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Decreasing Hyperglycemia and Diabetic Ketoacidosis in Adolescents on the Insulin Pump: A Quality Improvement Project

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dc.contributor.advisorEdith (Emma) Dundon
dc.contributor.advisorEdith (Emma) Dundon
dc.contributor.advisorJean DeMartinis
dc.contributor.advisorKaren T Turmel
dc.contributor.advisorDundon, Edith(Emma)
dc.contributor.advisorDeMartinis, Jean
dc.contributor.authorMacharia, Jane
dc.contributor.departmentUniversity of Massachusetts Amherst
dc.contributor.departmentDoctor of Nursing Practice
dc.contributor.departmentFamily Nurse Practioner
dc.date2024-01-22T14:15:15.000
dc.date.accessioned2024-04-26T19:34:07Z
dc.date.available2024-04-26T19:34:07Z
dc.date.issued2017-01-01
dc.date.submittedMay
dc.description.abstractBackground: The rate of hyperglycemia in adolescents with type 1 diabetes mellitus (T1DM) who use insulin pump therapy is three times higher than in those using multi-dose insulin. Current literature suggests that the causes of the increased hyperglycemia rate are insufficient patient education, missed insulin boluses for meals/snacks, pump malfunction, psychological effects, pubertal physiological changes, and adolescents’ risky behavior. Purpose: This quality improvement project aimed to reduce the rate of hyperglycemia and diabetic ketoacidosis in adolescents age 12–18 with T1DM on insulin pump therapy through evidence-based interventions. Methods: Participants were recruited from four western Massachusetts public schools. Innovative diabetes self-care education and peer group support were used. Educational sessions and peer group knowledge discussions occurred once a week from January 10, 2017 to March 14, 2017. Results: Findings indicated that the evidence-based educational program was effective in improving self-care skills in adolescents with T1DM on the insulin pump. The outcome showed that when knowledge of self-care management improved, the complications of TIDM such as hyperglycemia and DKA decreased. Conclusion: A multifactorial approach integrated with psychosocial support will promote self-care activities and reduce the short- and long-term complications of T1DM in adolescents.
dc.identifier.doihttps://doi.org/10.7275/10405811
dc.identifier.urihttps://hdl.handle.net/20.500.14394/37826
dc.relation.urlhttps://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1136&context=nursing_dnp_capstone&unstamped=1
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/
dc.source.statuspublished
dc.subjectDiabetic ketoacidosis
dc.subjectInsulin pump therapy
dc.subjectContinuous subcutaneous insulin infusion
dc.subjectType 1 diabetes mellitus
dc.subjectPeer support (focused group discussions).
dc.subjectNursing
dc.titleDecreasing Hyperglycemia and Diabetic Ketoacidosis in Adolescents on the Insulin Pump: A Quality Improvement Project
dc.typeopen
dc.typearticle
digcom.contributor.authorisAuthorOfPublication|email:janemacharia200618@yahoo.com|institution:University of Massachusetts Amherst|Macharia, Jane
digcom.identifiernursing_dnp_capstone/128
digcom.identifier.contextkey10405811
digcom.identifier.submissionpathnursing_dnp_capstone/128
dspace.entity.typePublication
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