Date of Award

6-2025

Degree Type

Dissertation

Degree Name

Doctor of Nursing (ND)

Department

Nursing

Chair

Roberta Durk-Gomez DNP, APRN, PNP-PC

Co-Chair

Christina Paz

Abstract

Type 2 diabetes (T2D) is a metabolic chronic illness that affects millions of people in the United States. Management of the disease can be complex for patients due to multiple factors, including a lack of routine monitoring of glycemic levels and a lack of professional guidance, which often leads to poor glycemic control and long-term complications. The purpose of this Quality Improvement (QI) Project is to implement Self-Monitoring Blood Glucose (SMBG) with a daily blood glucose log and bi-weekly nurse practitioner (NP) follow-ups. The intervention aims to reduce hemoglobin A1c (HbA1c) levels. The foundation of this QI project is on a 8-day practice assessment in which it was evident that T2D was a frequent diagnosis and evidence supporting SMBG as an effective tool for improving glycemic control when combined with structured follow-up and education. Findings revealed that implementing SMBG with NP-guided support improved adherence to self-monitoring, improved patient understanding of blood glucose patterns, and reduced HbA1C.

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