Diabetes is a challenging state of the body that causes blood sugar levels to rise above average levels. Type 2 diabetes which is indicated by the situation in which the body does not use insulin well and is the most common type of diabetes (Varanasi, 2012 p. 140). Type 1 diabetes is indicated by a state in which the immune system attacks the insulin-producing cells in the pancreas, thereby destroying the body's ability to produce or make insulin. Most of the effects of diabetes result from lack of blood sugar control, high blood pressure, and high cholesterol levels (Varanasi, 2012 p. 140). Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay From the article it can be deduced that diabetes affected approximately 25.8 million people of the total population of the United States and is considered the seventh cause of mortality in the United States (Walker, 2013 p.401). Diabetes is a leading cause of kidney failure, heart disease and painful lower limb amputations. Recent research also indicates that diabetes can cause blindness even among adults, and that 90% of diseases caused by diabetes are classified as type 2 diabetes. Due to its dominance and economic burden, diabetes is considered the most challenging healthcare obstacle of the 21st century (Walker, 2013 p.401). Although type 2 diabetes can affect all groups of people in terms of race and ethnicity. , ethnic minorities would be the most affected and exposed to high risks of complications and mortality. Among ethnic groups, the most vulnerable are non-Hispanic blacks and Latinos living in America. Once diagnosed, African Americans are 2.6 times more likely to develop end-stage renal disease and the likelihood of undergoing a lower extremity amputation is high. The researchers' report states that minority groups are more likely to have poor self-management and outcomes than non-Hispanic whites. It increases the disproportionate burden of existing diseases and adds disproportionality to diabetes-related complications. African Americans in particular have the propensity to experience poorer outcomes including glycemic control compared to other minority groups and non-Hispanic Whites (Walker, 2013 p.402). To improve glycemic control, lifestyle changes such as diet, exercise, and medication adherence are needed. a necessity and have been shown to alter disease progression through improving glycemic control (Walker, 2013 p.402). Behavioral interventions are used to improve glycemic control and also to improve the quality of life of patients with type 2 diabetes. However, there is no clear understanding of behavioral interventions for African Americans. For this reason, a literature review was conducted to examine findings in articles elaborating on the effectiveness of behavioral interventions aimed at improving glycemic control in African Americans (Walker, 2013 p.403). From the study, behavioral interventions were identified as effective in African Americans with type 2 diabetes based on their impact on glycemic control. From the study, it was noted that the problem-solving aspect was used to find solutions and positive problem-solving skills associated with self-management behaviors (Walker, 2013 p.404). The review indicated that of all permitted problem-solving interventions, half of them improved glycemic control, suggesting that problem-solving may be a