Diagnosis Based Practice Recommends Prevention Programs For Individuals At Risk For Type II Diabetes Essay

Prevention and wellness is a key focus in public health services. In Title Four of the PPACA, “prevention interventions are of two key types: services provided to individuals in clinical settings (e.g., cancer screenings), and programs and services provided to communities (e.g., ad campaigns about exercise)” (Redhead & Williams, 2010, p. 30). Many programs have formed in the hope of creating a comprehensive approach to prevention.

For the purpose of this paper it will provide an overview of ways that diabetes, type 2, can be prevented if a person is at risk for developing it. Although there has been little research that diabetes can always be prevented there are ways that a person can delay or improve their symptoms.

Several nationwide programs and incentives were administered in the last couple of decades to promote awareness of diabetes and hopefully help prevent millions of Americans from developing diabetes. Health Agencies, such as World Health Organization (WHO) and Center of Disease Control and Prevention (CDC), have developed objectives to tackle diabetes. Some of these objectives include conducting surveillance and obtaining diabetes data to identify trends in the population, spreading awareness about the condition, and developing programs that will enhance diabetes care and ensure the longevity of the patients. Various programs have been developed but while some excel, others fail to benefit the lives of the patient.

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,

Type 2 diabetes mellitus (T2D) is the most common form of diabetes (American Diabetes Association, 2012). T2D is so prevalent that it is estimated to be the fifth most common cause of death worldwide (Yates, Jarvis, Troughton, and JaneDavies, 2009, p. 1). T2D manifests when the body is unable to metabolize glucose properly, resulting in elevated blood sugar, debilitating fatigue, and other serious complications such as distal limb amputations, kidney failure, and blindness. The generally accepted causes of T2D include diet, sedentary lifestyle, and obesity.

Diabetes is a growing concern and health challenge for the American people (b). Diabetes is a condition in which the body cannot react to insulin appropriately or either cannot produce insulin efficiently (w). “Without a properly functioning insulin signaling system, blood glucose levels become elevated and other metabolic abnormalities occur, leading to the development of serious, disabling complications” (w). There are numerous forms of diabetes amongst the nation, however, there are three main forms of diabetes. Most people have heard of type one diabetes, type two diabetes, and gestational diabetes because they are common. Type two diabetes deals with a resistance to insulin, while

Diabetes (DM) is one the many initiatives that Healthy People 2020 have been focusing on to reduce this disease morbidity and mortality rates throughout the communities. In the United States alone, the number of individuals diagnosed with diabetes has increased from 1.5 million in 1958 to 25.8 million in 2011. The Center for Disease and prevention (CDC) also estimates in the year 2011, 79 million people age 20 and over were noted to have pre-diabetes, in which the blood sugar was higher than normal levels, however, have not reached the level for a diagnosis of DM. Eleven percent of those individuals with pre-diabetic readings of raised blood glucose will progress in full blown diabetes a matter of three years. Healthy People 2020 have used evidence –based practices to aid in the prevention and treatment of diabetes. Evidence have shown by simply modifying one’s lifestyle such regular exercising and healthy eating have been recognized to effectively prevent or delay the onset of type 2 diabetes in high-risk persons. Case in point, the Diabetes Prevention Program research trial revealed that the utilization of lifestyle interferences had its utmost impact in elderly adults and was also effective in all racial groups.

Type 2 Diabetes: Form of diabetes mellitus in which the pancreas does not make enough insulin or the body is unable to make insulin correctly (Health the Basics, Chapter 12, pg 413).

