Format: APA 7th ed.
Research: Minimum of five scholarly references from within the last five years
Please see attachment for assignment prompts, and past work done.
Theory Logic Model for Project
Student
Prof
Course
Date
Project context: The present study’s goal is to evaluate IF’s safety and effectiveness to those of conventional treatment for persons who have type 2 diabetes.
Problem: The prevalence of obesity, which has been on the rise for decades, is a potential contributor to the development of prediabetes and diabetes. There seems to be a strong correlation between obesity and diabetes, since the prevalence of both conditions is increasing. Ten percent of the U.S. population has type two diabetes mellitus (T2DM) ((Zang, He & Xue, 2022).
Project impact: However, it is possible to promote and safely adopt IF among persons with diabetes by adjusting their medications and engaging in self-monitoring of blood glucose levels.
Outcome: Substantial weight reduction and improvements in glucose regulation ensued with IF. In certain cases, insulin resistance may improve with IF (Vitale & Kim, 2020).
Proposed solution: Managing glucose levels in individuals with type 2 diabetes using IF.
Correlation of Intermittent Fasting (IF) to Type Two Diabetes Mellitus T2DM
Factors influencing selected strategy:
1. Insulin resistance.
2. Poor dieting.
3. Failure to adhere to scheduled eating and fasting windows.
4. Inactive lifestyle.
Evidence base supported solution: Diabetic-related problems may be effectively treated and prevented with dietary modifications, as affirmed by both clinical practice and the majority of national diabetes organizations (Zang, He & Xue, 2022). Intermittent fasting is only one of numerous nutritional therapies that may be tried. A dietary intervention that shifts the length of the overnight fast from 12 to 18 or 20 hours may be useful as an additional dietary approach in the treatment of diabetes mellitus (Vitale & Kim, 2020).
References
Vitale, R., & Kim, Y. (2020). The effects of intermittent fasting on glycemic control and body composition in adults with obesity and type 2 diabetes: a systematic review.
Metabolic Syndrome and Related Disorders,
18(10), 450-461.
Zang, B. Y., He, L. X., & Xue, L. (2022). Intermittent Fasting: Potential Bridge of Obesity and Diabetes to Health?.
Nutrients,
14(5), 981.
Correlation of Intermittent Fasting to Type 2 Diabetes Mellitus
Student
Course
Prof
Date
Correlation of Intermittent Fasting to Type 2 Diabetes Mellitus
A research project’s theoretical framework is a useful starting point since it serves as a blueprint for the whole paper. This capstone work is intended to be theoretically grounded in Dorothea Orem’s Self-care Theory. Clinically, Orem’s self-care model is one of the complete models for laying out the foundations of effective self-care and assisting patients in putting those foundations into practice (Tanaka, 2022). This idea is appropriate for the capstone since it emphasizes the person and their ability to make changes to improve their health.
Orem’s idea rests on these three tenets:
Self-care deficit: Due to incompetence or ignorance, the person cannot care for themselves.
Nursing system: The patient has the capacity to care for themselves, yet they need nursing care.
Self-care requisites: The person is capable of taking care of herself and has access to the resources she needs to do so.
Orem’s theory lends itself to the following types of empirical investigation:
Case study: This method might investigate how a person can take control of their health and improve it via deliberate behavior change.
Survey: Individuals’ attitudes and practices towards health care might benefit from this method.
Experimental: This method might be used to examine how IF improves insulin sensitivity and lowers blood insulin levels.
