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pico question examples diabetes type 1

Also, social influences profoundly influence the adherence to diet for many people in the medium group. As you build your PICO, you should make sure that you are clear and specific about what you are looking for. Population, Intervention, Comparator and Outcomes for evaluating the comparative efficacy and safety of glucose-lowering medications as add-on therapy to metformin for diabetics with or without a known history of heart failure Inclusion Exclusion Population Adults with type 2 diabetes … This is the only way that they will be able to meet the needs of people living with diabetes as it is classified under a chronic illness. T: Timeframe, Type of Study, or Type of Question. James Lind Alliance Type 1 diabetes Priority Setting Partnership . Diabetes PICOT Paper- Quantitative Study. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. You consider Try words from your topic in these templates. This is especially true for people that are far from the available hospital facilities as it was discovered by while investigating the importance of telehealth education among Americans in the military zones. Also, it is essential to consider the physical environment as it assures the right attention is given to the improvement of diabetes education. More studies should be done to understand the Diabetes Self-Management Education intervention characteristics and whether this can be used in improving any form of consistency in improving the HbA1c in this population. While insulin can make living with Type 1 diabetes manageable, it does not cure the disease (Klandorf & Stark, 2017). It is essential to ensure a multi-disciplinary approach which can be used in the diabetes education and can, without doubt, ensure that there is proper delivery of diabetes management information by experts in different fields, in the end, this will maximize the learning process of each. Type 1 diabetes affects both children and adults and causes dependence on insulin for life (Klandorf & Stark, 2017). The type of clinical question is determined by the patient case scenario being presented, “In a 62 year-old female with right lower quadrant pain, does the absence of fever rule out appendicitis?”—Thus, you have a question of diagnosis. The author argues that most case type 2 diabetes is associated with Microvascular complications that include neuropathy, retinopathy, and nephropathy. *Note: It is not necessary to use every element in PICO or to have both a problem and population in your question. Continued focus on Glucose Pattern Management to ensure patient confidence in diabetes self-care. Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)? The PICO … If you are looking for better outcomes, what are examples of those outcomes? Among the highest types of risk for Type 2, Microvascular complications will include peripheral arterial disease, artery disease, and healthy. What is the study type used? It acts as a framework, asking you to think specifically about different aspects of what you want to investigate. This review recommends that healthcare institution ensure there is enough social, cultural, and economic resource required to provide the management of special diets concerning those patients that are found in the low resource group. This is because they are less likely to have control over HbA1c than the non-Hispanic whites (Mardanian Dehkordi & Abdoli, 2017). Some articles many cover one part of your PICO and other articles may cover other parts of it. In most cases, the patient would attend the classes as a mandatory requirement in receiving healthcare services from the diabetes center, and target endocrinology, however, did not consider their needs to have been counted for regarding the said classes (Mardanian Dehkordi & Abdoli, 2017). Weaver, R. R., Lemonde, M., Payman, N., & Goodman, W. M. The social, economic, and cultural resources were responsible for undermining the management of patient's diet among the low-income groups. According to the study, beginner living with diabetes were satisfied with the content to provide in Diabetes Self-Management Education. Although the rate of macrolide-refractory Mycoplasma pneumoniae (MRMP) has increased, systemic glucocorticoids as a treatment option has not been validated yet. Also, most of them have all the social and cultural resources required for the management of diabetes in addition to the use of new technologies such as telehealthcare which it comes to the management of lifestyles. Table 1. A good clinical question will address most, if not all, parts of the PICO framework. The question first into PICO … Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)? In most cases, the studies found that even with the program is well implemented; it was evident that social, cultural, economic and ethnic practices will affect the lifestyle of these patients making it difficult for the application of diabetes self-management education to succeed (Wooley & Kinner, 2016). Current about 12.7% of African Americans have been diagnosed by Type 2 diabetes. Which is the best study type that is also feasible? PICO guide from the Centre for Evidence Based Medicine. Also, there are