The approach called Prevent Diabetes STAT: Screen, Test, and Act Today is a great resource for everyone from patients to healthcare professionals to community organizations. It has relevant information on involving everyone in creating a way to prevent diabetes step by step. Teaming up with the YMCA Diabetes Prevention Program has expanded the number of people screened for diabetes and expanded physician referral to the program. This program can help members with the support needed in finding the benefits of healthy eating, physical activity, and losing weight to prevent diabetes and the onset of type 2 diabetes. Working together with AmeriCares has grown the ability in diabetes prevention programs allowing the free and charitable clinics to help those with limited access to health care services. To prevent heart disease the organization teamed up with Johns Hopkins Medicine, Medicare Quality Innovation Network-Quality Improvement Organization, and U.S. Department of Health and Human Services’ Million Hearts. The collaboration

For the year 2012, the Centers for Disease Control and Prevention reported that, 29.1 million people in the united states had diabetes, and of those 21.0 million people were diagnosed and 8.1 million people were undiagnosed (2014). The number of people that have the disease can be used to illustrate the major impact the disease has on society. The disease can affect an individual directly through personal diagnosis. When family member is diagnosed with type II diabetes, it can indirectly affect their close relatives by the increased risk that they may one day be diagnosed with the disease because of genetics. The fact that 8.1 million people were undiagnosed in 2012 should be very concerning for both healthcare providers and society (CDC, 2014). The proper management and compliance is very important with type II diabetes and cannot be initiated until a diagnosis is made. When the disease is uncontrolled other complications can occur. This creates a negative effect on society due to the deficit that exist. Whether the actual impact the disease has on society is positive or negative can be related to whether the disease is properly diagnosed and managed accordingly. Although type II diabetes is a part of society working to try to prevent the disease and timely diagnose the disease is a positive impact diabetes has on society. Increase education about the signs and symptoms of the disease and screenings could aid in the early diagnosis of the disease. Earlier diagnosis can aid in better prognosis of the

Type-II diabetes mellitus (also referred to as simply type-II diabetes or T2DM) is a chronic disease in which individuals are unable to produce adequate amounts of insulin from the pancreas, or who are unable to use any

Background: In a 2011 report, the Centers for Disease Control (CDC) stated that diabetes affects 26 million people of all ages, and 11 million adults 65 years and older.1 Since type 2 diabetes is primarily a result of lifestyle choices, it is clear that health professionals, specifically nutrition professionals, have a responsibility to administer lifestyle interventions for those affected by this disease. Research has found that lifestyle interventions are more cost-effective than medications in preventing or delaying the onset of type 2 diabetes (T2DM) in individuals with pre-diabetes.1 Furthermore, the Diabetes Prevention Program (DPP), showed that lifestyle interventions reduced the development of T2DM by 58% during a 3-year period.2

According to Johnson and Raterink (2009), Type 2 Diabetes Mellitus (DM) is a major global chronic health issue. Though, it is found that the condition is largely preventable as many of the risk factors for developing the disease such as excess weight, poor diet, inactivity, smoking and excessive alcohol consumption, are modifiable behaviours (Australian Bureau of Statistics, 2011). A client newly diagnosed with Type 2 DM may be unaware that the illness can be effectively self-managed with changes to diet, lifestyle and if necessary the inclusion of oral hypoglycemic agents (Australian Institute of Health and Welfare [AIHW], 2008). Therefore, the aim of the education plan is to assist the client to make educated lifestyle

In Scotland alone there are 268,154 people with diabetes and a staggering 21,428 of these individuals are living in Tayside. (Sci-diabetes, 2013). In this essay, a patient has been selected with a long term health condition and their journey through the national healthcare system will be explored following their diagnosis of type 2 diabetes. Through the use of evidence based practice, the underlying pathophysiology and nursing management of type 2 diabetes will be examined to give a better understanding of the complexity of the long term condition and the lifestyle changes that have to be considered when diagnosed with diabetes.

Type II diabetes mellitus affects millions of people across the globe. It is a serious condition that involves the knowledge and collaboration of a multidisciplinary care team. Knowing the pathophysiology of the disease, diagnoses, treatment, and proper patient education is essential for managing type II diabetes and achieving wellness. The nurse’s role is to understand the effects of type II diabetes, convey this understanding to their patients, and teach the patients proper behaviors for effective disease management.