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Nurse-Led Evidence-Based Diabetes Prevention Study: An Innovative Risk Reduction Program for Clients With Substance

Oluremi A Adejumo, Elizabeth O Ogunbiyi, Ling-Yin Chen

    Journal of Addictions Nursing
    |December 2, 2024
    PubMed
    Abstract

    Insights

    This study reduced Type 2 diabetes mellitus (T2DM) risk in substance use disorder (SUD) clients through a nurse-led, peer-based lifestyle intervention. Participants showed significant behavior changes, highlighting the program

    Area of Science:

    • Nursing
    • Public Health
    • Endocrinology

    Background:

    • Substance use disorders (SUDs) significantly increase the risk of developing Type 2 diabetes mellitus (T2DM).
    • Pathophysiological links include oxidative stress, impaired pancreatic beta-cell function, and glucose dysregulation.
    • Addressing T2DM risk is crucial for individuals in SUD recovery.

    Purpose of the Study:

    • To implement and evaluate a nurse-led, peer-based diabetes prevention program for individuals undergoing SUD treatment.
    • To reduce the incidence of T2DM in a vulnerable population.

    Main Methods:

    • A 1-year, nurse-led, peer-delivered lifestyle intervention focusing on diet, physical activity, and health behaviors.
    • Intervention delivered to clients in a Nigerian drug addiction treatment center.
    • Weekly mentoring of peer educators and analysis of participant logs by the program leader.

    Main Results:

    • Significant positive behavioral changes were observed in participants post-intervention.
    • No significant changes noted in dairy intake, cigarette use, or cannabis use.
    • The program demonstrated effectiveness with limited financial resources.

    Conclusions:

    • The nurse-led diabetes prevention program is an effective and innovative approach for individuals with SUDs.
    • Integrating chronic disease prevention into SUD treatment is vital for long-term health and well-being.

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