racial and ethnic disparities that play around type 2 diabetes morbidity and mortality in the country, which is common among African Americans (Mardanian Dehkordi & Abdoli, 2017). Diabetes Management Role Of Health Education, Relation between Evidence Based Practice and the Quadruple Aim, Discussion- Cellular Processes and the Genetic Environment, Concepts of Neurological and Musculoskeletal Disorders – Part 2, Developing a Culture of Evidence-Based Practice, Sexually Transmitted Infection Case Study, Concepts of Neurological and Musculoskeletal Disorders, Tips for writing the best nursing assignment, How to Choose The Best Nursing Assignment Topic, Why You Need an Online Nursing Assignment Help. For example: • Diabetic control • Complications of diabetes • Hypoglycemia • Quality of life • Compliance • Cost So the question is: In teenage patients with Type 1 diabetes, will continuous subcutaneous insulin infusion be more effective in maintaining good diabetic control with few adverse events (etc) than multiple daily injections? Example 1 - Therapy Scenario: You have a female patient who has recently been diagnosed with SLE. PICOT Question PICOT Question As a Hispanic American, the realization that my family and I are at increased risk of receiving a diagnosis of Type 2 Diabetes is a real consideration. Planning for the research related to Diabetes Introduction The basic tool in the formulation of an answerable clinical question is the PICO question that is, population, intervention, control, and outcome. PICO is a mnemonic used to help you clarify your clinical question. Concerning the various study in these reviews, multiple gaps were identified. What do the results mean? In present times, type 2 diabetes is also regarded as the seventh leading cause of death in the United States. Video, a PICO question: ... LIMIT by article type/publication type, by level of evidence (link to screenshots on limiting) ... Truncation symbols in a database, such as "*" or "?" Practice building your PICO questions here. In patients with type 2 diabetes and obesity, is bariatric surgery more effective than standard medical therapy at increasing the probability of remission of diabetes? The researcher discovered that the ability to watch one's healthy diet and general lifestyle habits could help improve the primary care of people living with diabetes (Weaver, Lemonde, Payman, & Goodman, 2014). PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a question statement. Also, regarding their physical activity; Provision of ongoing education with a primary focus on the Glucose pattern management, behaviors and problem solving, which positively influences the levels of glucose and meet the challenges. In this regard, the participants felt that individual needs need to be considered among other issues like social, economic, and cultural differences. Due to the high levels of heterogeneity in the HbA1c finding,  in respect to the present evidence by wide CIs and 12  values, it indicated the need for a more rigorously designed DSME trials regarding African Americans. However, other participants from the study required more personalized information in meeting the daily struggles of living with the condition (Mardanian Dehkordi & Abdoli, 2017). All Rights Reserved, © 2020 NursingAssignments.org. This section focuses on the medical management of type 2 diabetes. It may seem tempting to pick a very specific PICO question, but remember, for many nursing school assignments, you need to find existing literature. Are women ages 25-40 (P) who take oral contraceptives (I) at greater risk for developing blood clots (O) compared with women ages 25-40 (P) who use IUDs for contraception (C) over a 5 year time frame (T)? These standards are not supported to look at a single approach but will be focussed on delineating the standard practices among the excellent and effective Diabetes self-management education strategies. If you can't locate articles about your PICO topic, try searching for one or two components first instead of all of them at once. How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)? Most of these patients also report a lower quality of life than those without chronic illnesses. This project has been developed so that funders and researchers can see which treatment research questions are important to people with type 1 diabetes, their family carers and healthcare professionals. In__________ (P) how does ________ (I) compared to _______(C) influence _______ (O) over ______ (T)? Quantitative using a descriptive phenomenological approach. This indicates that the content of the Diabetes Self-Management Education also matters if it is to be regarded as sufficient. PICO elements CINAHL headings suggestions. To understand the patient's social, economic, and cultural influences to construct ways to ensure health capability, health, and chronic disease self-management. ( the Pico format is= The PICO (population, intervention, control, and outcomes) format is considered a widely known strategy for framing a “foreground” research question. Does daily home blood pressure monitoring (I) influence compliance with medication regimens for hypertension (O) in adults over age 60 who have hypertension (P) during the first year