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Area of Interest
Asian Americans have the highest proportion of undiagnosed diabetes than any other ethnic group in the United States, by far. According to the CDC (2017), one in every two Asian Americans has diabetes but has never been diagnosed, which is twice the national average. Research even suggests that Asian-Americans are a “greater risk” than other population groups for developing diabetes across the lifetime (Sun, 2015). More Asians have diabetes than any other population group worldwide (Asian Diabetes Prevention Initiative, 2017). However, there are some drawbacks with studying this population group. One is that Asian Americans comprise a vastly diverse group, typically defined as being anyone with origins in South Asia (the Indian subcontinent), East Asia (China, Japan, Korea), and Southeast Asia (Vietnam, Cambodia, Singapore). This means that it may be even more difficult to narrow down causal variables and create culturally appropriate treatment interventions or public health initiatives. Yet given the high prevalence rates, nurses need to pay closer attention to how to help improve access to screenings. The high rates of undiagnosed diabetes among the Asian American population leads to increased rates of unnecessary complications and/or death, healthcare inequalities, and higher overall costs of intervention. Current...
More culturally appropriate research is needed too; the vast majority of studies on diabetes prevention or treatment are conducted with Caucasian patient populations (Joslin Diabetes Center, 2017).
The biggest reason why Asian Americans are twice as likely as any other population group to remain undiagnosed is because the symptoms or early warning signs of diabetes are totally different for this population group. The most notable issue is the lower BMI threshold; “Asian Americans often develop type 2 diabetes at a lower body mass index (BMI) than other population groups (National Institutes of Health, 2015).. Most Asian Americans are not overweight, causing doctors and nurses to overlook screenings even though they “may be at greater risk” than other populations (Sun, 2015, p. 1). Therefore, healthcare workers need to routinely screen Asian American patients for diabetes.
Research Question/PICOT 1: Management of type 2 diabetes for Asian Americans newly diagnosed with type 2 diabetes has been problematic (P) because of cultural attachment to Asian food that can aggravate their diabetes. Health education to implement diet and lifestyle modifications are the effective strategies to make Asian Americans eat right type of food (I), which can assist…
References
Asian Diabetes Prevention Initiative (2017). Why are Asians at higher risk? http://asiandiabetesprevention.org/what-is-diabetes/why-are-asians-higher-risk
CDC (2017). Diabetes and Asian Americans. https://www.cdc.gov/diabetes/library/spotlights/diabetes-asian-americans.html
Hsu, W.C., Araneta, M.R.G., Kanaya, A.M., et al (2015). BMI cut points to identify at-risk Asian Americans for Type 2 diabetes screening. Diabetes Care 38(1): 15—158.
Joslin Diabetes Center (2017). Asian Americans and diabetes. http://www.joslin.org/info/Asian_Americans_and_Diabetes.html
McNeely, M.J. & Boyko, E.J. (2004). Type 2 diabetes prevalence in Asian Americans. Diabetes Care 27(1): 66-69. http://care.diabetesjournals.org/content/27/1/66
National Institutes of Health (2015). More than half of Asian Americans with diabetes are undiagnosed. https://www.nih.gov/news-events/news-releases/more-half-asian-americans-diabetes-are-undiagnosed
Sun, L.H. (2015). Why Asian Americans have diabetes but don’t know it. The Washington Post. 10 Sept, 2015. https://www.washingtonpost.com/news/to-your-health/wp/2015/09/10/why-asian-americans-have-diabetes-but-dont-know-it/?utm_term=.372c38a8cecd
Introduction There are various risk factors that have been associated with the development of type 2 diabetes. These include, but they are not limited to, ethnicity and lifestyle. With regard to ethnicity, it is important to note that people of Asian descent have a higher predisposition to type 2 diabetes, in comparison to persons of European ancestry. Some of the complications associated with type 2 diabetes include cardiovascular disease, kidney damage,
Type 2 Diabetes among Asian Americans: Effectiveness of a Culturally Tailored Diabetes Education ProgramPICOT question: In Asian Americans with type 2 diabetes (P), does a culturally tailored diabetes education program, including patient-specific dietary and lifestyle modifications, (I) reduce A1C levels (O) after 2 months (T) versus a control group of Asian Americans?Literature ReviewAccording to Nguyen, Fischer, Ha, and Tran (2015), �type 2 diabetes mellitus (T2DM) is a growing epidemic in
Article Review: Asian Americans and Diabetes APA Citation: More than half of Asian Americans with diabetes are undiagnosed. (2015). National Institute of Health. Retrieved from: https://www.nih.gov/news-events/news-releases/more-half-asian- americans-diabetes-are-undiagnosed Although diabetes as a whole is increasing across the United States, certain groups are disproportionately affected by the epidemic. Additionally, different groups may have specific and unique concerns that are essential to take into consideration when offering health advice. Asian Americans have not always been considered a
Introduction The PICOT question is: How does the standard health education to implement patient-specific dietary and lifestyle modifications compare to patients who receive culturally tailored diabetes education and the reduction of mean blood sugar levels among Asian Americans diagnosed for type 2 diabetes 2-3 weeks after education is provided? Problem Statement Asian-Americans are the fastest growing ethnic group, yet the exact extent to which this population can effectively treat type 2 diabetes through
Introduction Diabetes mellitus represents a chronic ailment impacting the way the human body converts food consumed into energy. The major portion of consumed food breaks down into glucose and gets discharged into the bloodstream. The human pancreas secretes the hormone, insulin, that helps employ cell blood sugar as energy. Three forms of diabetes have been identified, namely, gestational, type 1, and type 2 diabetes. In the latter, the patient’s body is
The role of descriptive epidemiology in nursing science is very important as it helps to provide information that can be used by nurses to prevent the spread of disease, develop effective interventions, and engage in further research. A descriptive epidemiologic study is one that examines a specific population and identifies the amount and distribution of health and design within that population (Giroux, 2015). Descriptive epidemiology looks at variables, such as