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Brody states that "hen the average fasting level of blood sugar (glucose) rises above 100 milligrams per deciliter, diabetes is looming" (210). A rise in blood sugar level can then cause "an increasing cellular resistance to the effects of the hormone insulin... As blood sugar rises... The pancreas puts out more and more insulin (promoting further fat storage) until this gland is exhausted. Then when your fasting blood sugar level reaches 126 milligrams, you have diabetes" (Brody).
Once Type 2 diabetes actually develops the potentially devastating effects of the disease may include "heart attacks or strokes" as well as "kidney failure, amputations and blindness" (Brody 210). Moreover, other negative effects of the sharp increase in incidents of Type 2 diabetes besides the devastation to one's health and quality of life (at increasingly young ages) currently also include economic and global effects. For example the treatment of diabetes "ranks No. 1…… [Read More]
Analysis of Type 2 Diabetes
Local and National Statistics Compared
Incidences and Prevalence
According to data seen from 1994 through 1998 at the three university-based diabetes centers in Florida, 92 were classified with Type 2 diabetes. The proportion of patients increased over the five years from 9.4% in 1994 to 20.0% in 1998. From 1994 through 1998, there was a significant overall increase in the percentage of children referred with new-onset diabetes who were considered to have Type 2 diabetes[footnoteRef:1]. [1: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497443 / ]
CDC carried out ehavioral Risk Factor Surveillance System (RFSS) surveys between 1995 to 1997, and 2005 to 2007 for examining state-specific changes and assessing geographic distribution of diabetes. During 2005 to 2007, incidence of diabetes ranged from 5.0 to 12.8 per 1,000 persons among 40 states, the District of Columbia, and two territories. The greatest incidence was observed in the South and Puerto Rico.…… [Read More]
Type 2 diabetes (T2D) is a major chronic illness in the U.S., with 84 million adults being pre-diabetic (Centres for Disease Control and Prevention, 2017). Whereas risk factors are numerous, minority groups are at a particularly greater risk for T2D compared to the rest of the population. The high risk stems in large part from acculturation challenges – difficulties associated with adapting to the host country’s social and cultural norms (Deng, Zhang & Chan, 2013). This is especially true for Asian Americans (King, 2014), with prevalence for T2D being estimated at 9% (Nguyen et al., 2015). Appropriate intervention strategies are important for preventing type T2D in this group. Literature demonstrates that education can be useful for preventing the condition (Kerr et al., 2011; Deng, Zhang & Chan, 2013). This paper provides an evaluation of literature relating to T2D prevention through education. The evaluation is premised on the following PICOT question:…… [Read More]
Type 2 Diabetes
Disease phenotype and genotype
Although several major risk factors (particularly obesity/overweightness) have been identified for diabetes mellitus type 2’s (T2D) development, not much information is available on its etiology. Environmental as well as genetic elements play a central role, with disease risk probably a reflection of a multifaceted relationship between the two. Specific T2D epidemiology elements, the extensive susceptibility to it, growth in susceptibility among individuals of particular ethnicities, and the more recent well-defined linkage between disease risk and low weight at birth have triggered multiple theories. Such theories strive towards explaining the disease’s abovementioned key epidemiological facets, in addition to broadening insights into its etiology. A common theme in the thrifty phenotype and genotype theories is the idea that T2D susceptibility might point towards prior nutritional conditions. The latter theory holds that patients’ nutritional history supports genetic polymorphisms that increase likelihood of disease diagnosis. On the…… [Read More]
signs and symptoms of Type 2 diabetes?
Signs of Type 2 diabetes include dry mouth and excessive thirst, frequent urination, weight loss, fatigue, and headaches ("Symptoms of Type 2 Diabetes," n.d.). Unfortunately, many people are unaware that they have Type 2 diabetes and do not seek treatment early. The symptoms evolve slowly and emerge over time, which is why seeing a doctor is important.
What if you have a positive diagnosis for this disease, do you have to see specific health specialists?
Although a general practitioner can address many of the early signs and symptoms of the disease and help recommend treatments, courses of action, interventions, and lifestyle changes, specialists may be necessary as the disease progresses or if it was diagnosed in an advanced stage. Many of the tests administered to patients who have been diagnosed might need to be administered by specialists, but usually a primary or general…… [Read More]
Determinants and Interventions for Type 2 Diabetes
Type 2 Diabetes - Australia
Type 2 Diabetes in Australia: Determinants and Interventions
Type 2 diabetes by far the most common form of diabetes and is defined by glucose intolerance and elevated blood glucose levels (hyperglycaemia). Other physiological disorders frequently accompany diabetes, including dysregulation of lipid metabolism (dyslipidaemia), kidney function, and cardiovascular disease, which contribute significantly to the morbidity and mortality suffered by diabetes patients (arr, 2006, p. 6). Unfortunately, the cause of type 2 diabetes in most cases is not known (arr, 2006, p. iii), but a number of risk factors have been identified that if modified can help improve outcomes.
