Diabetes Mellitus Type 2 Case Study

Bckground While modern lifestyles and medical care have certainly improved the longevity of humans in the developed world, and contributed to a greater quality of life scenario, those same lifestyles have engendered a number of issues that contribute to disease. Lack of proper diet, fast food, high fat and carbohydrate diets without adequate fruits and vegetables, lack of exercise, smoking and alcohol contribute to an epidemic of obesity which, in turn, contributes to a serious metabolic disorder called Diabetes Mellitus Type 2. While not managed by insulin injections, it is nevertheless quite serious and has a number of progressing symptoms that, if not treated properly, can result in cardiovascular, renal and neurological problems, as well as amputation, ocular issues, and even cognitive dysfunction.

The incidences of diabetes are growing annually, and predicted to increase within the coming decades. The number of cases yearly is not only increasing, but the age of onset for diabetes has decreased. This means more individuals are developing diabetes at an earlier age. Diabetes not only affects individuals and communities but countries as well. The prevalence of diabetes has gathered billions of dollars in healthcare costs. [1]Type 2 diabetes also leads to other serious medical conditions such as heart disease, renal failure, blindness, and tissue damage in extremities that will eventually lead to amputation. These illnesses, as a result, result in further costs in the form of disability and the loss of a portion of our workforce. However, incidences of type 2 diabetes are in higher occurrence amongst Hispanic groups. According to the Hispanic Health and Nutrition Examination Survey, Mexican Americans have an unusually high prevalence of diabetes compared to that of the general population [2]. Hispanic females have the highest lifetime risk of becoming diabetic – 52% [3], compared to that of the average risk of

This essay will focus on type 2 diabetes, which is becoming one of the fast growing chronic health conditions in the United Kingdom (UK). Approximately 700 people are diagnosed with type 2 diabetes each day in the UK (Diabetes Uk, (2014)a). It is costing the NHS about £10billion pounds each year to treat diabetes along with its complication and it is expected to rise in the next couple of years (Diabetes UK, (2014)b).

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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,

Latinos/ Hispanics are one of the races that have a background with the higher risk to get diabetes type 2, but in what way does being Latino affect the course of the illness and what roll does culture takes in this problematic? There is a considerable difference between Hispanic and Non-Hispanics. Many factors can be the reasons for this difference in numbers, but the most influential factors are culture, acculturation and, the medical cultural competence.

Cynthia is a 65 year old African American female diagnosed with type 2 diabetes mellitus, diabetic peripheral neuropathy, hypertension, kidney disease, hyperlipidemia and hypothyroidism. She is on glipizide 5 mg po daily to treat her type 2 diabetes. Cynthia revisited the clinic soon after the initiation of the treatment with symptoms of shakiness, sweating, chills, clamminess, lightheadedness and moderately severe headache. In this case study, Cynthia is exhibiting the symptoms of hypoglycemia as she is on sulfonylurea therapy. Sulfonylureas, such as glipizide commonly used as a second-line of therapy in patients with Type 2 Diabetes Mellitus (T2DM), promote insulin release independent of prevailing glucose value and as a result,

In our book, it had mentioned that Mexican Americans are 1.7 times more likely to get type 2 diabetes than whites. Type 2 diabetes is a long-term metabolic disorder and caused by high blood sugar and insulin resistance. Dietary factors can have an effect on developing type 2 diabetes as well. Mexican Americans have a higher carbohydrate diet than African Americans and whites. Type 2 diabetes can cause problems with kidney failure and diabetic retinopathy. The death rates for type 2 diabetes for Mexican Americans are 50 percent higher than for whites, Also the death rates are higher for Mexican Americans than any other hispanic group.

Diabetes mellitus is a disease that results in abnormally high levels of blood glucose due to the body’s inability to effectively utilize secretion hormone insulin. The most common type of Diabetes is type II, which can result in serious medical complications and premature death. For the purpose of this study we have chosen to examine the incidence and prevalence of Diabetes for Hispanics between the ages of twenty and fifty residing in the California County of Tulare.

