Diabetes Case Study

One very prevalent issue that has more than doubled since the 1980’s and is growing rapidly is diabetes. In fact, “diabetes prevalence is particularly high among people age sixty-five and older, and it doubled among Medicare beneficiaries between 1987 and 2008, rising from 11.3 percent to 22.6 percent” (Thorpe, 2012, p. 61). The ACA granted the Centers for Disease Control and Prevention

In year 2013, it is estimated that almost 382 million people suffer from diabetes for a prevalence of 8.3%. North America and the Caribbean is the region with the higher prevalence of 11% having 37 million people with diabetes followed by the Middle East and North Africa with a prevalence of 9.2% having 35 million people with diabetes. Western Pacific is the region with higher number of people living with diabetes (138 million), however its prevalence is 8.6%, close to the prevalence of the World.

According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

Diabetes as describes by health. NY. GOV is a disease in which blood glucose (blood sugar) levels are above normal ("Diabetes Basics," 2007). This can lead to a range of serious health consequences, “including vision loss, nerve damage and numbness, high blood pressure, kidney disease, heart disease and death” (DiNapoli, 2015). Diabetes is a growing epidemic in New York City among all age group but has grown significantly over the years among adults especially African American and other minority groups. In 2007, data report from the New York City Health Department reported that “diabetes was higher in NYC than in the U.S. overall (9.1% vs 7.5%). (NYC health data).

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.

African Americans, American Indians and Alaska Natives living in N.D are twice as likely to have diabetes than Whites.

Diabetes affects over 180 million people in the US and is projected that by 2025 this figure will increase to 300 million.

In Sacramento County, there are many concepts as to why diabetes is so prevalent. Diabetes is one of the chronic diseases with the highest prevalence rate in California and Sacramento County. This research proposal will review various concepts affecting diabetes in Sacramento County. These concepts include the effectiveness of diabetes program, high patient satisfaction, poor, and accessibility.

The entire concept of diabetes is about living on the edge of trouble. While Type 1 Diabetes is a biological condition associated with a fundamental flaw in the way one's body produces or reacts to insulin a substance that controls and monitors sugar in the blood and cells Type 2 Diabetes is a social and cultural condition. Those most likely groups of people to have to live with it are persons of non-white nationalities (increasingly Hispanics and Asians) who live at or below the US poverty level and/or who have not achieved a very high level of educational advancement (California Department of Public Health, 2010). And in places like San Diego County, California, this puts a major number of people, young and old, quite literally on the border of health and wellness disasters.

According to the report from the center for disease and prevention (CDC) in 2011, nearly 26million Americans are suffering from Diabetes.3 Furthermore, CDC reported in 2014 that there are chances of 40% American adults developing diabetes in their lifetime and half of the ethnic minorities will be affected. It is worthwhile to note that obesity was reported as the reason for the tremendous increase.4

According to the American Diabetes Association (2016), more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes, both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

One of the policy briefs already exist is (Diabetes: The Growing Epidemic) conducted by UCLA Center for Health Policy Research, this policy brief examines the prevalence and management of diabetes among adults in California based on data from the 2005 California Health Interview Survey, the brief concludes with public policy recommendations intended to reduce the risk of developing diabetes and its related complications through reducing diabetes risk factors and reducing complication of diabetes.

Diabetes is a major medical problem in the US. In the year 2015, it was reported that 86 million Americans are diagnosed with prediabetes (ADA, 2016). Diabetes is the seventh leading cause of death in the United States (CDC, 2016). Research has

According to a study provided in USNews, there are regional issues when it comes to the rates of type-2 diabetes within the United States today (Seppa, 2011). The "diabetes belt" that can clearly be seen in the Southeast part of the country is one of these regional issues. Southern people, on average, tend to have a higher incidence of diabetes than people in other areas of the country. With that in mind, it is important to realize that there are various reasons why that is the case. It is not just one factor causing the problems, and it is not just the Southeast where diabetes is seen. There are other areas of the country where pockets of diabetes are seen, so no specific place or region of the country is immune to problems with diabetes. The following map shows the basic breakdown of diabetes across the country for the latest year where statistics on the issue are available (Seppa, 2011).

     According to the National Institute of Diabetes and Digestive and Kidney Diseases, about 17 million Americans have diabetes and every year about 1 million more age 20 or older are diagnosed with the disorder. People who are overweight, do not exercise, and are 30 years or older are more likely to get the disease (especially type 2 diabetes). People who are also of African American, Latino/Hispanic, Native American, Alaskan