A Significant Health Issue
Type 2 diabetes mellitus is the fastest growing chronic disease in Australia, with approximately 275 adults developing the disease each day (arr et al., 2006, p. xi). At this rate 0.8% of the population develops diabetes each…… [Read More]
Diabetes is caused by the body's inability to properly produce and handle insulin. Type 2 diabetes is the most common form of the disease, with over one million new cases diagnosed in the United States every year (Pittas, Lau, Hu, & Dawson-Hughes, 2007, 2017). The effects of type 2 diabetes can be devastating, for the patient as well as society as a whole. Diabetes is a leading cause of kidney failure, nontraumatic lower-limb amputations, and new cases of adult blindness, as well as a major cause of heart disease and stroke and the seventh leading cause of death in the United States (National Diabetes Information Clearinghouse, 2011). Besides the personal toll diabetes can exert on those afflicted, it is estimated that the disease costs the American healthcare system $174 billion a year, with only an estimated 25% of patients receiving the care necessary to treat and control the disease (Konrad,…… [Read More]
African-Americans in Louisiana & Type 2 Diabetes ates
The poor will be always with us, we are biblically admonished. And for Americans we might add to this ancient maxim that the African-American poor will be always with us. Despite the many gains that they have made in the past 30 years African-Americans remain far more likely to be poor than are white Americans. This has a number of different consequences for African-American populations, including higher rates of certain diseases as well as less access to healthcare for those conditions. This paper examines the conjunction of the economic, social, and cultural status of African-Americans in Louisiana and their rates of Type 2 diabetes. African-Americans in Louisiana - as is true across the South and indeed across the nation - suffer from diabetes at least seemingly disproportionately high rates. However, once economic, social and cultural factors are taken into account, those rates…… [Read More]
Resistance Training (RT) in Older Adults with Type 2 Diabetes
Diabetes Mellitus type 2 (T2D) among elderly individuals is a growing, prevalent problem. This age-prevalent metabolic ailment, marked by deficient insulin production owing to insulin resistance, is seen mostly among people aged 80+ years. The projected number of people belonging to this age group by 2050 is forty million. In this paper, the contribution of RT (resistance training) on elderly type 2 diabetics' (mean age=65+ years) metabolic, cardiovascular and neuromuscular functions will be examined (Hovanec et al. 2012).
In the last ten years, experts have been showing increasing interest in evaluating RT's likely impact on aged type 2 diabetics. RT serves to activate individuals' muscular systems, creating force in opposition to resistive loads. This may be achieved using multiple exercise machines, calisthenics (lunges, sit-ups, pushups and crunches) and lifting dumbbells and other free-weights. When carried out on a regular basis…… [Read More]
Diabetes can be inherited. Type 1 diabetes is something that can develop in early adulthood, specifically adolescence. Symptoms for onset of the disease include excessive thirst, frequent urination, and blurred vision (Florez, 2016). The patient, Holly, is exhibiting signs of diabetes. According to her family history, she has a father with type 1 diabetes who has multiple family members with type 1 diabetes. Holly is 17 and falls within the time frame when people begin developing type 1 diabetes complications. While she may only have excessive thirst, frequent urination, and high blood sugar as symptoms, the initial diagnosis of type 1 diabetes may have been favored if the history of the mother did not show a potential type 2 diabetes diagnosis.
The mother’s history shows that on her side of the family there is morbid obesity with the mother and grandmother being morbidly obese and the grandmother suffering from…… [Read More]
Health Policy to Prevent and Manage Diabetes
Health Issue and affected Population
In the United States and other part of the world, the type 2 diabetes have become a major health concern for policy makers and health planners. Although, there are three types of diabetes, however 90% of people diagnosed with diabetes have type 2 diabetes, which is one of the predominant non-communicable diseases. The type 2 diabetes is one of the major public health challenges. While more than 150 million people are suffering from diabetes globally, however it is projected that the case of diabetes can reach 299 million by the year 2025. The type 2 diabetes occurs when there is an underproduction of insulin leading to several health complications such as damages to organs such as kidneys, eyes, heart, nerves and blood vessels. Alternatively, type 2 diabetes occurs when the body is unable to effectively use the insulin.…… [Read More]
Patient V.G., a 47 year old African American male, was diagnosed two years ago with type II diabetes. During a follow up, the patient complained of increased tingling in lower extremities. His medical history shows high or abnormal cholesterol levels (dyslipidemia, hypertension (HTN), obesity, and former smoking habits (stopped 2 years ago). He has no declared history of alcohol use. Living alone in subsidized housing and relying on food stamps and welfare, on occasion he works for extra income.
The potential reason for the complaint of tingling lower extremities could come from not taking his medications for almost a week. He takes several medications: Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD and has a high blood pressure of 160/100. Lipitor is a known cholesterol lowering drug. Doctors prescribe Lisinopril to treat high blood pressure. Januvia helps lower blood sugar and therefore provides some relief for his type II…… [Read More]
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, and nerve damage. It therefore follows that the relevance of proper control and management of type 2 diabetes cannot be overstated. For most persons with type 2 diabetes, the optimal control of the same tends to be a challenge. In that regard, therefore, there is need to assess how effective patient-specific dietary and lifestyle modifications are towards the control and management of type 2 diabetes. Towards this end, this study will chart pre-education and post-education glucose levels of 5-10…… [Read More]
The scholarly activity that I participated in was a workshop organized by the Hindu/Sikh community of our city at the Shri Durga Temple. The purpose of the workshop was to provide basic health education and basic health screenings—for example, cholesterol level checks, blood sugar level checks, blood pressure exams, BMI, weight measurements, free blood pressure monitoring and a blood donation camp. The target market for the activity was the non-white, Asian-American population, which is a population that is at increased levels of risk for type 2 diabetes, as several researchers have shown (Hus, Araneta, Kanaya, Chiang & Fujimoto, 2015; Islam et al., 2015). The benefit of this activity to me was that I was able to provide some health education to the Hindu/Sikh community, which is an Asian-American population at risk for developing type 2 diabetes. By providing this education I was able to fulfill my mandate as a…… [Read More]
Synthesis/Summary of Evidence Based Practice Articles
A life-long disease, diabetes tends to affect the way an individual’s body handles blood glucose. In essence, type 2 diabetes happens to be the most prevalent kind of diabetes. It is important to note that various research studies have been undertaken in the past in an attempt to not only figure out the risk factors of diabetes, but also assess the best approaches towards the management of the same. This text concerns itself with three articles focusing on type 2 diabetes. In so doing, it will uncover the various risk factors for type 2 diabetes, assess the management of type 2 diabetes (with a bias on the appropriate diet), and evaluate the most appropriate nutritional choices to be made in relation to older people with diabetes.
