1. Correlation between Non-Insulin Diabetic Patients and A1C Hemoglobin Levels Problem Statement Is there a significant correlation between diabetic diet educational teaching class offered by a registered nurse and hemoglobin A1C levels? Is there a significant correlation between diabetic diet educational teaching class offered by a registered nurse and hemoglobin A1C levels? Statement of Purpose To determine if there is a significant correlation between diabetic diet educational teaching class offered by a registered nurse and hemoglobin A1C levels in non-insulin depended diabetic levels To determine if there is a significant correlation between diabetic diet educational teaching class offered by a registered nurse and hemoglobin A1C levels in non-insulin depended diabetic levels Hypothesis There is a correlation between teaching a patient regarding proper diabetic diet offered by a registered nurse will lower hemoglobin A1C levels in a non-insulin dependent diabetic patients There is a correlation between teaching a patient regarding proper diabetic diet offered by a registered nurse will lower hemoglobin A1C levels in a non-insulin dependent diabetic patients Independent Variable Diabetic diet education class offered by the registered nurse Diabetic diet education class offered by the registered nurse Dependent Variable Hemoglobin A1C level of the patients in the studyHemoglobin A1C level of the patients in the study Literature Review Diabetic education provided by a nurse or dietician improved overall health of the participant. Diabetic education provided by a nurse or dietician improved overall health of the participant. Diabetic education decreased hemoglobin A1C levels and blood pressure. By reviewing carbohydrates in a diabetic diet hemoglobin A1C levels will decrease Diet has a positive impact on blood glucose levels in type 2 diabetics Diet has a positive impact on blood glucose levels in type 2 diabetics Hemoglobin A1C is a reliable predictor of diabetes Hemoglobin A1C is a reliable predictor of diabetes A simple regimen could reduce elevated A1C levels without altering type 2 diabetics daily routines which suggest successful self- management strateg A simple regimen could reduce elevated A1C levels without altering type 2 diabetics daily routines which suggest successful self- management strateg Diet has a significant effect on hemoglobin A1c levels. Diet has a significant effect on hemoglobin A1c levels. Operational Definitions Hemoglobin A1C- level less than 6% Hemoglobin A1C- level less than 6% Education-Visual Aids, Pre/Post Test, Food diaryEducation-Visual Aids, Pre/Post Test, Food diary Non-Insulin Dependent Diabetic- Blood sugar above 120 Non-Insulin Dependent Diabetic- Blood sugar above 120 Diabetic Diet-portion control, food substitution, carbohydrate counts Diabetic Diet-portion control, food substitution, carbohydrate counts Theoretical Framework Adult learning theory by Malcolm Knowles Adult learning theory by Malcolm Knowles Adults need specific information on why certain things are taught Adults need specific information on why certain things are taught Adults learn by hands on experience or by visual or auditory learning Adults learn by hands on experience or by visual or auditory learning Adults do not need supervision or guidance when they make mistake s during learning. They learn by their own mistakes Adults do not need supervision or guidance when they make mistake s during learning. They learn by their own mistakes Research Design Type: Non-experimental, consensus Type: Non-experimental, consensus A four hour day in-service will provided to discuss the plan of carbohydrates, with examples of a meal and portion control A four hour day in-service will provided to discuss the plan of carbohydrates, with examples of a meal and portion control Visual aids, auditory discussions and open question will be available.Visual aids, auditory discussions and open question will be available. A written book with all the information discussed in class will be provided A written book with all the information discussed in class will be provided Dietary journals will be provided Dietary journals will be provided Hemoglobin A1C levels of be evaluated with educational programs within a three month period. Hemoglobin A1C levels of be evaluated with educational programs within a three month period. These materials will be analyzed along with the post hemoglobin A1C levels These materials will be analyzed along with the post hemoglobin A1C levels Research Setting Brazos Valley Home Health Services. Brazos Valley Home Health Services. Population & Sampling 60 type 2 diabetics will be selected and 30 will participate in in-service based on the American Diabetic Association diet and 30 participants will not be offered the in-service 60 type 2 diabetics will be selected and 30 will participate in in-service based on the American Diabetic Association diet and 30 participants will not be offered the in-service Male and female volunteers will be sought between the ages of 30 and 75 with a diagnosis of DM Type 2 within the last 6 months will be chosen Male and female volunteers will be sought between the ages of 30 and 75 with a diagnosis of DM Type 2 within the last 6 months will be chosen Collection Tools Collection Tools Pre-post test Pre-post test Food diary Food diary Hemoglobin a1c prior and post in- service Hemoglobin a1c prior and post in- service Data Collection Brazos Valley Home Health Facility Consent forms will be given. Consent forms will be given. Hemoglobin A1C levels will be collected on all participants by a phlebotomist pre/post in-service class Hemoglobin A1C levels will be collected on all participants by a phlebotomist pre/post in-service class Blood specimen will be transported to Clinical Laboratory Pathogens Blood specimen will be transported to Clinical Laboratory Pathogens Ten question pre/post test will be given to test knowledge pre/post in-service class Ten question pre/post test will be given to test knowledge pre/post in-service class All these materials will be taken into consideration to determine if the diabetes in-service participants utilized the nutritional guidelines to decrease their hemoglobin A1c levels. All these materials will be taken into consideration to determine if the diabetes in-service participants utilized the nutritional guidelines to decrease their hemoglobin A1c levels. Data Analysis Hemoglobin A1C levels should be lower in those who took the four hour in-service than those who did not receive the in-service. Hemoglobin A1C levels should be lower in those who took the four hour in-service than those who did not receive the in-service. Diabetic education helps lower A1C levels. Diabetic education helps lower A1C levels. Significance to Nursing Hemoglobin A1C is a reliabl predictor of diabetic glycemic control Hemoglobin A1C is a reliabl predictor of diabetic glycemic control Diabetic education is a successful tool in helping diabetics control diabetes without medication. Diabetic education is a successful tool in helping diabetics control diabetes without medication. Nurses are need to educate diabetics on how to control diabetes to prevent other medical complications such as heart failure, neuropathy, renal failure and poor wound healing. Nurses are need to educate diabetics on how to control diabetes to prevent other medical complications such as heart failure, neuropathy, renal failure and poor wound healing.