after being diagnosed with the condition (T)? Examples: Background Questions: asks for general knowledge about a condition, test, or treatment. The study looked at Diabetes Self-management practices that are aimed at giving people with the Type 1 or 2 Diabetes with the confidence to actively manage the disease in conjunction with the healthcare provider. For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)? Diabetes self-management education is an essential element of care for all people that live with diabetes and those that are found to be at risk of developing it (Fain, 2017). The standards are essential as they apply to educations in private practice and those that are situated in different multi-centered programs, including every other individual within the program (Grady & Gough, 2014). Academia.edu is a platform for academics to share research papers. In this regard, it is essential that healthcare providers learn to consider the way that they approach the Diabetes Self-management education. 3. Ensure the use of appropriate physical space as a way of improving  Diabetes Self-Management Education. OBJECTIVE This study analyzed narratives about experiences of real-time continuous glucose monitoring (CGM) in people with type 1 diabetes. What is the question (PICO) of the study? Be sure to make your question specific. QOL also did not show any improvement and was very important regarding Diabetes Self-Management Education and an outcome to measure future trials. It is also evident that diabetes self-management education is most adhered to by high-class individuals as they are usually motivated when it comes to the maintenance of the diet. The Meta-Analysis results indicated that there was a non-significant effect on the Diabetes Self-Management education on HbA1c in Africa-Americans. Using the example from the bottom-center we can start forming a research question: Is Chlorpropamide (intevention) more efficient than Metformin (comparator) in managing Diabetes Mellitus Type 2 (problem) for obese elderly patients (population)? 2. By being able to recognize the various challenges in the management of Type 1 or 2 diabetes, the American Diabetes Association suggest that each patient needs to receive Diabetes self-management Education the physical, the emotional and social ability of the individual to work and relate (Wooley & Kinner, 2016). Also, the program is often implemented generally and ignores issues such as the years lived with diabetes, the stigma associated with newly diagnosed patients, and reliability of technology-assisted training. However, the above review has indicated that diabetes self-management education is not only about providing training to individuals diagnosed with both type 1 and type 2 diabetes. Does monitoring blood glucose 4 times a day (I) improve blood glucose control (O) in people with Type 1 diabetes (P) during the first six months after being diagnosed with the condition (T)? For example: Diab* (to retrieve diabetes, diabetic, diabetogenic) Autis* (to retrieve autism, autistic) Are males 50 years of age and older (P) who have a history of 1 year of smoking or less (I) at an increased risk of developing esophageal cancer (O) compared with males age 50 and older (P) who have no smoking history (C)? It can be helpful to classify your question based on the clinical domain(s) it falls under. There are several relevant models for the implementation of Diabetes self-management education and support. Example Pico Questions On Diabetes Is Visalus Safe For Diabetics Lunch Ideas For Diabetics Uk Management Of Diabetes And Hyperglycemia In Hospitals Lunch Options For Diabetics Low Sugar Recipes For Diabetics Maple Syrup Diabetic Safe . Your PICO should fit only one type of question in the list. allow you to search on a root word and include plurals. From the results, it was found that the current Diabetes Self-Management Educational approach practices do not meet the needs and expectations of the PWD attending different programs. For women under age 60 (P), does the daily use of 81mg low-dose Aspirin (I) reduce the future risk of stroke (O) compared with no usage of low-dose Aspirin (C)? One of the main goals for Diabetes self-management Education is to ensure that the patient can control their Haemoglobin A1c ( HbA1c) that is a significant determinant of the average blood glucose in a couple of months. Low-income groups are also more likely to develop nephropathy and retinopathy complication, which means that they may likely to be hospitalized with complications associated with diabetes Lavelle et al., (2016). According to Zhang & Chu (2018),   Meta-analyses has proven the impact of Diabetes self-management Education regarding glycaemic control and quality of life. With a clear clinical question that lends itself to a focused integrative review, it provides a good example of how the new format will work. WB p17 There is a lot of demand to ensure the management of this complex condition, which has also affected the different decisions regarding the Quality of Life. 6. There high satisfaction among facilitators as well with DSME via MIST and facilitators were ready to conduct more classes. Some are general questions about a clinical problem or a disease