International Conference On Harmonization Guidelines

Diabetes is a disease where the body is unable to produce or use insulin effectively. Insulin is needed for proper storage and use of carbohydrates. Without it, blood sugar levels can become too high or too low, resulting in a diabetic emergency. It affects about 7.8% of the population. The incidence of diabetes is known to increase with age. It’s the leading cause of end-stage renal disease in the US, and is the primary cause of blindness and foot and leg amputation. It is known to cause neuropathy in up to 70% of diabetic patients. Individuals with diabetes are twice as likely to develop cardiovascular disease. There are two types of diabetes: Type 1 and Type 2.

Public health emphasizes the importance of prevention and proactively taking care of one’s body. As people grow older, they must follow certain guidelines to ensure that they age healthily and successfully. One of the biggest concerns facing the aging population is chronic diseases. Chronic diseases are long term diseases that have a slow progression. Once chronic diseases pass “certain symptomatic or diagnostic thresholds,” they become a permanent aspect of an individual’s life because “medical and personal regimens can sometimes control but can rarely cure them” (Albert and Freeman 105). One chronic condition that is a cause of concern is diabetes. Diabetes is not only one of the leading causes of death in the over 65 population but

Diabetes mellitus (DM) is a pandemic that affects millions of people. The growth rate of unrecognized pre-diabetes in America is expected to rise up to 52% by 2020 (Lorenzo, 2013). As the prevalence of diabetes increases, so will the complications and burden of the disease. One of the leading causes for cardiovascular disease, renal failure, nontraumatic lower limb amputations, stroke, and new cases of blindness is DM (Lorenzo, 2013).

According to Zimmet (2001), about 150 million people in the world have been suffering with diabetes and it would be 300 million by 2025. Another interesting study by AusDiab in 2000 revelead that 7.4% of the population aged 25 or over had diabetes (type 2 in 90%) Since 1981, the prevalence of type 2 diabetes has increased to twice in and the total number of cases has increased threefold in Australia (Dunstain 2002).Although type 2 diabetes is effecting all races,it was identified highly in south Asians and also worlds one-third diabetic population is from indian continent ( Jean 2008). According to the report from Centre for Disease Control and Prevention in United states of America, nearly 25.8 million people have been affected by diabetes in 2010 with 90- 95% of them being type 2 DM (CDC 2011). However, type 2 diabetes mellitus which is characterized by the deficiency and resistance of the

Diabetes is the leading cause of death in North America. In Canada, there are over 9 million people with diabetes and nearly 90% of them have type 2 diabetes. There are also many Canadians who have diabetes and do not know it (Canadian Diabetes Association). There are complications that can arise if diabetes is untreated or poorly managed; heart disease, kidney disease, eye disease and nerve damaged (St Michael's Hospital). Type 2 diabetes can be managed with physical activity and diet, as well as with education, maintaining healthy weight, medication, blood pressure control, glucose monitoring, and not smoking (St Michael's Hospital)(Canadian Diabetes Association). An individual’s risk of developing diabetes can be reduced with diets comprised of whole grains, fruits, vegetables, legumes and nuts. It is important to keep a diet low in refined

Diabetes mellitus has a worldwide prevalence of 8.3 percent of the population with the amount of new cases diagnosed per year

Type-2 Diabetes mellitus (T2DM) is a common disease worldwide. According to the American Diabetes association (ADA), 1808 million people in the United States have been diagnosed with diabetes, and another 7 million are thought to have the disease but have not been diagnosed. (Hilaire, Woods, 2013). This disease has impacted everyone in some way. It is a controllable disease; however many individuals choose not to control it or are uneducated on how to control it. Many people with type 2 diabetes (T2DM) also have hypertension, high cholesterol, obesity, lack of physical activity, poorly controlled blood sugars, and smoking. “Current evidence supports the concept that hyperglycemia significantly contributes to the development of both cardiovascular and microvascular complications of T2DM” (Chittari, McTernan, 2011). Cardiovascular disease (CVD) remains the leading cause of death in patients with diabetes mellitus, accounting for 50% of all deaths (Campbell & Hillman, 2010).

