Diabetic Interview Report

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.

Before we started, I thanked Bob for agreeing to an interview. I also assured him that all the information he would share with me would be kept confidential and it would be used only for educational purposes.

Led by our chairs Francis Emelogu and Ashley Kwan, our Diabetes initiative has worked to break the barrier between the community and the two main types of diabetes. Over the course of the year, our initiative has provided education and has helped patients monitor their risk of diabetes through health screenings.

For this assignment, I interviewed a thirty-two year old African American male with type-one diabetes. I learned having this particular disease is difficult to manage; nutritious eating, exercise, watching their disorder, taking medication and reducing their risk for problems are usually part of your their day-to-day routine. It seems that all of this is pretty overwhelming and there are two main types of diabetes (type-one and type-two). This particular illness distresses your body’s capability to generate or use insulin. Insulin is a hormone. When your body turns the food you eat into energy, it’s usually referred to as glucose or sugar. If you produce little or no insulin, or are insulin resistant, too much sugar rests in your blood. Blood glucose levels are greater than standard for individuals with diabetes. The cause of diabetes is unknown. Genetics, diet, obesity and lack of exercise may play a role in developing diabetes, specifically in cases of type-two diabetes.

Diabetes Care and Education’s mission statement is “Empowering DCE members to be leaders in food, nutrition, and diabetes care and prevention” (DCE, Bridge, n.d.)

n Mendenhall et al.’s, Speaking Through Diabetes, the authors examine how social suffering may be embodied in diabetes using Kleinman’s concept of cultural narrative. They consider how epidemics achieve social significance, through patient experience and symbolism in everyday narrative. Patients tell their illness narratives to explain their suffering to others but also use narratives to make sense of illness experience for themselves. The use of explanatory models and beliefs about an illness helps patients makes sense of the illness in a particular context. As Mendenhall et al. highlight, Mexican explanatory models often identify stress and extreme emotion as the main cause of diabetes.

At the present time, approximately 70% of our workforce is white and 30 % comprising of Blacks, Hispanics and non-Caucasians. In addition, these percentages appear to mimic the population that we serve. According to the US Census (2010), the community in which services are provided is comprised of 80.9% Whites, 14.9% Black and 12.1% Hispanic. These figures alone may lead one to believe that the occurrence of healthcare disparities is low, but

communities including Bexar county. Some of the accomplishments of this council include increasing patient education opportunities in Texas through funding for community based diabetes education programs; development of a diabetes “Center of Excellence” for patient treatment and professional training in the state, publication and promotion of treatment guidelines for healthcare professionals and health plans, and development of state policy that ensures insurance coverage and services for Texans with or at risk for diabetes. Most of the diabetes program established by the council offer classes in English and Spanish. The subjects covered include techniques to deal with the symptoms of diabetes: fatigue, pain, hyper/hypoglycemia, stress and

Type II Diabetes or insulin resistance is the condition where the body makes insulin (hormone that is needed by the cells to turn glucose from the foods we eat into energy), but the body is unable to use it properly. To compensate for this, the pancreas produces more insulin. However, overtime the insulin accumulates in the blood which leads to various health complications (WebMD, 2013). Dietary teaching for Mr. Smith who has type 2 diabetes would include information on the recommended amount of foods to consume from the relative groups, the foods to limit or avoid if possible and alcohol consumption guidelines.

The setting is a community health center at the St. Joseph Health Center in Jamaica, Queens, New York. This is a community health center in a low-income area of New York. The center deals with patients with a variety of medical diagnoses. Diabetes is one of diseases that affect 24 million Americans, and it is believe that 57 million more are at risk of developing Type 2 Diabetes. This is one of the important diseases with which the center deals. In Jamaica, Queens, more than 11% of adults have diabetes, which means that one in ten adults is a diabetic. It is also important to note that at this center, doctors are volunteers, but despite this fact, the staff is committed to disease prevention and awareness. .

This is a diabetes case study of Mr. Charles D., a 45-year old male who is experiencing classic symptoms of hyperglycaemia. Recently divorced and living alone in a new home, Charles has complained of recent weight loss, excessive thirst, and frequent urination. He is a busy CEO for a major technological company. This case study for Charles will educate him as to what are the causes of diabetes: explain the presenting signs and symptoms emphasize the psycho-social impact to his amended life, and instruct him in the economic impact that he and millions share.

It was the end of my first year of medical school, as I sat beside my grandmother I realized a lot had changed from my last visit. My grandmother, the woman who came to Canada to help raise me, who was once strong and full of energy, was now frail, with blisters all over her skin and unable to sit upright without help. Reading about Diabetes is one aspect of learning, but actually seeing its effects gave me a whole new perspective about what it means to be a doctor.

Singh, after the second time of hospitalization for stent placement, became more knowledgeable and wanted to take care of his health. Mr. Singh decided to drive his cab eight hours six days a week and to come home early and do thirty minutes exercises every day. Mr. Singh lives in Elmhurst, and he is going to join the Elmhurst community fitness center that offers free cardio exercises for adults and seniors twice a week in the evening that is a perfect time for Mr. Singh. His son is planning to visit the nutritionist with Mr. Singh to ask about the diet and how to cook healthy meals so that he could give information to his mother. Mr. Singh also got an appointment with the diabetic nurse at the community center to follow up on his regular blood sugar checks and ask questions if any. Good blood glucose control is an important goal when working to prevent complications in people with DM (Forslund, Lundblad, & Söderberg, 2010). Mr. Singh is also planning to visit the podiatrist for his dry and cracked heels as well as a dentist and an ophthalmologist for a regular checkup. Mr. Singh is enrolled in a health home plan where a case manager coordinates the care for people with chronic conditions. The case manager organizes Mr. Singh’s visits under the same organization so that case manager can help Mr. Singh to keep track of his

Diabetes is a disease state that has heavily impacted my life. It has taken a grandparent from me and currently affects my uncle, aunt, and father. Since joining SNPhA, I have learned more about preventative actions that can be taken to reduce the risk of diabetes as well as maintaining the condition. With this knowledge, I would like to be in a position that will help me spread the awareness of this disease and help others is a similar position as my family.

Family History And Other Factors :Having a family history of disease , dyslipidemia, polycystic ovarian syndrome in female children or acanthosis nigricans which is disease related