Until the day of his death, Dr. Elliot P. “EPJ” Joslin remained committed to educating diabetic patients about both their condition and how to treat it. An exceptionally committed and kind individual, EPJ dedicated his life to helping patients live long, prosperous lives. He was the first doctor to specialize in the field of diabetes, beginning his rigorous research of diabetes care before the discovery of insulin, and started the practice that would ultimately become the Joslin Diabetes Center. Dr. Joslin’s benevolent nature and personal drive to help patients lead to him becoming the one of the first researchers to note the vital role of maintaining a healthy lifestyle in treatment and prevention of diabetes …show more content…
Displeased by the number of his patients who were dying in diabetic ketoacidosis, he began to look into the work of Dr. Frederick Allen, who at the time had applied the practice of prolonging the lives of diabetes’ patients by means of a closely-monitored diet that consisted of restricting carbohydrates, as well as other macronutrients. Individualized testing would be performed on diabetic patients to determine the lowest possible caloric intake a patient could survive on and then put him or her on an extremely strict diet regimen, accordingly. Food consumed would also be as devoid of nutrients as possible. Joslin combined “Benedict’s balance study format with the Allen diets to show that ‘undernutrition’ prolonged the life of his patients,” who were often close to death from either acidosis or diabetes-related infection prior to his intervention (dlife). His patients were admitted to living cottage units in New England Deaconess Hospital. The School of Nursing later partnered with the hospital, leading to the “rigorous training programme that provided him with well-disciplined nurses for the measure-diet programme” (Joslin Center). Joslin had much confidence in this new treatment method; he would go on to list thousands of his findings from patients under this regimen in his book, The Treatment of Diabetes Mellitus. He noted in his findings that, “the mortality of patients was
This overview will cover the history, depth and breadth of diabetes along with its impact on the population and determinant data related to the condition. Discussion will be made regarding improvements for this initiative, the impact of health policy, educational programs and recommendations for the future. Finally, the overview will conclude with a discussion on the influence of a Christian worldview.
This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.
Uncontrolled diabetes can affect nearly every organ of the body; of which, heart disease and kidney failure are most commonly impacted. Known as diabetes mellitus, a collective term for various blood abnormalities, the term diabetes refers to either a scarcity of insulin in the body or the body’s inability to accept insulin. Though the symptoms of diabetes are manageable, many are unaware as to having it. According to the CDC report “2011 Diabetes Fact Sheet,” approximately 6 million people in the United States have undiagnosed diabetes. Undetected, diabetes can become deadly. In a recent World Health Organization report “Diabetes Action Now: An Initiative of the World Health Organization and the International Diabetes Federation,” it
Matthews, David. Diabetes. Oxford: Oxford University Press, 2008. eBook Collection (EBSCOhost). Web. 24 Oct. 2013.
In the rural town of Maycomb, Alabama, Scout Finch lives with her brother, Jem, and Father, Atticus. Scout teaches many lessons as well as defies stereotypes. Scout gives readers her perspective of things. In To Kill A Mockingbird, Harper Lee uses the growth and characterization of Scout to reveal to readers how innocence slowly falls away through Scout’s obliviousness about other people, Scout’s protection towards her family, and Scout’s curious ways.
The American Diabetes Association (2004) defines diabetes as a subset of metabolic diseases associated with hyperglycemia secondary to insulin failing to release, act, or both. Complications related to chronic diabetes can be detrimental to one’s health including but not limited to: heart disease, stroke, kidney disease, amputations, blindness, and other optical diseases. Furthermore, the prevalence of diabetes is rising at an astronomical rate within the United States as well as internationally. According to the Center for Disease Control and Prevention (CDC) (2016) an estimated 29 million people suffer with diabetes and 86 million are prediabetic within the United States (US). Without major interventions from the healthcare community,
Identity is something that separates one person from another. Everyone has his or her own personal identity. To find ones identity you must go through a process that leads you to discover who you are why you are the way you are. One of many themes in The Adventures of Huckleberry Finn, by Mark Twain is the search for Huck’s identity. From living with Miss Watson and being forced to view society as everyone wants him to, to living on him own and finding how he really wants to view civilization; Huck journey to find his identity was successful as he had developed into a mature young boy who turned against society and formulated his own opinion on how the world should be lived.
According to the United States Library of Medicine, diabetes is a disease that occurs when the body does not make or use insulin correctly, therefore causing fluctuating amounts of glucose in the blood. Diabetes is a disease that affects millions of adults and children from various cultures. According to the American Diabetes Association (2014), someone is diagnosed with diabetes every 19 seconds. The Center of Disease Control and Prevention most recent statistical report indicated there were 29.1 million adults and children affected by diabetes. Those numbers are astounding. Unfortunately, the American Diabetes Association (2014) estimates by year of 2050, one out of three adults will have diabetes. Therefore, it is imperative that adults take aggressive measures to prevent this disease. By the same token, diabetes diagnosed in children and adolescent is becoming more prevalent every day. The American Diabetes Association (2014) reported there were about 216, 00 children in the United States with diabetes. It is predicted that one out three children will be diagnosed with diabetes in their life. The statistics for both adults and children with diabetes are frightening; however, early detection can help lower the risk of developing the debilitating effects of diabetes.
The main concern that JB as well as this author identified as needing to be addressed to ensure JB’s health and well being for her and her children was the prevention of diabetes mellitus. JB’s genogram revealed that she had numerous family members on her mother’s side that suffered from the consequences of developing type 2 diabetes mellitus. Her maternal grandmother and four out of five of her grandmother’s children, including JB’s mother, acquired type 2 diabetes mellitus.
Researcher James Levin’s “Poverty and Obesity in the U.S” from American Diabetes Association, research about the Obesity and Diabetes in Poverty counties/reigns of the United States. Levin believes poverty and obesity are linked to each other. According to Levin’s research “ People in America who live in the most poverty-dense counties are those most prone to obesity. ” . There are many reason that link poverty to obesity, but Levin believes lack of fresh food and inactivity has a huge role in chronic metabolic disease (obesity and diabetes), and cardiovascular death. People who
Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,
Diabetes is a chronic condition in which the body produces too little insulin (Type One Diabetes) or can’t use available insulin efficiently ( Type Two Diabetes). Insulin is a hormone vital to helping the body use digested food for growth and energy.
On November 15, 2017, I attended a professional meeting called “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The sponsors for this meeting were SNDA and CVD. The speaker who presented at the meeting was Gary Scheiner Ms, CDE. He is an author of the book “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The general objective for this meeting helped people gain more knowledge about diabetes, and learned more from author personal experiences with type I diabetes. After I attended this meeting, I become more knowledgeable about diabetes. I have a chance to learn more about diabetes nutrition, different type of medications, and many tools that are available for diabetes patients to keep track on the blood glucose.
I could feel the acid in my throat; I desperately needed water and couldn’t keep any food down. I had felt like this for the last three months but no one believed me. I started to doubt it myself, my mom said I was fine so why wouldn’t I be?
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.