School of Nursing


Doctor of Nursing Practice (DNP)


Debbie Maddox

Primary Subject Area

Health Sciences, General


type II diabetics, exercise, walking, glucose control, glycosylated hemoglobin (HgbA1c)




Walking is a simple, feasible, and effective exercise modality in which providers can instruct patients as a component of type II diabetic treatment plans. Many patients are overwhelmed when given instructions to exercise and therefore never begin. Lack of exercise contributes to poor glycemic control and adverse outcomes. Also, gym memberships can be expensive resulting in patients forgoing exercise altogether. The purpose of this DNP scholarly project was to conduct research outcomes which may enlighten providers to prescribe exercise interventions by providing evidence walking 45 minutes three times a week can improve glycemic control among type II diabetic patients. Also, the DNP scholarly project sought to answer the following clinical question: In type II diabetic patients, what is the effect of walking 45 minutes three times a week on HgbA1c levels compared with no exercise within three months? A group of four type II diabetics participated in walking 45 minutes three times a week for 12 weeks. The projected outcome was lowered HgbA1c among participants walking three times a week. HgbA1c was evaluated at the beginning of the project and at the end of the 12-week implementation period. The project aimed to examine the efficacy of walking as an effective and feasible exercise intervention for type II diabetic patients. The average HgbA1c among the group decreased from 8.4 to 7.475. Providers can prescribe walking prescriptions for type II diabetic patients to increase glucose control and lesson the stress for patients related to initiating exercise.

Included in

Nursing Commons