Evaluation Of A Diabetes Program Utilizing Cutaneous Subcutaneous Insulin Infusion Therapy With Culturally-Based Patient Education Among Omaha Nation Native Americans With Uncontrolled T2DM In Macy, Nebraska: A Cross-Sectional Study
Pham, Lilie Mytrang
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With the high incidences of Type 2 diabetes mellitus (T2DM) and mortality rates among Native Americans1, a diabetes program was implemented in April of 2016 to specifically target patients with uncontrolled T2DM utilizing continuous subcutaneous insulin infusion (CSII) therapy concurrently with culturally-based patient education among the Omaha Nation Tribe in Macy, Nebraska. The aim of this study was to determine the effectiveness of CSII therapy when it is managed with culturally-based patient education. Effectiveness of the diabetes program was evaluated by comparing participants’ comprehensive diabetic lab values and other outcomes at multiple intervals within a 9-month time frame and a voluntary 9-question patient satisfaction survey conducted at the end of the study. Lab values collected include hemoglobin A1C (HbA1c) at baseline, 3, 6, and 9 months and body mass index (BMI), blood pressure (BP), lipid panel, and urine albumin creatinine ratio (UACR) levels at baseline and 6 months.