Ley, Korat, Sun, Tobias, Zhang, Qi, Willett, Manson, and Hu (2016), provide critical data on not…… [Read More]
Comparing Studies: What are the Data Saying?
Types of Studies
The study by Ong, Chua and Ng (2014) entitled “Barriers and facilitators to self-monitoring of blood glucose in people with type 2 diabetes using insulin: a qualitative study” was a qualitative study that used interviews to collect data from diabetes patients. The study by Stevens, Shi, Vane, Nie and Peters (2015) entitled “Primary care medical
home experience and health-related quality of life among adult Medicaid patients with type 2 diabetes” was a quantitative study that used surveys to collect data. The study by Wildeboer, du Pon, Schuling, Haaijer-Ruskamp and Denig (2018) was a mixed-methods study that used interviews and self-reported data to collect information on care providers’ views towards using a patient-oriented treatment decision aid when treating type 2 diabetes patients.
Statistical tests were not conducted in the qualitative study by Ong et al. (2014). Instead, thematic analysis…… [Read More]
This project is a quality improvement project and not a research project because it seeks to improve the quality of care provided to diabetes patients of a particular ethnic background. The point of this project is to better enhance the approach to care that nurses use when it comes to offering health education to Asian Americans who are newly diagnosed with type 2 diabetes. By focusing on culturally tailored diabetes education and providing health education that is customized to fit the needs of this population, nurses can improve their own quality care and thus improve their patients’ quality of life.
Quality improvement is a set of “systematic, data-guided activities designed to bring about immediate improvements in health delivery in particular settings” (Lynn et al., 2007, p. 666). As improving quality of care is a constant aim among health care professionals, quality improvement projects are regularly undertaken by evaluating…… [Read More]
Diabetes Type 2 is a prevalent disease with cases growing each year. Type 1 diabetes is also a concern especially regarding disease management. A useful assessment tool/technique for monitoring blood glucose levels for both type 1 and 2 is the A1C test. Otherwise known as the glycated hemoglobin test, the blood test provides the patient with information on the average blood sugar level within the past two to three months (Leong et al., 2017). A1C also measures blood sugar percentage attached to hemoglobin or oxygen-carrying protein within red blood cells. It is a great tool for people concerned with development of type 2 diabetes and those managing type 1 diabetes.
In a recent article on the effectiveness of A1C, researchers identified that the test can effectively determine potential for diabetes in patients. “Hemoglobin A1c (HbA1c) can be used to assess type 2 diabetes (T2D) risk. HbA1c predicts T2D in different…… [Read More]
Type II iabetes
Achieving Optimum Well-Being with Type-II iabetes
iabetes is a serious illness, and it is becoming more and more common in the United States. Obesity statistics are startling, and they are rising yearly; with increased overweight individuals, the risk of Type II diabetes especially, also increases, and few things are undertaken to curb these harmful side effects of the unhealthiness that is taking over this country. While diabetes includes both Type I and Type II, and while both are very common and must be understood, this paper will undertake to understanding Type II diabetes, and will aim to find out exactly what causes this type of diabetes and how society can begin to curb its effect in the populations most affected. Furthermore, the paper will argue that there are two fundamental things that can help a person with diabetes live a better life, and these are…… [Read More]
Medical Conditions -- There are a number of factors that can increase the likelyhood of type-2 diabetes: hypertension, eleveted cholesterol, and a condition called Symdrome X, or metabolic syndrome (combination of obesity, high cholesterol, sedentary lifestyle, stress, and poor diet). Cushing's syndrome, cortisol excess and testosterone deficiency are also associated with the disease. Often, it is a number of co-dependent conditions that seem to give rise to diabetes (Jack & Boseman, 2004).
Genetics -- There is ample evidence that there is a strong inheritable genetic condition in type-2 diabetes. In addition, there is a genetic mutation to the Islet Amyloid Polypeptide gene that results in early onset diabetes (Lee & Hasim, 2001). There is a stronger inheritance pattern for type-2 diabetes with a significant association between family members. Typically, this is excacerbated by cultural and lifestyle factors that, while not inherited, are culturally shared. Gene expression promoted by a diet…… [Read More]
Diabetic Intervention Planning
The intervention plan that I would create and attempt to implement to address the health promotion issue of Type 2 diabetes is one that is fairly standard for treating this malady. Quite simply, it would involve patients monitoring their blood sugar levels multiple times a day. Additionally, it would also require their self-administration of insulin (Ehrlich, 2013) in order to maintain patient-specific targets for their blood glucose values. This intervention plan would occur for a finite period of time -- for a one month period -- in order to properly evaluate its efficacy in helping patients achieve target objectives for maintaining acceptable and healthy blood sugar levels. Individuals would have a variety of options that they could select for injecting insulin. They could either choose to utilize an insulin pen, insulin pump, or the "long-acting basal insulin glargine" (Trask, 2014). Patients would be expected to measure their…… [Read More]
Type 2 Diabetes (T2D) in the U.S.
The development of Type 2 Diabetes (T2D) in the U.S. And developing countries
Type 2 diabetes was known previously as non-insulin-dependent diabetes. Unlike an individual with type 1 diabetes, a person with type 2 diabetic issues continues to produce insulin, but the individual's body fails to respond to it in a normal manner. Glucose cannot penetrate the cells and supply the required energy (it has been commonly referred to as insulin resistance). Eventually, the blood sugar levels rise and make the pancreas produce additional blood vessels insulin. In the end, the pancreas wears out because of overworking to generate surplus insulin and eventually becomes unable to generate adequate insulin to keep blood vessels sugar levels normal. Individuals with insulin resistance may or may not develop type 2 diabetic issues (Atta-ur-ahman, eitz & Choudhary, 2010). This is independent of the pancreas' ability to generate…… [Read More]
Type 1 Diabetes
Diabetes has been among the illnesses that need rigid and proper attention to maintain the normal condition of the patient's body. Among the stages and types of diabetes, type 1 diabetes is the illness type that usually hits both the young and adults. This disease is preventable though. However, if the health condition of the patient with type 1 diabetes is not properly managed, the risk to serious complications such as heart ailments, damage in kidney and nerve, blindness, and many others, is high.