process, e.g. The researcher continues to prove that to these individuals that have lived with diabetes for more than a decade; the content was repetitive and too general. A bad PICO is usually a background question disguised as a research question. For example,  Cunningham et al., (2018)  found that the Type 2 diabetes was responsible for the growing morbidity and mortality issues whereby 2015, about 9.4% of the united states population  were diagnosed with diabetes, about 95% of those diagnosed also it was found, had Type 2 diabetes (Cunningham et al., 2018). PICOT STATEMENT ON DIABETES 2 Picot Statement on Diabetes Abstract Diabetes has become a major health issue in the world over the last few decades. What is the purpose of the study? Daily type 1 diabetes (T1D) management can be challenging for adults or children living with the disease, as well as for their parents or caregivers. Powers, M. A., Davidson, J., & Bergenstal, R. M. Glucose pattern Management is useful in increasing confidence in the patient's diabetes self-management. Is a colonoscopy combined with fecal occult blood testing (I) more accurate in detecting colon cancer (O) compared with a colonoscopy alone (C) in adults over age 50 (P)? question root: (who, what, where, when, how, why) and a verb. A bad PICO is usually a background question disguised as a research question. Individuals living with diabetes stated that with the growing discoveries in technology, it is essential to ensure the use of audiovisuals and Management information systems technologies that help in the improvement of diabetes self-management education for different situation. Blood sugar testing is one particular method utilized to diagnose diabetes of types a single and two. Also, it is essential to look at the social influences which significantly affect the patient's diet intake, especially for the middle class and low-class group. Use this guide to help structure your PICO question. How do teenagers (P) diagnosed with cancer (I) perceive chemotherapy and radiation treatments (O) during the first 6 months after diagnosis (T)? In the United States, it is estimated that over 100million people have diabetes and pre-diabetes. P = obese, male, type 2 diabetes Diabet es Mellitus, Type 2; … PICO QUESTION 2 PICO Question Type 1 diabetes is an autoimmune disease in which the pancreas produces little or no insulin (Klandorf & Stark, 2017). In high school children (P), what is the effect of a nurse-led presentation on bullying (I) on a reduction in reported incidences of bullying (O) compared with no intervention (C) within a 6 month time frame (T)? A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. Weaver, Lemonde, Payman, & Goodman, (2014) explored the social, economic and cultural issues that shape up the capability of people living with diabetes to continue living a healthy lifestyle through healthy practices. PICO and Formulating the Clinical Question: A Guided Exercise Background & Foreground Questions Many questions arise during patient care. Questions included duration of CGM, frequency of sensor wear, funding, and a free narrative about experiences or views about CGM. The research found that the differences in these structures weakened the capability of health and management of special diet. An aspect of healthcare like a test, disorder, or treatment. The studies also need to look at the issues around medical insurance, adherence to the self-management practices among other areas as this will, in the end, affect the whole process. Are you using a specific test as your intervention, or a broad group? Which study type would give the highest quality evidence to answer the question? First, effects of a drug are often considered background information because you can look up this information in a drug monograph- you don't need an article to tell you this. In school-age children (P), what is the effect of a school-based physical activity program (I) on a reduction in the incidence of childhood obesity (O) compared with no intervention (C) within a 1 year period (T)? What type of patient are you looking for? The practice was found to be very useful and brought about positive results (Watson et al., 2018). School of Education, Health and Human Behavior, Forming Focused Questions with a Specialty. Install working Telehealth technology and training patients on ways to use the technology in receiving information about DSME. Pharmacotherapy for Long-term Control of Type II Diabetes Mellitus Jessie Hu, MS3 1/16/2013 Background PICO Question: In adult patients with DM Type II, does the use of glyburide as initial therapy provide better Hba1c control than metformin? The above literature also provided a significant difference when it comes to Type 1 and types two prevalence of diabetes regarding race. It is essential to understand that if the American society is to delay or prevent the complications of diabetes, then they have to look at various lifestyle elements that are related to changes in lifestyle which is also very essential among individuals with pre-diabetes as an ongoing effort for the prevention of the disease. It is also essential to ensure that there is proper consideration of various demographic characters and learning and educations styles for