Case Study: Magon M. Saunders, Diabetes Institute

The health disparities among the Blacks/African American is on the rise which is of being mostly affected by diabetes the United States and Maryland. Diabetes and cardiovascular diseases are connected which can lead to increase mortality among this population. In that matter, the Health Empowerment African Americans Diabetes Program proposal includes my creating awareness which will offer diabetes education as connected to other commodities and self-management and counseling. This will be done through outreach programs in the community in health classes and health fairs through health screening, blood glucose screening, A1C, exercise activities, body mass index (BMI), weight, monitoring of individual self-monitor log, and

Diabetes  is a serious health condition that is a chronic illness for the African Americans. Diabetes preventions strategies in African American community can be a tricky task to contain and prevent for several reasons I will discuss in this paper.

According to the United States Library of Medicine, diabetes is a disease that occurs when the body does not make or use insulin correctly, therefore causing fluctuating amounts of glucose in the blood. Diabetes is a disease that affects millions of adults and children from various cultures. According to the American Diabetes Association (2014), someone is diagnosed with diabetes every 19 seconds. The Center of Disease Control and Prevention most recent statistical report indicated there were 29.1 million adults and children affected by diabetes. Those numbers are astounding. Unfortunately, the American Diabetes Association (2014) estimates by year of 2050, one out of three adults will have diabetes. Therefore, it is imperative that adults take aggressive measures to prevent this disease. By the same token, diabetes diagnosed in children and adolescent is becoming more prevalent every day. The American Diabetes Association (2014) reported there were about 216, 00 children in the United States with diabetes. It is predicted that one out three children will be diagnosed with diabetes in their life. The statistics for both adults and children with diabetes are frightening; however, early detection can help lower the risk of developing the debilitating effects of diabetes.

The Hispanic population is constantly growing and we have an estimated 13.7% of Hispanics making up the United States. “The annual percentage of patients with prediabetes in whom overt type 2 diabetes develops is about 5% in the general US population and may reach 15% in the Hispanic American population” (Idrogo & Mazze, 2004, para. 7). This a community health issue because of the percentage of Hispanic individuals that may end up with diabetes. These individuals need to be educated to help the promotion, protection, and maintenance of diabetes in this group. That is why I have created the intervention program for this ethnic group.

The most significant difference between the regular insulin and the rapid acting insulin is the onset. The onset for rapid-acting or lispro is 10-15 minutes, and for the regular it is ½-1 hour.

HISTORY OF PRESENT ILLNESS: This is a 53-year-old black individual a patient of Dr. Shelton, who has had diabetes for at least six months, but he thinks it has been longer than that. He says his last known blood sugar was in the 300’s. He presents in the ER today with a foot ulcer since January of this year. He

The Eliminating Disparities in the Diabetes Prevention, Access, and Care Act (EDDPAC) aims to improve diabetes research, treatment, education, and prevention in minority populations, including Native Americans. This proposed piece of legislation would require the National Institutes of Health (NIH) to examine the various factors that lead to diabetes in minority populations, and would also require the Health Resources and Services Administration (HRSA) to provide grants for diabetes education classes and training programs for health providers on cultural sensitivity (Chow et al., 2012). HRSA would also fund Federally Qualified Community Health Center programs that provide diabetes services and screenings, and strengthen career-building programs to provide career opportunities within minority populations that are focused on diabetes treatment and care (Chow et al.,

The planned intervention for this scholarly EBP change project was to implement a culturally sensitive diabetes education program. Information that was part of the culturally sensitive diabetes education program included educational materials on type 2 diabetes, training guides,

According to Healthy People 2020 (2014), diabetes affects over 29 million people in the United States, with another estimated 28 percent of the population having undiagnosed cases. Of those at risk, African Americans are almost 2 times more likely to be diagnosed as opposed to their Caucasian counterparts. Many preventable associated factors include limited knowledge regarding disease processes, healthy diet, and limited knowledge of one’s own body. Our goal is to provide our African American community the opportunity to learn more about diabetes and how to reduce the risk of type II diabetes and signs and symptoms of diabetes during a community event.

The 10 FHA’s used a curriculum that was initially created to evaluate Native Americans. This curriculum was then adapted for the Racial and Ethnic Approaches to Community Health (REACH) study. The REACH curriculum was used to reduce the risk factors associated with diabetes, decrease diabetic complications, encouraging diabetes self-management comprehension, increase self-efficacy, and self-motivation. Topics such as understanding of eating healthy, cooking, physical activity, and stress reducing components were also incorporated in the REACH study. Respondents met for five 2 hour group sessions every four weeks with the 10 FHA’s in a local community center from June to October. Classes were held in English and Spanish and respondents were

Type 2 diabetes is a chronic disease where patient education is imperative and requires education that surpasses the primary care office. According to Cha et al. (2012) basic education and family involvement is an essential component for pre-diabetic and diabetic population to achieve glycemic control. Time management and time constraint are obstacles that are affecting the primary care provider in initiating health promotion topics and disease prevention information (Kowinsky, Greenhouse, Zombek, Rader & Reidy, 2009). Recognizing the time constraint at the EBP change project site for health promotion and patient education a culturally sensitive educational program would be created to promote healthy lifestyle behaviors targeting African Americans with prediabetes.

This question warrants investigation as T2DM is a gateway disease. Overtime, the disease progresses to affect other bodily functions, harming both an individual’s physical and psychological well-being. For example, T2DM is responsible for higher risks of neuropathy, low bone density, hypertension, heart disease, lower limb amputations and vision and hearing loss, as well as psychological disorders such as depression and dementia. According to 2015 statistics from the American Diabetes Association, T2DM is the 7th leading cause of death in the United States, contributing to 332,341 US deaths. However, treatments that address the causes of T2DM are more prudent than current treatments which focus on mitigating the complications that arise

I appreciate your ability to cover such a broad area of diabetes mellitus (DM) and diabetes insipidus (DI). However, I agree that type 1 DM needs a lifelong insulin treatment as the cause of type 1 DM is autoimmune which could be due to genetic or environmental with histocompatibility leukocyte antigen HLA class II alleles HLA-DQ and HLA-DR. Environmental factors such as drug exposure, food, and viruses contributes to the disease. In addition, the autoantigens formed from the gene environment reaction damage the beta cells of the Islet of Langerhans (pancreas) thereby prevents insulin secretion causing increased blood glucose (hyperglycemia) (Huether & McCance, 2012). Great information.

Many studies have shown that using cultural health brokers within the community can improve diabetes self-management and reduce adverse health outcomes from diabetes. The pilot program studied in this article had the goal of improving access to health information and diabetes self-management skills. The Health Talkers went into their various community organizations such as churches, senior centers, youth camps, and workplaces. Many even spoke with family and friends. The program, not only provided educators within the community to increase understanding about diabetes management and care, it also provided a resource library within the community. The resource library contained further information on health care

In order to create change healthcare providers must work together to educate their communities. According to a study found that Type 2 Diabetes is the highest among all Hispanic/Latino groups in which 16.9 percent for both men and ladies, contrasted with 10.2 percent for non-Hispanic whites. It is evident communities are not being educated on preventing Type 2 Diabetes and their risks (American Diabetes Association, 2014). The purpose of this paper is to discuss the summary of the teaching plan, epidemiological rationale for topic, evaluation of teaching experience, community response to teaching, areas of strengths and areas of improvement.