In any kind of illnesses, it is essential that one acquire enough information to prevent from getting or developing a disease. In view of this, in relation to type 1 diabetes, this paper finds it important to discuss the pathogenesis of Type 1 Diabetes. This paper aims to provide useful information on the following.
History of Type 1 Diabetes
Symptoms of Type 1…… [Read More]
Diabetes and Vitamin D Studies
Clearly Focused Issue
Appropriate Method to Answer the Research Question
Acceptable Recruitment Methods
Acceptable Method of Selection of Controls
Minimization of Bias
Were the Confounders Accounted for in the Study Design
Are the Results Believable
Are They Applicable to Other Populations (Generalizable)
Do the Results Fit with Available Evidence
Witham et al., 2010
This is a follow-up study. The issue is whether patients with a vitamin D level of higher than 250 HD will gain a benefit from vitamin D supplementation.
A positive result is defined by reaching a level of 75 nmol or above. This is considered the level for optimum health.
Patients for the study were selected from general practice and diabetes specialty offices based on a positive type 2 diabetes mellitus diagnosis in accordance with the requirement set forth by the World Health Organization.
The group was divided into three…… [Read More]
Obesity cause Diabetes Type 2?
From the time people came into existence; they have witnessed changes in virtually every aspect of life including the global environment, food production, health concerns, demographic growth, and so forth. Nevertheless, the capacity to adapt to the changes has facilitated the inhabitants to survive and have an improved lifestyle. However, as the globe penetrated into the twenty-first century, the standard of living of numerous people has altered to a great extent due to the technological advancements and innovations. People are now in a race where everyone wants to win success, prosperity, and affluence because of which they have neglected or overlooked the aspect of their health (Stern & Kazaks, 2009). Therefore, health has become an escalating and emerging concern in this epoch across the world.
However, when taking health issues under consideration, obesity has been observed as one of the epidemics that have been witnessed…… [Read More]
Diagnostic Treatment and Interventions for Diabetes in Children
"Diabetes can affect many parts of the body with serious complications ... heart disease, stroke, blindness, kidney failure, and lower-limb amputations ... " (CDC).
According to the American Diabetes Association (ADA) approximately 1.25 million American children and adults have diabetes type 1. As for children, the Centers for Disease Control and Prevention (CDC) reported in 2014 that 22 out of every 100,000 children under the age of 10 in the U.S. have type 1 diabetes. And a 2014 report in USA Today quotes a study in the Journal of the American Medical Association that shows that "... nearly 167,000 children and teens younger than 20 have type 1 diabetes" (Szabo, 2014). That data conflicts with the ADA data that reports 208,000 Americans under 20 have type 1 diabetes. No matter the conflicting data, it is clear that the rate of diabetes in…… [Read More]
Beneficial effects of the Mediterranean Diet on Type 2 Diabetic Patients in the United Kingdom.
The beneficial effects of the Mediterranean Diet on Type 2 Diabetic Patients in the UK
Science of the problem
Type II diabetes progresses through two stages. The initial stage is referred to as insulin resistance. During this stage, the pancreas produces enough insulin, but the body's cell are unable to respond to insulin. The pancreas increases the production of insulin in the body to compensate for the resistance. The body cells absorb more and more insulin resulting in the pancreas continuously increasing its insulin production. Eventually, the pancreas will shut down the production of insulin because it is unable to keep up with the demand, which results in type II diabetes. The lack of sugar for conversion to energy results in the starvation of cells and there is a buildup of glucose levels in the…… [Read More]
Childhood type diabetes and obesity
Which three databases will you use?
Search each database, using key words, for relevant research on this subject. What key words did you use in the Search Strategy fields? nclude all attempts and limitations used to refine your search.
Childhood obesity diabetes
Childhood obesity diabetes
Report the number of citations identified from each database in the number of articles found field.
Select one article from a peer-reviewed nursing journal published within the last three years -- or a germinal article which may contain an earlier publication date -- and provide the citation in APA format.
Hayden, M.R., Joginpally, T., Salam, M., & Sowers, J.R. (2011). Childhood and adolescent obesity in cardiorenal metabolic syndrome and type 2 diabetes: A clinical vignette and ultrastructure study. Diabetes Management, 1(6), 601-614. doi:http://dx.doi.org/10.2217/dmt.11.50
Answer the following questions using your selected research article:
Q1. s this…… [Read More]
Diabetes in Australia
The Australian government and the relevant Health agencies have for many years strived to put the diabetes menace under close observation and management. There have been massive researches and huge sums directed towards good management and possible elimination of diabetes at the national levels. This commitment is exhibited by the specialized funds and efforts like the Juvenile Diabetes esearch Fund (JDF) that has been committed to striving to mitigate the effects of diabetes from the render age of the Australians.