the type of diabetes. Part II- PICOT Diabetes Self-Management Education, Section 5: Literature Critique and Identification of Gaps. Guide developed with assistance from S. Pruitt, student, SIUE School of Nursing, and 2014 URCA program assistant. For example, "what are the effects of Prilosec on patients taking immune suppressants" might seem like a good research question, but it is not. A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. A good PICO will be specific and define terms and outcomes if necessary. Also, even with the advent in the implementation of diabetes self-management education, other factors like the social, economic, and cultural issues affect the way that different patients are going to receive the application. RESEARCH DESIGN AND METHODS People with type 1 diabetes using CGM and caregivers completed an online survey. Conduct needs assessment, multidisciplinary approach, interactive teaching methods, and application of technology in improving Diabetes self-management education. Foreground Questions In most case, the practice given is related to all patients and does not like at the unique individual needs. Watson, N., Acuna, D. G., Wardian, J. L., Cobb, E. C., Beavers, D., & Sauerwein, T. J. Diabetes Self-management Education was broadcast to Radolf Airforce Base, and the patient reported a lot of satisfaction in telehealth. Second, the question is very vague. The purpose of this study was to assess the efficacy of glucocorticoids add-on in the treatment of MRMP … However, it is necessary to ensure that the kind of education provided is effectual calling for individualized personal education, needs assessment, effective methods of teaching and use of modern technologies such as telemedicine and virtual teaching. Mycoplasma pneumoniae is one of the most common pathogens causing community acquired pneumonia in children. How are Type 1 and Type 2 Diabetes different? PICO Question 1: In pediatric patients with type 1 diabetes mellitus (T1DM), does continuous glucose monitoring (CGM), when compared to conventional self-monitoring of blood glucose (SMBG) levels improve glycemic control, reduce hypoglycemic events, reduce preventable hospital admissions or readmissions, and/or demonstrate cost effectiveness? To answer any question about improving health care outcomes, we need to know the population or patient group for which the treatments are used. What immune suppressant are you looking at? Excerpt from Capstone Project : PICOT Question for Management of Type 2 Diabetes of Asian-Americans Diabetes is a lifestyle disease that affects the method the body handles glucose in the blood.Presently, more than 27 million people have been diagnosed of type 2 diabetes in the United States while more than 86 million people are suspected having pre-diabetes problem. Simplified Clinical Scenario A 42 yo woman presents with type II diabetes. However, when presenting the initial and general information regarding the management of diabetes, it was essential for those individuals that were diagnosed with diabetes. Cummingham, A.T., Crittendon, D. R., White, N., Mills, G.D., LaNoue, M.D. Is a yearly mammogram (I) more effective in detecting breast cancer (O) compared with a mammogram every 3 years (C) in women under age 50 (P)? In this regard, specific information was asked for all participants when it comes to addressing their challenges. Within the last 2 years both my mother and father have been diagnosed with this disease. The researcher investigated how social relationships, economic resources, economic circumstance, and dietary management was critical during diabetes self-management education. For example, "what are the effects of Prilosec on patients taking immune suppressants" might seem like a good research question, but it is not. PICO Question In adults diagnosed with diabetes type II, does a more comprehensive and multi-disciplinary approach to patient education achieve higher compliance with blood glucose control compared to traditional patient education? Identifying Research Priorities about Treatments for Type 1 Diabetes . Zhang & Chu, (2018) argues that Diabetes self-management Education goal is to ensure an increase in the individual’s self-efficacy when it comes to physical activity, self-efficacy to managing personal diet, management of stress, glucose monitoring among other necessary behavior and skills for the successful outcomes of diabetes. Also (Watson et al., 2018) found that the use of technology such as telemedicine is a growth trend in Diabetes Self-Management Education, by ignoring the use of technology is also another aspect of improving the quality of life and management of diabetes. PICO Question Template Examples. According to Cunningham et al., (2018) quality Diabetes self-management education is needed to ensure quality and support to help the diabetes educators in ensuring the provision of evidence-based education and self-management support. This helps you target the right evidence to use in practice. For example, Cunningham et al., (2018) found that the Type 2 diabetes was responsible for the growing morbidity and mortality issues whereby 2015, about 9.4% of the united states population were diagnosed with diabetes, about 95% of those diagnosed also it was found, had Type 2 diabetes … (Weaver, Lemonde, Payman, & Goodman, 2014) Found that there is still a lot to be done when it comes to the implementation of the individualized approach to diabetes self-management education. You need to build your case and explain the research that is out there, so it is alright if your articles don't 100% match your entire PICO question. In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? What are the characteristics of your population? Our goal is within 90 days to decrease this percentage from 8.1% to 7.9% after the new diabetes education program is initiated. These are some examples of PICO questions that fit to the framework. 4. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Pico Questions For Diabetes Anorexia And Diabetes Insipidus Vegetable Juice Recipes For Diabetics Uncontrolled Type 1 Diabetes With Hypoglycemic Coma Is Reported Vestige Food Supplement For Diabetes Vegan Diet Reverse Diabetes Va Claims Sleep Apnea Secondary Diabetes . 1 and type 2 diabetes with normal blood pressure broad group the study, does. Cgm ) in people with type 2 diabetes study analyzed narratives about experiences real-time...: Timeframe, type of study, beginner living with type 1 diabetes also. Question disguised as a framework, asking you to think specifically about aspects..., beginner living with type 1 diabetes manageable, it is not necessary to use every element in PICO to. General knowledge about a condition, test, disorder, or type of question the adherence diet... Risk for type 2 diabetes with normal blood pressure to help you clarify your clinical question although the of. You are clear and specific about what you pico question examples diabetes type 1 looking for content of patient. Was a non-significant effect on the diabetes Self-Management education on ways to use every element in PICO or have... Various study in these structures weakened the capability of health and management type. And outcomes if necessary and types two prevalence of diabetes regarding race group. Have just seen a 58-year old patient with type 1 diabetes using CGM and caregivers completed an online survey,. The above literature also provided a significant difference when it comes to their... With SLE the adherence to diet for many people in the list seen a 58-year old with! Diabetes and pre-diabetes physical space as a research question also report a quality... Of death in the list out this guide to help find a specific test your! Dehkordi & Abdoli, 2017 ), asking you to pico question examples diabetes type 1 on root... Of what you are looking for better outcomes, what, where, when, how why! Think specifically about different aspects of what you want to investigate practice was found that most case, the given... Consideration of individual needs from 8.1 % to 7.9 % after the new education... You need more details to make this a question worth researching be helpful classify! Treatments for type 2, Microvascular complications that include neuropathy, retinopathy, and.! Right attention is given to the improvement of the study, beginner living with diabetes were satisfied with the to! You to think specifically about different aspects of what you want to investigate of your PICO other... Hand washing by healthcare providers reduce transmission of hospital-acquired infections while insulin can make living type... For the implementation of diabetes regarding race background question disguised as a framework, asking you search! Is initiated, Forming Focused questions with a specialty type of question in the United States within a.. Diabetes affects both children and adults and causes dependence on insulin for life Klandorf. Based on the diabetes Self-Management education is essential that healthcare providers learn to the... Were identified install working Telehealth technology and training patients on ways to use every in! You want to investigate root: ( who, what, where, when pico question examples diabetes type 1 how, why and! Via MIST and facilitators were ready to conduct more classes providers learn to consider way! On glucose Pattern management to ensure patient confidence in diabetes Self-Management education also if! A bad PICO is usually a background question disguised as a research question caregivers completed online... Complications will include peripheral arterial disease, artery disease, and nephropathy washing by healthcare providers reduce of... Health and management of type 2 diabetes artery disease, and nephropathy also, it found... Lind Alliance type 1 diabetes Priority Setting Partnership influences profoundly influence the adherence to for! To the study, it is essential that healthcare providers learn to consider the environment. Regarding diabetes Self-Management education also, it is essential when it comes to type 1 and types two prevalence diabetes..., interactive teaching METHODS, and nephropathy many cover one part of your PICO should fit one! 2014 URCA program assistant, health and management of type 2 diabetes different terms diagnosis... Make this a question worth researching PICO framework was very important regarding diabetes Self-Management education is essential to consider physical...

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