prevalent damage across multiple organ systems and blood vessels, which can significantly increase the risk of life-threatening acute and chronic health conditions. This Quality Improvement project evaluated an 8-week Type 2 Diabetes bundle approach in North Central Texas in a family practice clinic.
Methods: The project included adults aged 20 to 60 with a history of a hemoglobin A1C of 9% or higher. Twenty-five patients comprised the specified patient population. The bundle included weekly tele visits that assessed nutritional intake, physical activity, daily blood glucose levels and weekly weight results.
Results: Clinical parameters were descriptively analyzed by comparing data from May 01, 2026, until July 01, 2026, the implementation period, with corresponding parameters during the same period of time during 2025. Descriptive analysis revealed a baseline average weight of 188 pounds compared to 182.9 pounds after the bundle was implemented. The process change also had a positive effect on average blood sugar values. Before the intervention, the average blood sugar in the participants was 221 mg/dL. After the bundle was implemented, the average blood sugar was 132 mg/dL.
Conclusion: The findings support the practicality of the Type 2 Diabetes Bundle. The process change contributed to marked improvement in blood sugar control in the clinical practice site.
Keywords
Type 2 Diabetes, Uncontrolled, quality improvement, physical activity, weight reduction, nutrition, blood glucose
Disciplines
Endocrine System | Human and Clinical Nutrition | Immune System Diseases | Public Health and Community Nursing
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Rogers, Sierra, "Uncontrolled Type 2 Diabetes in the Underserved Population Aged 20-60" (2026). Doctor of Nursing Practice (DNP) Scholarly Projects. 37.
https://mavmatrix.uta.edu/nursing_dnpprojects2/37
Included in
Endocrine System Commons, Human and Clinical Nutrition Commons, Immune System Diseases Commons, Public Health and Community Nursing Commons