Since diabetes is such a big challenge to Australia as a whole, diabetes mellitus was declared a National Health Priority Area in 1996 during the Australian Health Minister's Conference and this was as recognition to the high levels of diabetes prevalence within Australia, the mortality rates that were due to it, the impact it had on morbidity and the possibility of the health improvements that can be…… [Read More]
However, advancements in pharmacogenetics promises new and better ways of managing diabetes. Studies have shown that Lisofylline, an anti-inflammatory compound is very effective in suppressing the autoimmune activity and in improving the islet secretion of insulin. Mice studies showed significant difference (25% vs. 91.6%) in the onset of diabetes among Lisofylline treated mice compared to placebo mice. Reduction of inflammatory cytokines IFN-? And TNF-? levels correlated with reduction in ss cell apoptosis. [Yang et.al, 2003] Recent study by Lipsett et.al (2007) has shown that Islet Neogenesis-Associated Protein (INGAP) is useful as a pancreatic regeneration agent. Successful tests in mice and regeneration of cultured human pancreatic cells have encouraged the researchers to seriously consider INGAP as an effective agent for improving insulin synthesis. [Lipsett et.al, (2007)]
A recent Cornell University study focused on an entirely different approach to diabetes management. The researchers examined the possibility of recombinant Commensal bacteria engineered to…… [Read More]
The sources of data tend to miss a good deal of the disease because it is undiagnosed at a rate as high as 50%. One study finds that the overall European prevalence of the disease is about 7.8%, with over 48 million adults aged 20-79 years in Europe living with diabetes in 2003. Rates are usually higher in the countries of Central and Eastern Europe ("Diabetes in Europe" paras. 1-5).
The increase in diabetes in different parts of the world has been attributed to the spread of estern eating habits, and among the trappings of the estern lifestyle that have affected rates are fast food, television, video games and driving everywhere. In Europe, these changes have taken a toll so that five percent of the population has diabetes, a rate about the same as Africa, though the incidence of undiagnosed diabetes is through to be higher in Africa than in…… [Read More]
Mobile technology, disease management is the wave of the future, not only for diabetes care but for other health related issues and needs. If an individual can recognize the daily stressors they place upon their bodies, with regard to their disease management and overall health the system could likely greatly impact care systems and services, as well as assist individuals with knowledge and information that may not have been available to them in the past.
Andrus, M.., Kelley, K.W., Murphey, L.M., & Herndon, K.C. (2004). A Comparison of Diabetes Care in ural and Urban Medical Clinics in Alabama. Journal of Community Health, 29(1), 29.
Chappell, K. (2006, March). Diabetes Management Goes High-Tech; New Devices, Personalized Care Help to Control Deadly Disease. Ebony, 61, 158.
Chinnery, G.M. (2006). Going to the MALL: Mobile Assisted Language Learning. Language, Learning & Technology, 10(1), 9.
Delivering a Better Deal to Help Cope with…… [Read More]
Studies conducted over decades have concluded that there is a significant link between diabetes mellitus and cardiovascular disease. For instance, the most common form of diabetes is type 2 diabetes, which involves both the impairment in insulin resistance and the defective secretion of insulin by the pancreas. The development of diabetes often comes with a number of cardiovascular complications including "coronary heart disease (CDC), stroke, peripheral arterial disease, nephropathy, retinopathy, and possibly neuropathy and cardiomyopathy." (Grundy 1999)
Specifically both diabetes type 1 and type 2 are considered to be risk factors for atherosclerotic coronary heart disease. "Moreover, myocardial ischemeal due to coronary atherosclerosis commonly occurs without symptoms in patients with diabetes." (Grundy 1999) In other words, patients with diabetes are more likely to be stricken with congestive heart failure. But it is not only the risk of heart failure that diabetes sufferers are at risk from, another…… [Read More]
Diabetes and Obesity: What Are the Choices?
Diabetes is becoming an increasingly serious health problem across the United States, and indeed across the world. The majority of cases of diabetes, both in terms of new diagnoses and of current cases, are those of Type II diabetes, which is a condition generally brought on by overweight or obesity and lack of exercise, that prevents an individual's body from being able to metabolize the glucose in food in an efficient and healthy way. Individuals with Type II diabetes (as opposed to individuals with Type I diabetes) can generally be quite successfully treated by losing weight and increasing exercise. Individuals with Type II diabetes can often bring their symptoms and risks under control and even potentially eliminate them through good diet and weight loss.
Given that Type II diabetes can have very serious long-term consequences (including early death due to stroke or heart…… [Read More]
c.. Is the treatment feasible in my clinical setting? Yes No Unknown
d. What are my patients/family's values and expectations for the outcome that is trying to be prevented and the treatment itself?
There are several implications from this study:
Identification of self-care needs are important to patients; mitigation of stronger, more invasive treatment options are thus prevented. owever, some instruments are more useful than others in encouraging self-care or monitoring behavioral change.
Use of these treatment protocols and self-care instrumentation and measurement tends to create a more patient-centered care paradigm so that healthcare providers can focus on the more serious, medical care issues. Additionally, when educating people who have diabetes, effective time management protocols should focus on specific instruments that are individually tailored to that patient's needs and capacity for responsibility for their own issues.
The research did show two major effects:
Answers from measurement issues help create a…… [Read More]
What is Diabetes?
Clinical Practice ecommendations
Diabetes is considered to be a chronic disease which really needs some kind of long-term nursing and medical intermediations. esearch shows that patients likewise need to take a part that is active in their own treatment and management, and the alter their lifestyles in order to keep their metabolic state at a level that is normal (Sperl-Hillen, 2010). One of the transformations in education is recognized as being electronic learning. This technique is interesting because it has all of these unique features which users are interested in using, and has made it possible to learn anywhere. It facilitates individual as well as group learning, and makes it conceivable to familiarize the material as stated by the users' needs. However, in the last 10 years, it has been very obvious that the Internet has turned out…… [Read More]
Diabetes Among Middle Age Males:
One of the major public health issues among middle age males is diabetes since they are twice as likely to suffer from the disease as compared to their female counterparts. Generally, the rate of diabetes has increased in the recent past to an extent that 8% of the American population have the disease, especially children and adults. The main reason for the increase of the rate of diabetes is that the risk of type 2 diabetes increases with age. The other risk factors include an inactive lifestyle, being obese or overweight, a history of the disease in immediate family, and a diet with high sugar and low fiber. As the rate of diabetes has increased among children and adults, much increase has occurred among the male population, especially middle age males. Therefore, it is increasingly important to examine the major health risks incurred by the…… [Read More]
Diabetes Education and Prevention
· Diabetes is a chronic disease related to the body’s ability to use insulin.
