Promoting lifestyle change in the prevention and management of type 2 diabetes.
OBJECTIVE
To present the theoretical background for lifestyle change interventions in the prevention and management of type 2 diabetes and to provide pragmatic strategies for advanced practice nurses (APNs) to incorporate such interventions into their practices.


METHODS
Selected scientific literature and the Internet.


CONCLUSIONS
There is an epidemic of obesity and type 2 diabetes among adults in the United States. Preventing or managing these health conditions requires significant lifestyle changes by individuals.


CONCLUSIONS
APNs are in a key role to deliver lifestyle change interventions, particularly in the primary care setting. Strategies to assist APNs with lifestyle change counseling include (a) assessment, (b) mutual decision making, (c) referral to education programs, (d) individualized treatment goals, (e) strategies to assist with problem solving, (f) continuing support and encouragement, (g) relapse prevention, and (h) ongoing follow-up.
D000203:Activities of Daily Living; D000328:Adult; D003657:Decision Making; D003924:Diabetes Mellitus, Type 2 / Q000451:nursing* / Q000523:psychology*; D006801:Humans; D008019:Life Style; D009722:Nurse Practitioners; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D009765:Obesity / Q000451:nursing* / Q000517:prevention & control; D010353:Patient Education as Topic / Q000379:methods; D011320:Primary Health Care / Q000379:methods; D011340:Problem Solving; D012017:Referral and Consultation; D014481:United States