Both quantitative and qualitative approaches apply to the investigation of the Orem hypothesis. In order to measure the impact of IF on insulin sensitivity and blood insulin levels, quantitative methods would be most beneficial. Qualitative methodologies are warranted when investigating the person and their agency regarding their health. Experimental research would be the best choice for quantifying IF’s potential to improve insulin sensitivity and lower fasting insulin levels. This research design would make it possible to isolate the impact of the treatment on the result by reducing the influence of confounding factors (Rosman et al., 2022). Case studies and surveys are two of the best qualitative research approaches for examining a person and their capacity to take control of their health and make positive changes. These approaches would make it possible to inquire deeply into people’s attitudes and practices toward their health. When a researcher employs either of these methods, they get a more significant say over the scope of the study, the variables used, and the kinds of questions asked. As a result, the researcher will have concrete data to provide, such as the percentage of patients who stick
Stakeholders
Student
Course
Professor
Date
Stakeholders
The capstone project explores the correlation of intermittent fasting (IF) to Type 2 Diabetes Mellitus (T2DM). The objective is to manage glucose levels in people with T2DM using IF. This paper reviews the stakeholders that will play a major part in the study. The table below identifies key stakeholders that will be interested in the project results, describes their roles, and reveals if they are supportive to the project.
|
Stakeholder |
Roles |
|
Alex Green: Patient with T2DM |
This stakeholder will be the test subject. He will be subjected to IF to see if his glucose levels will improve. A positive result will help him live a better-quality life. |
|
Ivy Kristie: Nutritionist |
This stakeholder will be responsible for coming up with the fasting routine and identifying proper meals for the patient. |
|
Sue Bell: Endocrinologist |
This stakeholder will examine the impact of the IF on the T2DM and deduce the positive and negative impacts of the intervention. |
|
Jason McCallister: Physician |
This stakeholder will review how the intervention affects the patient’s T2DM and other unrelated health concerns. |
|
Daisy Blue: Nurse |
This stakeholder will be responsible for implementing the intervention and incorporating the input of the endocrinologist, the physician, and the patient to achieve desirable outcomes. |
Promoting Stakeholder Participation
The first step is to identify the stakeholders early. This ensures that there is ample time to engage them and allow them to interact with each other. Next, each stakeholder will be sensitized on the significance of the project and how it will directly affect them. Once they understand the importance of the project, the stakeholders will be encouraged to interact with each other and provide feedback on how best to meet the objectives of the project. Through this collaboration, each stakeholder will feel valued and get the motivation to be personally involved in the project (Purvis, 2018). This way, the facilitator will ensure that there are several effective communication channels, which will be essential in promoting stakeholder participation.
Possible Concerns/Barriers from Stakeholders
For starters, there is the issue of competing priorities. Each stakeholder may have a priority that does not resonate with the others. This may result in friction where a consensus on how best to run the project is not reached. It is vital to incorporate
Methods/Design, Statistical Analysis
Student
Course
Professor
Date
The evaluative criteria (Indicators or variables) to be addressed in answering each evaluation question
The success of the proposed capstone project is based on the evaluation process to determine whether an improvement is being made. The research on the effectiveness of intermittent fasting (IF) in management is guided by the evaluation criteria important in revealing the existing gaps in the IF intervention. Therefore, the evaluation criteria adopted are based on comparing the outcomes of the implementation program of IF and then compared to the baseline data before the implementation process. The two data are compared to look at the differences. The success of the implementation process is expected to reveal a positive result. In this case, the collection of baseline data and data after implementation is based on key indicators or variables (Vitale, R., & Kim, 2020). The major variables are IF (independent) and glucose levels (dependent). Other dependent variables playing a role in influencing glucose levels are cholesterol levels, weight, and sensitivity to insulin which is indicated by the HbA1c.
The research methodologies strategies to be utilized in answering each question and their suitability
The research approaches to be adopted will involve the literature review; in this case, systemic review articles will be targeted. The search for relevant articles will focus on the role of IF in managing blood glucose levels. The relevant articles will be searched using useful databases such as PubMed, Medline, Cochrane, and Embase. The search for relevant articles will also be based on the key terms (Melynk & Fineout-Overholt, 2018). The findings from the selected articles will be important in revealing the impact of the IF on the successful management of the blood sugar level. The outcomes of this study will reveal whether IF helps reduce body weight and increases insulin sensitivity.
How data will be collected concerning the evaluative criteria or indicators
The first data will be the baseline data that will be collected using patient history about the previous values of the blood glucose levels. Upon approval by the patients, information from healthcare facilities can be relied on for the data sources. Other sources of data will be from the implementation program of IF. In this case, the selected participants will have to record their daily values of blood sugar level and weight for continuous evaluation. The collection of the data will be carried out through the implementation period.