· There is Type 1 diabetes which someone is born with and is a lifelong illness.
· There is Type 2 diabetes that comes from poor diet and bad lifestyle choices.
· To prevent Type 2 diabetes people must do several things. They are:
1. Exercise at least 15 minutes a day
2. Eat the recommended amount of 20-25 grams of fiber each day.
3. Eat at least 5 servings of fruits and vegetables
4. Minimize simple sugars like candy and soda.
5. Eat enough protein
6. Eat complex carbohydrates like unrefined grains and whole wheat pastas.
7. Reduce stress (LeRoith, 2012).
Why should people eat healthy?
People should eat healthy for several reasons. However, the main reason is to avoid becoming obese and suffering from obesity-related issues like Type 2 diabetes.…… [Read More]
Diabetes is one of the major non-communicable diseases today. In the U.S., approximately 9% of the general population have diagnosed or undiagnosed diabetes, with a further 37% estimated to be pre-diabetic (CDC, 2016). The disease increasingly imposes a significant morbidity, economic, mortality, and psychological burden on individuals, families, communities, healthcare organizations, as well as the government. This paper discusses a number of issues relating to diabetes. These include: past and present funding initiatives; past and present quality initiatives; the relationship between diabetes care quality and healthcare coverage; and diabetes care in the U.S. and UK.
In the U.S., initiatives aimed at preventing diabetes are funded by both the government and private entities. Public funding is executed through the Division of Diabetes Translation (DDT), a unit of the Centers for Disease Control and Prevention (CDC) (CDC, 2016). DDT funds health departments at the state and local government level in…… [Read More]
Diabetes Literature Review
The author of this report has been asked to complete a report in two parts. The first part is a summary of the topic that will be covered. Included in that will be a description of the theory that will be resented, the rationale for the use of the theory presented, a discussion of how the theory works to support the proposed solution and an explanation of how the theory will be incorporated into the project.
The theory that will be advanced is that diabetes must be dealt with on both a social/cultural as well as medicine level. While medicine can do a great job in controlling diabetes and preventing it from ravaging people's bodies, the bigger problem is that there are usually bad health habits and lifestyle practices that lead to diabetes being present, at least as it pertains to type II diabetes. Even…… [Read More]
Clinical Problem: Diabetes Mellitus in Rural Settings
Mid-range nursing theories can be extremely useful in understanding specific clinical issues. These theories are less broad and all-encompassing than so-called grand theories of nursing such as Jean Watson’s Theory of Human Caring and seek to offer a more technical and practical approach to applying theory in daily practice (Alligood, 2018). This paper will specifically examine the application of Kristen Swanson’s Theory of Caring to the treatment of patients suffering from diabetes mellitus living in rural settings without adequate access to healthcare. Virtually all nursing theories are composed of four essential core definitions, that of person, environment, health, and nursing itself. Swanson’s theory, however, specifically focuses on nursing, which Swanson defines as a very specific type of caring.
Although obesity is increasing across the nation, obesity is often particularly rife in rural settings with limited access to healthcare and healthy foods.…… [Read More]
The Global Prevalence of Diabetes
Diabetes, a medical condition resulting from elevated levels of high blood sugar (hyperglycemia), has become a major worldwide health problem and is only getting worse; in 2010, diabetes affected 6.4% (285 million) individuals worldwide, and this total is expected to increase to 7.7% over the next 20 years (Shaw, Sicree, Zimmet, 2010). By 2025, it is estimated that a total of 380 million people will suffer from diabetes (Dieren, et al.). There are myriad reasons for the explosion in diabetic prevalence, and a number of measures must be enacted in order to combat this growing problem. These measures will not only involve science (nursing, scientific education) but also overhauling cultural lifestyles. This paper begins by describing the effects of diabetes and then discusses a number of the initiatives that must take place in order to combat the issue.
Diabetes is difficult to combat because…… [Read More]
Diabetes -- Literature eview
It is estimated that nearly five and a half million people, or over a third of the population, have prediabetes in some populations such as the City of New York; diabetes and diabetes-associated cardiovascular diseases have become the leading cause of death in the region accounting for roughly two-thirds of the deaths and the rates of diabetes has lead this trend to be referred to as the diabetes epidemic (Frieden, 2006). The same trends can be found in a greater or lesser extend in most Western nations in the world. Furthermore, there has been a strong correlation between childhood obesity and childhood diseases, such as diabetes, that has now been identified (Dietz & Bellizzi, 1999).
The link between childhood obesity and adult diseases has been the subject of much attention in recent years. Much of the research has considered the programming of adult metabolic processes and…… [Read More]
This means these children have a much higher chance of developing other diabetes related illnesses as they grow older, including serious damage to the eyes, nerves, heart, kidneys, and blood vessels (Bren, 2004). If they do not learn how to self-manage the disease when they are children, they will have more serious side effects as they grow older, and they will be a drain on the healthcare and insurance areas, as well.
One way to prevent diabetes is to treat the underlying causes, such as poor nutrition, lack of education, and obesity. This education should start in childhood, and the population should have resources available to help them deal with and self-treat the disease. Perhaps "diabetes centers" could open in inner city neighborhoods, that provided treatment kits, education, and even cooking and nutrition classes to help with patients cope with their disease.
