Date of Award

Fall 10-1-2022

Document Type


Degree Name

Doctor of Medical Science (DMSc)


Department of Physician Assistant Medicine

First Advisor

Justin M. Gambini, DMSc, PA-C, DFAAPA



Purpose: The purpose of this article is to provide an understanding of negative health effects of adverse childhood experiences (ACEs) on Type II Diabetes Mellitus and the role of primary healthcare providers in decreasing morbidity and mortality through screening and intervention. Method: A literature search was conducted through PubMed, EBSCO, ProQuest Education and PLOS ONE using keywords such as: adverse childhood experiences (ACEs), type 2 diabetes mellitus, primary care intervention. The most relevant articles were selected with additional selectivity based on the publication year as the basis for this piece.

Results: Currently, minimal information exists on the role of primary care providers in screening ACEs and early intervention in relation to type 2 diabetes.

Conclusion: Ultimately, more research needs to be conducted in assessing the benefits and risks of early intervention of children with ACEs to analyze the change in trajectory of type 2 diabetes mellitus in their adult life.