The exact data to be collected, when, and by whom
Data collection will be a collaborative work from the providers, patients, and family members or caregivers. Healthcare
Project Interventions
Project Interventions
Project Interventions
Student
Course
Professor
Date
Evidence-based data for the proposed interventions
The evidence-based data to support the proposed intervention are based on peer-reviewed articles and experimental research. The information collected helps in the quantification of the IF’s potential to assist in the improvement of insulin sensitivity and reducing the fasting insulin levels. The research makes it easier to identify the impact of the treatment on the outcomes by causing a decrease in the influence of the confounding factors. The research findings also make it possible to determine individuals’ ability to take full control of their health and make some positive changes (Vitale & Kim, 2020). These are essential factors that play an important role in implementing intermittent fasting (IF) for successfully managing glucose levels in individuals diagnosed with type 2 diabetes.
Factors that can Influence the Use of the Proposed Interventions
Various factors can affect the implementation of the IF to help in the successful management of glucose. Patients themselves influence the first factors, which include the patients’ insulin resistance, failure to adhere to healthy behaviors like poor dieting and scheduled eating and fasting windows, and the participant’s inactive lifestyle. Another factor is the commitment from the stakeholders in the implementation process (Vitale & Kim, 2020). The commitment from healthcare providers and patients or participants impacts the use of the proposed intervention.
Barriers Associated with the Proposed Interventions
Various factors act as a roadblock to successfully implementing the proposed interventions. The first barrier is the lack of support from the primary care providers. These providers might resist changes, thus making it hard to achieve the objective. The other barrier is the lack of support from the management, especially concerning the provision of the required resources (Purvis, 2018). The patient’s resistance to the proposed new treatment interventions is the other challenge.
Resources Required
The first resource is the glucometer that will be used to measure fasting blood sugar. The other resource is the notebook, where the data collected will be recorded to monitor the patients’ progress in blood glucose control. A clock or a watch will also be required to guide the patients and providers on the specific time that food should be taken (Vitale & Kim, 2020). Other resources include drinking water, tea, coffee, and other non-caloric beverages.
Sequence of the events and activities to be implemented
2
Correlation of Intermittent Fasting to Diabetes Mellitus
Student’s name
Instructor
Course
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ABSTRACT
Low insulin production and high blood sugar levels are the markers of diabetes mellitus (Grajower & Horne, 2019). About 10% of the American population has diabetes mellitus, and many of these patients might benefit from intermittent fasting (Grajower & Horne, 2019). Managing diabetes by fasting is only one option among several that diabetic patients might choose, especially with the rise in popularity of intermittent fasting as a means to reduce weight and treat chronic illness. While dietary and lifestyle changes and antidiabetic medication may help manage diabetes, data on the efficacy of IF alone in this regard is scant. This analysis aimed to determine whether or not IF positively affects type 1 or type 2 diabetics by identifying clinically relevant human research. The PRISMA procedure was used to systematically review the relevant literature. The goal was to find studies that looked at how fasting affected individuals with type 1 and type 2 diabetes. Blood plasma glucose levels (mmol/L), hemoglobin A1C percentages (%), and total body mass (kg) were the primary outcomes of interest in this meta-analysis. For adults, we found four RCTs and one case report on the effects of fasting on diabetes. All of the trials found evidence of beneficial effects on weight, glycemic control (via antidiabetic medication with A1C and/or fasting plasma glucose), and/or fasting insulin levels. Fasting is an option that patients with diabetes may discuss with their doctors in order to better control their condition. Healthcare providers can use this and other easily accessible research to help them make suggestions and keep an eye on things in a safe way. Further research is needed to make reliable statements about IF’s long-term effects among diabetic patients.
Reference
Grajower M. M. & Horne B. D. (2019). Clinical management of intermittent fasting in patients with diabetes mellitus.
