Moore, Carolyn E.Garcia, JoseJuma, ShanilUtech, AnneErickson, Megan2018-07-022018-07-022015-05-30http://hdl.handle.net/11274/9948Diabetes is a multi-factorial, complex disease where lifestyle changes including diet and exercise can play a pivotal role in its prevention and management. This retrospective study determined the effectiveness of an outpatient nutrition education program in preventing/delaying the diagnosis of type 2 diabetes. Hyperglycemic Veterans (n=372) were divided into a treatment group that received nutrition education (n=207) and a quasi-control group that did not receive nutrition education (n=165). Body weight, body mass index (BMI) and hemoglobin A1c (HbA1c) changes were analyzed using Cox Proportional Hazards and chi-square tests. Data indicated significantly fewer Veterans were diagnosed with diabetes in the treatment group compared to the control group (p < 0.0005). Covariates of age, HbA1c and BMI were positively associated with diabetes. A diagnosis of diabetes occurred 2-3 months later for Veterans receiving nutrition education. Nutrition education significantly delayed the conversion of pre-diabetes to a diagnosis of diabetes among Veterans.en-USHealth and environmental sciencesEducationDiabetesNutrition educationObesityVeteranWeight managementThesis