Final Defence: Roya MacDonald-FR
A departmental report defense for Roya MacDonald, MN student from Moncton, and candidate for the degree of master of nursing.
The number of individuals developing prediabetes and Type 2 Diabetes Mellitus (T2DM) in New Brunswick (NB) dramatically increases each year (Bilanzie & Rosella, 2017). This suggests the current treatment and management may be ineffective (Hallberg, Gershuni, Hazbun, & Athinarayanan, 2019). Emerging research indicates insulin resistance is the hypothesized pathological condition underpinning these diseases (Crofts, Zinn, Wheldon & Schofield, 2015), and that it is the over-consumption of refined carbohydrates which is the prominent driving factor in the development of insulin resistance. Studies demonstrate that prediabetes and T2DM are reversible when adapting low refined carbohydrate and intermitting fasting therapy (Hallberg et al. 2019). The aim of this study was to utilize a case study design in order to describe the experience NB adults with prediabetes have when participating in a 4-week nurse-guided lifestyle intervention. The intervention included: a low carbohydrate meal plan, intermittent fasting plan, virtual education, and continuous nursing support. The theoretical lens, used for the development of this project, was Nola Pender’s Health Promotion Model (2011). The two study propositions examined were: NB adults with prediabetes will face personal and social barriers when attempting this lifestyle behaviour change; and NB adults with prediabetes will be influenced by the nurse researcher when attempting this behaviour change.
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