Nutrients. https://doi.org/10.3390/nu11040873
SCOT Analysis
Proposed Project
Problem: Obesity is a huge contributor to the prevalence of Type 2 Diabetes Mellitus (T2DM).
Proposed Solution: Use of Intermittent fasting (IF) to manage glucose levels in people with T2DM.
Rationale: Dietary modifications are relatively effective in alleviating diabetic-related problems (Zang, et al., 2022).
SCOT Analysis of Proposed Project
| Strengths Helps decrease systematic inflammation. Enhances sensitivity of insulin. Improves cholesterol levels. Helps in weight loss without loss of muscle mass (Magkos, et al., 2020). |
Opportunities Can be used for other dietary-related diseases like heart disease (Magkos, et al., 2020). Can help inform future research/studies regarding underlying causes of T2DM. |
| Challenges Insulin resistance of the participant. Poor dieting of the participant. Failure to adhere to scheduled eating and fasting windows (Khursheed, et al., 2019). Inactive lifestyle of the participant. |
Threats May increase the risk of gallstones. May interfere with proper digestion (Khursheed, et al., 2019). May interfere with hormonal functioning, for instance, production of testosterone. |
References
Khursheed, R., Singh, S. K., Wadhwa, S., Kapoor, B., Gulati, M., Kumar, R.,
& Dua, K. (2019). Treatment strategies against diabetes: Success so far
and challenges ahead. European Journal of Pharmacology, 862, 172625.
Magkos, F., Hjorth, M. F., & Astrup, A. (2020). Diet and exercise in the
prevention and treatment of type 2 diabetes mellitus. Nature Reviews
Endocrinology, 16(10), 545-555.
Zang, B., He, L.X., & Xue, L. (2022). Intermittent fasting: Potential bridge
of obesity and diabetes to health? Nutrients 14(5): 981.
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· Implementation of research projects is very challenging
· Replacement of traditional practice with Evidence-based practice takes average of 17 years.
· Increasing access to quality care, provision of affordable prescription, and others will improve adherence to treatment of chronic diseases, reduce complications, economic burdens, and increase the quality of life of the minority populations in primary care setting, particularly Hemet California
Correlation of Intermittent Fasting to Diabetes Mellitus
(
Significance/Background
I
ntermittent
fasting, in contrast to many other dietary approaches, emphasizes timing of meals.
Increasing popularity of intermittent fasting as a means of losing weight and managing chronic diseases is evidence of the practice’s widespread success.
People with diabetes Mellitus often choose to control their condition by paying more attention to what they eat.
How IF works
Aims
of
the
Study
Using the available evidence, this review aims to provide suggestions for the safe monitoring of diabetic patients interested in IF. Animal experiments and religious fasting schedules are excluded.
)
(
Design/Methods
Articles from reputable academic journals were gathered for a comprehensive literature evaluation that was conducted with the use of online databases.
Studies were selected for inclusion in the review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach.
Proposed
Interventions
I
ndividualized treatment plans
.
F
requent blood glucose checks
.
P
roper exercise and nutrition.
) (
Expected
Results/
Outcomes
Facilitates increased physical activity and reduced calorie consumption.
Weight reduction that is manageable.
Decreased levels of insulin.
Triglyceride levels, decreasing your risk of heart disease.
Reduced inflammation and free radical change.
Graphs/Tables
)
(
Anticipated
Conclusions
The purpose of this poster is to raise awareness about the significance of developing a personalized treatment plan, monitoring blood glucose levels regularly, and making healthy lifestyle choices for people with diabetes in order to reduce their risk of hypoglycemia.
Patients with diabetes may benefit greatly from fasting in terms of health and quality of life if they get the necessary guidance and supervision from their healthcare professionals.
Potential
Implications
to
Practice
Fasting may improve the health and well-being of people with diabetes, and this is especially true when individuals are supported by their healthcare professionals via education and monitoring.
Acknowledgements
Grajower M. M. & Horne B. D. (2019). Clinical management of intermittent fasting in patients with diabetes mellitus.
Nutrients
.
https://doi
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