Emily Dunton
I-Search Paper
Professor O’Brien
Due: December 2, 2014
Managing Type I Diabetes in Adolescents
The Question How adolescents manage type I diabetes is a rather interesting topic to me. This topic interests me because I have a friend who has type I diabetes and because I learned some things about this disease in my class, Nutrition Science, and I wanted to learn more about it. I wanted to do some more research, particularly looking at children with Type I Diabetes. Some information that I do already know about Type I Diabetes is that people, who have this unfortunate disease, need to take insulin shots. Without these insulin shots, one may go into a diabetic shock, and can even die. Most people with this type of diabetes are
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Do they need help from a parent? Or do they manage it all on their own? From doing the research I could then answer my own questions about this disease.
The Story of My Search My research took about three weeks. I began my investigation by rereading my notes and my textbook to refresh my memory on the background information about type I diabetes. Then I found peer reviewed articles about the management of type I diabetes in adolescents on ebscohost.com. The site provided me with many articles and studies of managing this type of diabetes in adolescents. Before I could read any of the articles, I had to request them through the library, which took a couple of days. Once I received and read the articles that I requested, I chose, what I thought were, the best three articles. The articles provided me with statistics and data that the authors of this article had collected while conducting their study. From there I went onto the Google search engine and typed in type I diabetes in children. Out of the many, the site that I chose to use was the Kids Health website. The information that was provided on the site was up to date and easy to follow and it answered the many questions I had about diabetes. This is the only source that I had evaluated because it was not a peer-reviewed journal. To evaluate my source I had used the “Questions for Web Source Evaluation” worksheet that was e-mailed to me by my professor. This
years. Diabetes is one of the most common chronic diseases in children and adolescents; about
Type 1 diabetes, is an incurable but treatable disease which can occur at any age but is mostly found in children due to the high levels of glucose in the blood (Eckman 2011). Juvenile diabetes affects about 1 in every 400-600 children and more than 13,000 are diagnosed yearly (Couch 2008). Type 1 Diabetes means your blood glucose, or blood sugar, is too high. With Type 1 diabetes, your pancreas does not make insulin. Insulin is a hormone, which helps glucose gets into your cells to provide energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, gums and teeth (American Diabetes Association). Previous research has suggested proper
Empowerment parents of children with diabetes through provision of resources and emotional support, aids in dealing with the chronic disease¹⁵. Support groups can not only help parents keep abreast of new treatment options, but also provide strategies to better care for their children¹⁶. Face-to-face support from healthcare professionals provides reassurance as well as psychological and emotional support in dealing with the
This pamphlet is written on a third grade reading level, making it very easy for just about everyone to read and understand what it has to say. This is vital, because it is estimated that 25.8 million people in the US have diabetes (Diabetes, 2011). That includes children and adults, nearly
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.
My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease.
The growth of type one diabetes has been increasing over the past decades. The rise of this disease could be contributed to many factors such as, environmental factors, hereditary, lifestyle choices, and etc. The United States and Finland are rated among some of the highest counties experiencing high growth of type one diabetes. Children of the age range anywhere from ages one to sixteen have been contributing to the increase of type one diabetes within the United States and Finland.
The information throughout the report was easy to follow and appeared transparent. The layout does demonstrate the way in which the researcher intends to go about the study – the advantage of this being the results and data analysis are streamlined and easy to comprehend and analyze. Descriptions of the methods, findings, and interpretations were sufficiently rich and vivid and helps to enhance the validity of the data. The direct quotations transcribed from recordings of study participants ensures an insightful view into what it is like to be a child with type 1 diabetes mellitus. After reading the article, one can tell the researcher is a credible source. The choice of methods, data analysis, and general layout of the article reveals an experienced researcher. The findings appear trustworthy. The method of data collection from interviews seems mostly reliable if the recordings of the subjects are made available. The evidence gathered can definitely be applied by health care providers in assisting the children with their feelings, emotions, and stressors associated with type 1 diabetes mellitus, and how to provide excellent care to their young
Type 2 diabetes, diabetes mellitus, is a chronic disease characterized by high blood glucose levels in the bloodstream; usually caused by the inability of the pancreas to produce insulin or the inability of the body to use it efficiently. This condition occurs mostly in adults, but it can also appear in children, teenagers, and young adults. Considered one of the fastest growing health problems in the United States, diabetes now affects 29.1 million people, where only 21.0 million are diagnosed and 8.9 million are undiagnosed (Center for Disease Control and Prevention, 2014). Dana Dabelea et. al (2014) reported that from 2001 to 2009, cases of diabetes among youth increased 35% in different regions of the United States, including California, Colorado, Ohio, South Carolina, Washington, Arizona and New Mexico. Overall, in 2010 the US Census recorded that 24.0% of the population are youth under the age of 18 from which about 0.25% of those children have been diagnosed with diabetes in 2008 and 2009 (Center for Disease Control and Prevention, 2014). More recent data indicates that the number of prevalence among youth continues to increase, and in 2014, about 20,000 children had type 2 diabetes (Narasimhan and Weinstock, 2014). Yet, even though there are still discussions on the different tools used to diagnose type 2 diabetes, it is prevalent most commonly among the minority population, but efforts to educate
This is a randomized control study; participants were randomly separated into a control group and an experimental group. Participants consisted of 48 insulin dependent individuals. There was baseline testing that consisted of a blood test measuring hemoglobin A1C (HbA1C), fasting blood glucose (FBG), triglycerides, and high and low density lipoprotein cholesterol. The experimental group received an intervention by using an electronic program geared for diabetics for 12 weeks. The electronic program provided access to answers for any questions an individual may have, a healthcare team, and educational resources. After the 12 weeks were complete, blood tests were repeated for both groups.
The research problem is that there are increasing numbers of people with diabetes mellitus and good quality care has to be provided for these people,
Annual testing for abnormalities in fasting serum cholesterol, triglyceride, HDL cholesterol, and calculated LDL cholesterol levels (ADA, 2008)
In today’s world, parents have an abundance of worries when it comes to their children. Drugs, bad grades, and pre marital sex are just some things that may plague a parent with sleepless nights. But even on the worst of those nights of worry, most parents can’t imagine that their child could face an illness. Not just a runny nose or seasonal flu, but an illness that would affect their child throughout his or her entire life. Diabetes is a disease without a cure, and one that more, and more children have to live with.
What was once thought to be found only among adults has become one of the most common chronic diseases among children in the United States. Ordinarily, when diabetes strikes during childhood it is assumed to be type 1. The SEARCH for Diabetes in Youth Study began in 2000 and has provided the most comprehensive estimates of the prevalence and incidence of type 2 diabetes among youth less than 20 years of age in the US (Centers for Disease Control and Prevention, 2014). The Centers for Disease Control (CDC) reports that annually, an estimated 18,436 youth are diagnosed with type 1 diabetes, and 5,089 youth are diagnosed with type 2 among youth. In the last two decades, type 2 diabetes, has been reported among U.S. children and adolescents with increasing frequency. Disease researchers at the Centers for Disease Control and Prevention made the prediction that one in three children born in the United States in 2000 will likely develop type 2 diabetes sometime in their lifetime unless they get more exercise and improve their diets, particularly for Latino children (CDC, 2014). Without changes in diet and exercise, their odds of developing diabetes as they grow older was about 50-50.