Diabetes continues to be a growing problem for the United States population especially type 2 diabetes, which “accounts for about 90% to 95% of all diagnosed cases of diabetes”(Center for Disease Control and Prevention (CDC), 2014). Type 2 diabetes, formally known as adult onset diabetes, is defined as a “disorder of insulin resistance in which the cells primarily within the muscle, liver, and fat tissue do not use insulin properly. As the need for insulin rises the cells in the pancreas gradually lose the ability to produce enough hormone”(CDC, 2014). Diabetes as a whole affects about “9.3% of the US population or 29.1 million people” (American Diabetes Association (ADA), 2014; CDC, 2014). Despite the high prevalence of the disease, it is only going to continue to grow if nothing is done to correct the problem. The “United States spent an estimated $245 billion on diabetes in 2012” (ADA, 2014; CDC, 2014). This outrageous number and the drastic impact diabetes has on health should emphasis the need to reduce the diabetic population in the future.

In summation, diabetes is a constant battle with no end. In this current time, diabetes can only be treated but cannot be cured. Diabetes is not a simple disease as there are two types. The two type of diabetes are type 1 and type 2. They both affect two different age groups in the population. Type 1 affects the adolescence and type 2 affects adults in their late years. As with many diseases, the understanding of diabetes is continuous but many factors are known as how diabetes occurs in the body. With such understanding, diagnosis of diabetes is able to be done properly and the right type of diabetes is also established. By way of diagnosis, the right treatment can be

In the United States People 65 years or older has diabetes, and the aging in general population is significant for diabetes become epidemic, diabetes not limited to impact the elderly from working also has the highest mortality rate. In addition elderly with diabetes has hither risk for chronic heart disease and kidney disease (Sure Kirkman, 2012). The number of cases of diabetes type 2 in the United States increase with the increase of age. In 2007 and 2008 national survey data showed “diabetes was 18% higher among Asian Americans, 66% higher among Hispanics, and 77% higher

There are a number of diseases that have increasingly become prevalent in contemporary society. For a variety of different reasons, chronic diseases like obesity, cardiovascular diseases, HIV/Aids, and diabetes have shown alarming growth trends. The World Health Organization reports that there are approximately 422 million adults worldwide that are diagnosed with diabetes (World Health Organization 2003). In fact, diabetes type 2 has begun to grow at an alarming rate among developing countries who have incorporated a more western diet and whose lives have increasingly become more sedentary (World Health Organization 2003).

Diabetes, a chronic metabolic disorder, affects 9.3% of the U.S population. The prevalence is much higher in the population of age 65 or older, reaching 25.9%. It was the seventh leading cause of death in the U.S in 2010, evidenced by a total of 234,051 certificates including both underlying causes and contributing causes. Multiple factors contribute to the development of diabetes, although the exact pathogenesis is still undetermined. Patients with diabetes usually require a lifestyle change, diet modification, medication management, or even surgery to control symptoms or disease progression.

Diabetes is a chronic disease which is becoming a growing health concern in adults in the United States with more than 29 million Americans living with diagnosed diabetes and 86 million living with pre-diabetes. According to American Diabetes Association, diabetes is considered as a 7th leading cause of death in the United States and is projected to increase from 14% to 33% by 2050. The incidence of diabetes is expected to rise considerably worldwide with the most increase seen in type 2 diabetes caused due to many predisposing conditions and risk factors such as genetics and family history. This rising prevalence of diabetes is demanding various government and private agencies to implement programs and initiatives to reduce the occurrence of diabetes not only in adults but in children and adolescents.

Diabetes is a serious health problem gaining increasing global attention from governments public health organisations. This global attention can be attributed to the increasing implications diabetes has on public health (CDC, 2016). Every six seconds a person dies from diabetes (IDF, 2016). Despite the measures to prevent and treat this disease, its prevalence is still on the increase, especially in middle- and low-income countries; more so, health professionals envisage it will rise drastically in the coming years (WHO, 2016). The International Diabetes Federation (IDF) estimates that worldwide, approximately 415 million adults have diabetes and 642 million people will have the disease in 2040 (IDF, 2016). These figures of diabetes –

Diabetes continues to be a major global health issue and prevention is the best approach towards reducing its attendant complications. There are lots of concerted efforts globally to address this chronic disease and this has led to an increased awareness and better management of the disease. No effort, no matter how small is misplaced and every effort targeted at diabetes prevention and control is well targeted, since there is an increased risk of diabetes, the older one gets (American Diabetes Association [ADA] (2015). Prevention and proper management are imperative, because, lots of complications arise from diabetes, some of which are; increased risk of heart disease, kidney failure, lower limb amputations, and adult-onset blindness and other comorbidities like; cognitive impairment, incontinence, fracture risk and cancer risk and prognosis (Healthy People 2020, 2015).