In conclusion, Type 2 diabetes hits minority victims…… [Read More]
Indigenous Australians and Diabetes
In Adelaide the first case of diabetes in Indigenous people was noted in 1923. The records clearly show that Indigenous people didn't diagnose diabetes at the time as they were fit, lean and in good shape. Apart from that, they didn't have any metabolic ailment at the time. Till the 1960's, the estimates of diabetes in Indigenous people weren't taken and no investigation done until then. Then a connection was found between indigenous population and westernized living in the population as type-2 diabetes was slowly starting to materialize. Since then, type 2 diabetes has been deemed as the most worrying health problems in Australia as the probability of it being in the population is four times (Australian Indigenous HealthInfoNet, 2007a).
Diabetes and the afflicted person
Diabetes can affect a person in many ways as shown below:
Physically (Shaw, 2012)
Physical…… [Read More]
A disease is classified as 'chronic' when it cannot be cured and will last throughout the duration of the patient's life. Type II diabetes is an example of a chronic disease which is on the rise and which can be managed but cannot be entirely 'cured.' Unlike type I diabetes, which typically manifests itself in early childhood as an autoimmune disorder, type II diabetes is caused by a combination of environmental and genetic factors. "The majority of people (80%) who develop type 2 diabetes are overweight" (Burden 2003).
What two nursing preventions can nurses do for this chronic illness?
Because type II diabetes is classified as a lifestyle-related disorder, treating it requires a change of diet and altering other habitual factors. "The basis of initial treatment is to pay attention to dietary intake and to encourage exercise so as to induce weight loss, the rationale being to improve…… [Read More]
elationship of high cholesterol levels to the development of cardiovascular disease
Diabetes, heart disease, and high cholesterol are all strongly correlated. Even when diabetes is being well-managed, the patient's risks factors increase for comorbidity with these disorders. "High blood pressure has long been recognized as a major risk factor for cardiovascular disease. Studies report a positive association between hypertension and insulin resistance. When patients have both hypertension and diabetes, which is a common combination, their risk for cardiovascular disease doubles" (Cardiovascular disease and diabetes, 2014, AHA). Also, in the case of Ms. X, because of her uncontrolled diabetes, her risk for high cholesterol is higher than average even in the absence of obesity and inactivity. "This triad of poor lipid counts often occurs in patients with premature coronary heart disease. It is also characteristic of a lipid disorder associated with insulin resistance called atherogenic dyslipidemia, or diabetic dyslipidemia…… [Read More]
Health Promotion: Diabetes Education and Prevention
Given the need for specificity in nursing theory for addressing a particular topic such as diabetes education and prevention, Nola Pender’s Health Promotion Model would seem to be particularly useful. The model is designed to assist people in making needed lifestyle changes. It is based upon the presumption that people wish to maximize their health potential and possess enough self-awareness to grow in their capacity to self-regulate (Pender, 2013, p.5). While health professionals can act as facilitators, ultimately the model focuses on people’s ability to engage in self-initiated changes in behavior and in their environment. Type 2 diabetes is a lifestyle ailment for most individuals. Although the nurse can act as a teacher and a guide, it is the individual who is suffering from diabetes who must make decisions on a daily basis that will affect his or her life.
Pender’s model is particularly…… [Read More]
Problem Statement and Purpose of Study Self-care regimens that require a lot of input are necessary in making the study of diabetes effective. A lot of people with diabetes undergo distress. The diabetes distress is commonly described as the distress that arises from the effect of the diabetes symptoms, regimens for self management, the fear that there would be complications and functionality failure. The diabetes stress stabilizes after some time. It has been found that about a third of all diabetes type 2 patients are prone to diabetes stress regarded as clinically significant. Diabetes distress severely affects adult diabetic patients with a poor diabetes management plan. Such patients stand a high risk of diabetes-related complications. These developments are linked to poor glycemic control and self-management (Leeet al, 2018). The current research seeks to establish whether autonomy support by the health supporters of patients such as the members of their family…… [Read More]
Windshield Survey of Diabetes in the Asian-Indian Community in Plainsboro, New Jersey: Planning, Implementation, and Evaluation
As the home to the second-largest population of Asian-Indians in the United States today (the first is another nearby small community, Edison, New Jersey) (Sahney, 2010). Out of a population of around 23,500, 16.97% of the residents of Plainsboro (or about 4,000) describe themselves as having Indian ancestry (Sahney, 2010). Although Plainsboro enjoys a high standard of living, a desirable community environment and state-of-the-art medical facilities, it is reasonable to suggest that some of the Asian-Indian population in this community remain marginalized due to an inability to afford these state-of-the-art health care services and the potential for cross-cultural differences in views about health care may further exacerbate this lack of access.
A growing body of evidence also indicates that Asian-Indians are among the highest-risk populations for developing diabetes, making this community an especially important…… [Read More]
Diabetes and Thyroid
What is the mechanism of action of insulin and what are the differences in insulin therapy for Type I and Type II diabetes mellitus?
The pancreas secretes insulin, and it is used for the regulation of glucose from the blood into the cells. Insulin assists in lowering blood glucose by causing peripheral glucose uptake by skeletal muscle cells. The breakdown of fat, proteins, and manufacture of glucose is inhibited by insulin. Insulin will also increase protein synthesis and the conversion of excess glucose to fat. Patients suffering from diabetes are not able to produce enough insulin, and this leads to hyperglycemia. Insulin therapy for type I diabetes mellitus is aimed at increasing or providing insulin in the patient's body (Trauner, ichert, & Luddeke, 2013). For type II diabetes, insulin therapy is aimed at controlling blood sugar, increasing insulin levels, and lowering the patient's resistance to insulin.…… [Read More]
Diabetes and Drug Treatments
TYPE II DIABETES AND DUG TEATMENTS
Type I Diabetes
Diabetes mellitus type 1 result from autoimmune destruction of insulin-producing beta cells within the pancreas. Subsequent shortage of insulin translates to increased urine and blood glucose. The developed world is associated with increasingly variant type I diabetes with a large cause of kidney failure and non-traumatic blindness. The link is based on an increased dementia and cognitive dysfunction risk through disease processes of vascular dementia and Alzheimer's disease. The complications are inclusive of sexual dysfunction, acanthosis nigricans, and frequent infections (Jones, et al., 2012).
