School of Nursing


Doctor of Nursing Practice (DNP)


Debra Maddox


Type 2 Diabetes, DSMES, Telehealth, Diabetes Prevention, Behavioral Modifications, Continuous Glucose Monitoring, Lifestyle, Lifestyle Behaviors, Nutrition, Exercise, Mobile Applications


Education | Nursing


Chronic conditions are a considerable burden on the healthcare system, and one that is becoming increasingly prevalent is diabetes. Prediabetes is a condition that has become more common and diagnosed in many patients before an actual diagnosis of diabetes. Healthcare professionals strive to empower individuals to make lifestyle changes to prevent diabetes from occurring by informing individuals on how to manage prediabetes. For individuals that do not make the necessary changes to lower their hemoglobin A1c to below the standards of less than 5.6%, a diagnosis of diabetes occurs. It is estimated that five per 1000 individuals are diagnosed with prediabetes; however, research reveals that many people do not even know they have prediabetes. The number of individuals with prediabetes is consistently on the rise, ultimately increasing the number of individuals with Type 2 diabetes. Providing individuals with the necessary tools for improved lifestyle modifications will decrease the likelihood of developing Type 2 diabetes. This integrative review evaluates evidence-based, peer-reviewed, published articles on the effectiveness of increasing awareness of the necessary lifestyle behaviors for the prevention of diabetes through telehealth education. The literature supports that telehealth can improve lifestyle behaviors, including improved eating habits and increased physical activity, thus reducing hemoglobin A1c levels, body weight, or body mass index of individuals with prediabetes.