People are consuming large amounts of soda in the United states. This increase of soda consumption was significant enough that in 2010 the state of New York proposed to tax soda. The one cent per ounce in taxes was intended to help generate government revenue and to discourage soda consumption but the proposal did not pass (Desantis 2012). The average individual in America consumes 44.7 gallons of carbonated soft drinks in one year (Desantis 2012). If the proposal would have passed the state would have made $5, 721.60 in revenue per soda drinker. The increase of soda consumption continuing to rise, there has also been an increase of type two diabetes diagnosis in America. It is projected that 552 million people will be diagnosed with diabetes by 2030 (Harris, Oldmeadow, Hure, Luu, Loxton, & Attia 2017).

Diabetes Mellitus Type 2 is on the rise in the United States, with a new case diagnosed every 30 seconds (Juvenile Diabetes Research Foundation, 2015). Diabetes is similarly on the rise in Africa, with an estimated 8 million cases to be diagnosed by 2025 (Mbanya,2006, p. 1628-1629). The standard of care for a diabetes patient is the same however, regardless of the continent. However due to the economic restraints of Africa, the standard of care is not feasible for most and the patient therefore suffers. This paper will demonstrate the similarities and differences between the United States and Africa in regards to type 2 diabetes. Similarly in both countries, the prevalence of type 2 diabetes is on the rise. While a difference between the

Diabetes mellitus type 2, also know as type 2 Diabetes or noninsulin dependent diabetes, is a disease that effects the body systemically. Type 2 diabetes is a disorder in which cells become resistant to insulin and can no longer bind it properly to reduce blood sugar. The result of this is elevated glucose levels in the circulating blood that leads to endothelial injury in all regions of the body. Primary damages occur in the kidneys, cardiovascular, and digestive systems. According to “Annual Number of New Cases of Diagnosed Diabetes Among Adults” (2015), the overall incidence of type 2 diabetes was approximately 1.4 million new cases. From previous years this number has decreased; however, it can be further lowered with proper education, change in the Western diet, and increase in physical activity. In 2012 approximately 27.7 million Americans were living with Type 2 diabetes. The cumulative cost of care for American diabetes patients was 245 billion dollars, which encompasses medical treatment cost and the patients’ inability to work, ultimately resulting in decreased personal production (“Statistics About Diabetes”, n.d.). As exemplified by the National Institutes for Health (2015), “Diabetes is a lifelong disease and there is no cure.” Even though no cure is present, lifestyle modifications such as diet and exercise, play a role in self-regulation of blood glucose levels.

A minority ethnic background with a high prevalence of diabetes (e.g. South or East Asian, Middle Eastern, Afro-Caribbean, Hispanic)

Type 2 diabetes is a very well known disease throughout the US. There are about 27 million people in the US with the disease and 86 million others have prediabetes which means their blood glucose is not right but also not high enough to be diabetes yet. 208,000 people under the age of twenty have been diagnosed with either Type 1 or 2 Diabetes.

The high-risk populations are individuals with increased propensity to greater risk of poor mental, physical, emotional, and social health (Olokoba, Obateru, & Olokoba, (2012). The high-risk individuals are susceptible a decreased functional status, and diminished quality of life. In many populations, the causes of the high-risk vulnerabilities are due poor utilization of health care services, poor disease management, and to a greater part, the shortage of primary care providers (Shivayogi, 2013). It is necessary to address the factors that negate effective disease management and positive health outcome with these population groups. The first step is to recognize the high-risk populations, and then initiate a high-quality improvement measures that champion health promotion, diseases prevention, and diseases management. It will also facilitate a reduction in the incidence rates of the diseases associated with these population groups. The aim of this paper is to (a) discuss a high-risk population for T2DM, and utilize the epidemiological terminology to describe the high-risk population and their risk factors, and (b) discuss the negative health outcome associated with uncontrolled T2DM.