This PICOT question focuses on children diagnosed with Type 1 Diabetes Mellitus (T1DM).
Type 1 Diabetes Mellitus is a chronic illness caused by the body’s inability to manufacture insulin and necessitates lifelong care.
Intervention: Low carbohydrate diet
The intervention in this PICOT inquiry is the establishment of a low-carbohydrate diet (LCD) for children with type 1 diabetes.
A low-carbohydrate diet lowers carbohydrate intake, potentially improving glycemic control by reducing postprandial glucose increases.
Comparison: Standard Diet
The comparison group consists of children with T1DM who follow a regular diet for diabetic care.
A regular diet typically comprises a balanced consumption of carbs, proteins, and fats, with carbohydrates accounting for a large component of the diet. Outcome: glycemic control
The major result of interest is glycemic control, which refers to maintaining blood glucose levels within goal ranges.
Glycemic control is commonly measured using markers such as hemoglobin A1c (HbA1c), fasting blood glucose, and glucose variability.
Timeframe: Within four months.
The period for this PICOT question is four months.
This timeframe enables for the assessment of the short-term impact of a low-carbohydrate diet on glycemic control in children with type 1 diabetes.
Shorter-term studies can provide useful information about the immediate effects of dietary adjustments on diabetes management.
There are no guidelines for limiting dietary carbohydrate intake in order to lower diabetes risk or enhance diabetes outcomes in kids. As a result, doctors require realistic guidelines for the use of low-carbohydrate diets in patients who choose to follow these diets, including those with type 1 diabetes, obesity, prediabetes, and type 2 diabetes.
Generally nursing practice has advanced and has become more tilted to evidence- based practice. As against the old model of one fit all care, evidence-based practice deals on research outcome supported by evidence and is tailored to suit a particular individual or group of individuals with common characteristics. According to NerdySeal (2021), application of an evidence-based practice involves a combination of nursing clinical experience, clinical assessment, patient circumstances, and the best evidence for evidence-based nursing practice to find solutions to care problems in the clinical environment. In the selected article, it involved children with type 1 diabetes who were given varied degree of carbohydrate and at the end of the study, the outcome concluded that children with type 1 diabetes that consumed low carbohydrate diet experienced better controlled blood sugar level than those that had normal carbohydrate intake. Integrating this intervention into nursing practice should be governed strictly by evidence and peculiarity of individuals patient which can be achieved using the Iowa Model.
The Iowa Model is one of the tools that can be utilized in integrating interventions into practice within health care settings. According to Cullen (2022), the Iowa model provides a guide to the implementation of evidence-based practices. Following the establishment of enough evidence to back up an intervention, certain steps as highlighted in the above figure can be used to incorporate such intervention into nursing practice. The first step which focuses on assessing and identifying patient’s preferences is to ensure that the peculiarity of each patient is considered. Evaluation must be carried out after implementation to provide an opportunity to optimize outcomes through quality improvement.
Integrating the intervention applied in the selected article as well as other research outcome and other findings that has been carried out which support the evidence that low carbohydrate intake is advantageous to type 1 diabetes patients will expand and espouse the discussion as well as the research on the use of low carbohydrate diet in the management of type 1 diabetes. According to America Nurses Association (2023), application of evidence-based practices has been identified to promote the delivery of improved and quality care which focuses on the health needs of individual patients hence promoting patient’s outcome and increasing the body of knowledge of nursing practice. The incorporation of the intervention could also bring about a synergy among interdisciplinary professionals and researchers into how best to incorporate this finding into practice. There is also likelihood that organizations could be propelled to adopt policies and guidelines which te
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