Type Two Diabetes Management in the Latino Community
Date
2023-03-31
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Abstract
The Latino community makes up 31.1% of the population in the Central Florida region, and is disproportionately affected by diabetes mellitus (DM) (U. S. Census Bureau, 2019). Proper glycemic control is pivotal to the surgical management of this patient population. Poorly controlled glycemic levels impact the perioperative state and are associated with an increased risk of surgical site infection, embolic events, poor wound healing, postoperative nausea and vomiting, sepsis, and death. There is also an increased risk of further organ damage, such as end-stage renal disease, affecting medication metabolism and excretion (Dreisbach et al., 2009). Type 2 diabetes mellitus (T2DM) patients have shown to have similar surgical outcomes as their non-diabetic counterparts with proper glycemic management (Dagogo-Jack & Alberti, 2002; Tidy & Cox, 2016; Wukich, 2015). Previous quantitative improvement initiatives show a direct correlation between culturally tailored diabetes self-management education (DSME) and a reduction in hemoglobin A1C (HbA1C) (Brown et al., 2011; Chrvala et al., 2016; Fortmann et al., 2017; Garcia et al., 2015; Hildebrand et al., 2020; Hu et al., 2016; Palmas et al., 2014; PĂ©rez-Escamilla et al., 2014; Rosal et al., 2011; Rotberg et al., 2016; Spencer et al., 2018; Weinstock et al., 2011). While this correlation has been proven, no improvement projects found utilized education primarily through an online format nor include an educational focus on disease management's long-term impact. Due to stated deficits, a quantitative improvement project was formulated to address the shortcomings and assess the correlation between DSME and HbA1C.