University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Primary Care


Dr. Nancy Reid, DMSc


The purpose of this article is to demonstrate that more focused effort for nutritional education, weight management and lifestyle adjustment will benefit new diagnoses or early treatment of type two diabetes versus monotherapy with metformin alone. The increasing statistical growth of diabetes and obesity in the United States suggests more effort in the education aspect of care is needed, and the expected cost of treating advancing number of diabetics in the United States in the future indicates significant cost expenditure. Utilization of technology like tele-medicine, online content and clearly defined treatment structures will benefit patients throughout their life with multiple chronic disease states to include cardiovascular and joint health. The Veteran Administration is an ideal healthcare system to structure first conclusive multi-discipline approach that incorporates all recommended components of preventative diabetes management.


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