Promoting lifestyle change in the prevention and management of type 2 diabetes.

Robin Whittemore, Patricia S. Bak, Gail D.Eramo Melkus, Margaret Grey

Research output: Contribution to journalReview articlepeer-review


PURPOSE: To present the theoretical background for lifestyle change interventions in the prevention and management of type 2 diabetes and to provide pragmatic strategies for advanced practice nurses (APNs) to incorporate such interventions into their practices. DATA SOURCES: Selected scientific literature and the Internet. CONCLUSIONS: There is an epidemic of obesity and type 2 diabetes among adults in the United States. Preventing or managing these health conditions requires significant lifestyle changes by individuals. IMPLICATIONS FOR PRACTICE: APNs are in a key role to deliver lifestyle change interventions, particularly in the primary care setting. Strategies to assist APNs with lifestyle change counseling include (a) assessment, (b) mutual decision making, (c) referral to education programs, (d) individualized treatment goals, (e) strategies to assist with problem solving, (f) continuing support and encouragement, (g) relapse prevention, and (h) ongoing follow-up.

Original languageEnglish (US)
Pages (from-to)341-349
Number of pages9
JournalJournal of the American Academy of Nurse Practitioners
Issue number8
StatePublished - Aug 2003

ASJC Scopus subject areas

  • General Nursing


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