Gries & Cameron (2011) indicated that the prognosis of T2DM depends on the complication developed as a result of long standing hyperglycemia. There is still weak evidence in the cure of T2DM (NICE, 2009), but several management modalities such as the conventional pharmacological and non-pharmacological therapy (nutrition and physical activity) exist to prevent, improve and maintain the patient's quality of life and wellbeing.
JUSTIFICATION:.
This review paper is justified by its aim to search for current evidence on the most efficient ways T2DM could be prevented. It will provide an evidence-based idea on the best way to manage a preventive intervention, this will inform practice and bridge gap in the knowledge for providing a more sustainable preventive strategies for T2DM. The alarming Incidence and prevalence of T2DM (WHO, 2013; Diabetes UK, 2012, and ADA, 2011) will reduce drastically if the knowledge synthesized from this review of the relevant studies is applied to practice. .
AIMS.
To critically evaluate current and evidenced-based sustainable strategies for preventing Type 2 diabetes mellitus in high-risk adults (18 years and above).
OBJECTIVE .
To critically review relevant literatures on prevention of T2DM, undertake a systematic review of key selected papers, present a comprehensive report based on the findings of the literature review and make recommendation for practice.
.
RESEARCH QUESTION.
How can T2DM be prevented among adults 18 years and above at risk of developing diabetes in both developed and undeveloped countries?.
KEYWORDS.
Intervention, lifestyle, prevention, and type 2 diabetes, obesity, mesh term, genetic, culture.
SEARCH STRATEGY.
A systematic literature search was undertaken using electronic databases like; Cochrane Register of Controlled Trials, University of Sunderland Library Discover, Science Direct, CINAHL, PubMed, PCYCLIT, Google Scholar, EMBASE, British Nursing Index (BNI) using the Patient, Intervention, Comparison and Outcome (P.
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