Diabetes In The Mexican American Population

Accompanying genetics, environmental factors, such as lack of exercise and obesity, play major roles in causing type II diabetes.

Hispanics households with low socioeconomic status and low education coupled with low diabetes awareness have high type 2 diabetes prevalence 9. The high prevalence rates of type 2 diabetes can be attributed to a number of reasons such as; the Latinos have a genetic tendency to develop insulin resistance and they face high risks for abdominal obesity. The study emphasized that the strongest predictors of developing type 2 diabetes in Hispanic population are impaired insulin sensitivity, low insulin secretion and and glucose effectiveness 1. In addition, the prevalence rates are high in poor families who have poor nutrition and lifestyle behaviors. Since poor families have low access to education, they tend to have low awareness for diabetes hence these results in high diabetes prevalent rates. The results of the study indicated that incidence of diabetes decreased with rising educational level in Hispanic population

The rate of diabetes in the United States is one of the highest compared to other developed countries. An estimate of 9.3% of the population have diabetes, of those with diabetes 27.8% have yet to be diagnosed (Centers for Disease Control and Prevention [CDC], 2014). This means that approximately 8.1 million people are currently living with diabetes, but are unaware of it. As of 2012, 12.3% of people with diabetes were 20 years old or older, the largest population diagnosed with diabetes were adults 65 years old or older. 25.9% of this population lives with diabetes (CDC, 2014). On a national level, the CDC have launched initiatives that focus on prevention and disease management. The National Diabetes Prevention Program is an example of one such initiative. This program focuses on lifestyle changes,

Based on the United States census, it is estimated that by the year 2050 one in three people living in the United Sates will be of Hispanic/Latino origin which include sub groups like Puerto Rican, Mexican, Cuban, Central Americans, and South Americans (Heart Association, 2014). Within those subgroups, the prevalence varied for people of Mexican descent from as high of 18.3 percent to as low as 10.3 percent for people of South American descent, Dominicans and Puerto Rican descent 18.1 percent, Central American descent and Cubans descent 13.4 percent all living in the United States with diabetes type 2. On another commentary being published in the same issue of Diabetes Care, the author wrote, “the differences in diabetes and obesity prevalence among Latinos subgroups are marked when all individuals are combined into a single group” (Heart Association, 2014). Diabetes in Latino Americans has become more prevalence with aging, by the time they reach the age of 70 years, 44.3 percent of Latino men age 70 years old to 74 years old will have develop diabetes. The same study also indicated that the longer Latino Americans live in the United States the more likely they will develop diabetes, that is according to the education and income level of the person. The study also shows

While only 7.6 percent of non-Hispanic whites and 9 percent of Asian-Americans have diabetes, 12.8 percent of Hispanics have diabetes. Other high-risk ethnic groups are non-Hispanic blacks (13.2 percent) and American Indians/Alaskan Natives (15.9 percent). For Hispanics living in the United States, the prevalence of type 2 diabetes is lower in those coming from Central and South America (8.5 percent) or Cuba (9.3 percent), but higher for those who are Mexican American (13.9 percent) and Puerto Rican (14.8 percent), who comprise the majority of Hispanic immigrants in the U.S. (Valencia, Oropesa-Gonzalez, Hogue & Florez,

Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the

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.

There are nearly 30 million people living with diabetes in the U.S. African Americans are disproportionately affected by diabetes, with 13.2% having been diagnosed with diabetes, compared to 7.6% of non-Hispanic whites. They are also at an increased risk for serious complications of diabetes, which include blindness, kidney disease and amputations. Although the risk for complications can’t be eliminated, good control of diabetes has been shown to reduce those risks.

The Hispanic community faces many challenges in America. One of the major health issues that affect this community is obesity. If not treated, obesity will eventually result in other chronic health problems like diabetes, hypertension and metabolic syndrome. Creating an environment that will foster healthy eating and a healthy lifestyle will enable this group to avoid diabetes or hypertension in the future. Managing existing diabetes is also critical for this at risk group to avoid the chronic problems that may arise form uncontrolled diabetes.

First, for Latinos, studies have found that the prevalence of total diabetes, diagnosed and undiagnosed, among all Hispanic/Latino groups was roughly 16.9 percent of both men and women, compared to 10.2 percent of non-Hispanic whites. However, when looking at Hispanic/Latino groups individually, it found that prevalence varied from a high of 18.3 percent for those of Mexican descent to a low of 10.2 percent for people of South American descent. The study showed 18.1 percent of people of Dominican and Puerto Rican descent; 17.7 percent of Central American descent; and 13.4 percent of Cuban descent living in the United States had type 2 diabetes (Alexandria, 2014). As people believe, also prevalence rose dramatically with age, reaching more than 50 percent for Hispanic/Latino women by the time they reached age 70 and 44.3 percent for men aged 70-74.

Environmental barriers, such as, not having access to healthy food can have an adverse impact on a person health, especially if their lives are further complicated by a chronic illness. For instant, diabetes which is a disease that affects at least 16 million Americans; African Americans and Latinos are the groups that are affected the most, as compared to the White population (Horowitz, Colson, Hebert & Lancaster, 2004). African Americans and Latinos are more likely to have more complications due to diabetes as well as a higher mortality rate (Horowitz et al., 2004). Some populations of people are prone to having a high prevalent rate of diabetes; therefore, research done at a community level is necessary to help figure out why

This study examines for the first time the genetic contributions to diabetes and metabolic traits in the AIR registry sample, which is composed of Mexican American participants who reside in the Phoenix-Arizona area. The AIR registry participants were extensively phenotyped for type 2 diabetes and metabolic syndrome measures. The prevalence of diabetes in our population was 12.3%, which was above the 8.3% of the general population [32,33]. Moreover, we observed that 34.0% of the participants were classified with pre-diabetes, which was similar to national averages that showed Mexican American adults in the United States with pre-diabetes at 36% [33].

The following is a case study of a 41 year-old Mexican American woman who was recently diagnosed with type 2 diabetes.

Diabetes is a chronic disease that poses major public health concerns for the Hispanic population. Hispanics are the largest minority ethnic group in the United States to have the highest rates of chronic illnesses such as diabetes being at the top of the list. It is estimated that by the year 2025 there will be 333 million people affected by the chronic disorder. (Diaz, 2010). This is due to the rapid increase in various environmental and lifestyle trends that individuals live by everyday. Type 2 Diabetes mellitus, which is also known as hyperglycemia, is when the human body causes the blood glucose levels to rise higher than the normal. Type 2 diabetes is one of the most common forms of diabetes in the Hispanic population; this chronic disease

There are several characteristics that can contribute to type-2 diabetes, although they will not cause diabetes to occur in all people who have those characteristics. One of the most significant characteristics seen in people with diabetes is weight (Kumar, et al, 2005; Vijan, 2010). Overweight and obese people are much more likely to have diabetes than