Date of Conferral



Doctor of Nursing Practice (DNP)




Carolyn Sipes


Diabetes mellitus is a serious chronic disease affecting individuals at various stages of life. More than 114 million Americans are at risk of developing complications of diabetes. It is the leading cause of kidney failure, nontraumatic lower-limb amputations, heart disease, stroke, and new cases of blindness among adults in the United States. This quality improvement project sought to understand if important clinical indicators of diabetes mellitus such as HbA1c, blood pressure, serum cholesterol, high-density lipoprotein, low-density lipoprotein, serum creatinine; and estimated glomerular filtration rate would improve after implementation of a team-based guideline-informed approach to diabetes care management. The chronic care model (CCM) was the basis of the project and has been shown to improve the quality of diabetes care through greater attention to principles and care guidelines by multidisciplinary professional teams. Pre/post descriptive deidentified data were collected from initiation of the CCM project to three months’ post-project initiation. Out of the 14 participants from the practice site, all showed clinically relevant reduction less than or equal to 0.5% to 1% in HbA1c, serum cholesterol, and triglycerides without experiencing hypoglycemia on posttest. The project results may impact social change through the empowerment of patients as they become more engaged in their treatment plan and ability to make educated decisions. It can also benefit the organization and the healthcare professionals by creating a patient-first attitude to care and organizational structure.

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