Date of Award

Spring 5-20-2026

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Eligio David Soliman Jr., DNP, FNP-BC, CDCES

Abstract

Type 2 diabetes mellitus (T2DM) represents an increasing global health, social, and financial burdens. Nutrition, among other diabetes self-management topics, is a foundational aspect in managing T2DM. Significant knowledge gaps persist among patients regarding the impact of mindful eating habits in relation to euglycemia. Individualized diabetes education focused on healthy eating habits offers a promising strategy to address this gap. The quality improvement (QI) project aimed to evaluate the impact of diabetes education, focused on nutritional awareness, and mindful eating habits on hemoglobin (A1c) levels, weight, and diabetes self-management questionnaire scores (DSMQ-R) were assessed among adults living with T2DM. The project was conducted in a rural family practice clinic in Ramona, California, with a total of seven participants (n=7). The primary patient population are English speaking Caucasian patients over 65 years old. Following a baseline assessment, patients were given an individualized educational session and supplemental materials on the glycemic index (GI) regarding their eating habits. A1c levels were tracked pre- and post-intervention, along with weight measurements in the office throughout the 3–4-month span. Participants had a mean A1c reduction of 0.21%. While individual weight fluctuated, the group saw an average loss of 6.2lbs. DSMQ-R scores were improved by 1.13 points using the DSMQ-R survey. These results are consistent with existing literature.

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