Type II Diabetes
The classic diabetes symptoms include polyuria (frequent urination), increased thirst, increased hunger (polyphagia), and weight loss. Alternative symptoms commonly presented in the diagnosis include histories of blurred vision, fatigue, recurrent vaginal infections, peripheral neuropathy, and itchiness (Barnett, 2012). However, many people lack symptoms in the initial years and while…… [Read More]
According to Waryasz & McDermott (2009), the global prevalence of diabetes among people aged between 20 and 79 rose to 6.4% affecting 285 million people in 2010 and the rate will rise to 7.7% affecting 439 million people by 2030. Amid 2010 and 2030, the rate of individuals with diabetes will increase by 69% in developing nations, and a twenty percent rate in developed nations. In 2011, the number rose to 366 and it is expected to rise to 552 by 2030. The pervasiveness of diabetes is advanced in males compared to females, yet the number of women with diabetes is more compared to that of men.
Diabetes affects any part of the human body and people with diabetes are likely to die of heart-related problems or stroke. Seventy-percent of individuals with diabetes show signs of high blood pressure which a risk factor for heart-related diseases. The majority of…… [Read More]
The author of this report has been asked to find, analyze and assess a study that is related to a diabetes intervention. The study found needs to be recent and will be described in terms of the major aspects and traits of the study. Precisely such a study was found and it involves the review of the effects of food label use on diet quality when it comes to Latinos that are type II diabetics but are getting assistance from community health workers. The article actually came out this month in a prominent academic public health journal and is very illuminating. While food labels are only so effective as they have to be consulted and used, the concurrent use of community health workers to coach and assist type II diabetics in the study seems to show some promise.
Brief Summary of Disease
Type II diabetes, unlike its…… [Read More]
Diabetes was chosen as a topic because of the high percentage of the population that it affects coupled with the fact that it is a relatively preventable disease for most people. It is estimated that nearly five and a half million people in New York City, about a third of the population, have prediabetes, diabetes, and/or diabetes-associated cardiovascular diseases and similar frequencies have been noted throughout the Western world. Diabetes has become the leading cause of death in the region accounting for roughly two-thirds of the deaths and the rates of diabetes has lead this trend to be referred to as the diabetes epidemic (Frieden, 2006). There are a range of different factors that can lead to diabetes but the two main culprits are an improper diet and lack of exercise.
Furthermore, this condition is not reserved for only adults. The number of children who have diagnosed with…… [Read More]
The high levels of blood glucose lead to the production of insulin therefore patients have excessive production of insulin. There is insulin resistance and hence body cells do not respond in an appropriate way in the presence of insulin (Mealey, 2010).
The main difference between diabetes insipidus, and diabetes mellitus, is that in diabetes mellitus insulin resistance is referred to being "post-receptor." This implies that the problem lies with the cells which respond to insulin as opposed to there being a problem in the production of insulin. The onset of diabetes mellitus is slow and the disorder might go undiagnosed for a very long period of time. Diabetes insipidus has an abrupt onset and it might be diagnosed at any age.
Factors affecting diagnosis and treatment prescription of diabetes
There are various factors that might affect the diagnosis and treatment of these two types of diabetes.one of these factors is…… [Read More]
Digestion and diabetes: Overview of the process
The digestive process begins even before food is consumed. Looking at or anticipating food causes salivation. Saliva aids digestion, along with chewing. For example, when Jane Doe looks at a plate consisting of a whole wheat turkey sandwich (garnished by vegetables and mayonnaise), potato chips, and apple juice, her body will begin to anticipate eating by secreting digestive juices. The first major involuntary muscular movement for Jane Doe will not occur until she consciously decides to swallow the food in front of her. "Although you are able to start swallowing by choice, once the swallow begins, it becomes involuntary and proceeds under the control of the nerves" (Your digestive system, 2010, NIH). The swallowed food is pushed into the esophagus, the organ that connects the teeth, mouth, and tongue through the throat to the stomach. "At the junction of the esophagus and…… [Read More]
Marketing a Diabetes Clinic
For some people, the entire idea of creating a marketing plan for those struggling with a serious chronic disease might seem distasteful. Making money off of other people's suffering can seem to be capitalism at its untrammeled worst. However, there is no reason that capitalism cannot in fact be married to compassion in the case of providing care for diabetics. Indeed, marketing a clinic that is providing good care is a real service for people with diabetes for several different reasons that will be explained below.
Moreover, given that at least for now medicine is delivered in the United States primarily within a for-profit context, it is essential that medical providers be realistic about the ways in which they run their business. If they fail to be realistic, then they will not be able to stay in business and they will not be able…… [Read More]
Global health issue exploration
As obesity becomes an increasingly serious problem worldwide, diabetes has likewise become equally problematic, given that the two conditions are interrelated. "Fueled by rapid urbanization, nutrition transition, and increasingly sedentary lifestyles, the epidemic has grown in parallel with the worldwide rise in obesity" (Hu 2011). Unless the chronic disease of type II diabetes can be better managed and contained, there are potentially severe and long-lasting consequences for the world as a whole. It is of particular concern that diabetes is becoming a health issue in the developing world, an area where under-nutrition (versus over-nutrition) was once considered to be of greater concern. The purpose of this paper will be to give an overview of the condition and its consequences for sufferers and for healthcare providers on a global level, as well as suggest possible sources of treatment
Diabetes is no longer a disease of affluence.…… [Read More]