Mr. Ppb, An Overweight Who Was Diagnosed With Type 1 Diabetes Mellitus

Bckground While modern lifestyles and medical care have certainly improved the longevity of humans in the developed world, and contributed to a greater quality of life scenario, those same lifestyles have engendered a number of issues that contribute to disease. Lack of proper diet, fast food, high fat and carbohydrate diets without adequate fruits and vegetables, lack of exercise, smoking and alcohol contribute to an epidemic of obesity which, in turn, contributes to a serious metabolic disorder called Diabetes Mellitus Type 2. While not managed by insulin injections, it is nevertheless quite serious and has a number of progressing symptoms that, if not treated properly, can result in cardiovascular, renal and neurological problems, as well as amputation, ocular issues, and even cognitive dysfunction.

The Transtheoretical Model of Behavior Change (TTM) was created by Prochaska and DiClemente. It is based on “(1) the stages of change, (2) the decisional balance scale, (3) the strong and weak principle, (4) self-efficacy, and (5) the processes of change” (Kelly, 2008, p. 149). A person’s progression through the stages depends on their perception of the advantages of adopting a healthy lifestyle (Kelly, 2008).

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

The majority of people will decide to change their health behavior throughout their lifetime. The reasons for the change might be quite different from individual to individual. Some may be motivated to take action after experiencing a life threatening illness, while others are proactive and change their health behavior to decrease the risks of developing a potential disease. However, even if the reasons for the change are valid and well understood, there is a great possibility that one will not follow set goals long term. Stacy Carter, an assistant of professor and an author of the Social Validity Manual, expresses her opinion about people implementing a scientifically proven health behavior change treatment in their routine, “if it's something that is going to cause them a lot of effort, or is difficult to implement, then they probably are not going to use it for long” (Cranford, 2011). Use number superscript 1

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,

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.

This behavior change project has become a huge part of my everyday life. I lost sight of how important staying in shape affects my overall mental state along with my physical well-being. Having a life that consists of so many activities such as going to school, working, and maintaining a full and happy relationship with the people I care about is hard to balance with just making time for myself. That is why keeping this three day a week workout regime over the past five weeks has been so important; it made me realize that I can make time to focus on just working on myself, and in turn, improve all other aspects of my life. Realizing of course that there are many people in this world that have real life health problems that they seek professional help for. These changes in their lives require a system or a theory that must be applied to develop a strategic an organized way to regulate or change their behavior.

When studying exercise behavior it is important to realize the steps within the TTM to better understanding how individuals become interested and continue to make a life style that involves normal exercise. Individuals start with no desire to exercise at all then something makes them start thinking about working out. Which leads to the individual feeling motivated to start to plan to exercise. Once they start it will led to the individual to being able to reach the recommended levels of exercise for health and fitness. After six months the individual will continue to exercise and they will work on maintaining a new life style that includes

The contributing factor which makes it so successful is that it provides an explanation into the ‘how’ of behaviour change as opposed to the ‘why’, effectively demonstrating problematic areas which need to be addressed (Adam & White, 2003). This alludes to the source of the problematic behaviour and stimulates thought into how this behaviour can be changed. A main component of the model which makes it so effective is its integral focus on decision-making, important in promoting real change in the individual (Adam & White, 2003). Decision-making is imperative to this model’s success as it allows for intervention strategies that are individually tailored as well as applicable to a wider, diverse population (Nigg et al, 2011). Not all individuals begin at the same stage and hence TTM provides the appropriate mechanisms to support those who aren’t ready for change, those who are committed, and those who experience relapse (Nigg et al, 2011). For example, two individuals may utilise this model to engage in more effective behaviours regarding physical activity. Although they both share a common goal, they may be in different stages of the model – one individual may be in the preparation stage contemplating an exercise regime, while the other may be in the maintenance stage considering methods to maintain change (Nigg et al,

The Transtheoretical Model is a theory of health behavior that suggests that behavior change is a process, not an event. There are five stages of change someone can go through while attempting to engage in positive behavior: precontemplation, no intention to act within six months; contemplation, intention to act within six months; preparation, intention to act within the next thirty days along with some behavioral steps; action, changed behavior for less than six months, maintenance, changed behavior for more than six months; termination, end of the behavior. These stages are not linear, so an individual can move up and down the stages of change indiscriminately.

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

I was born to a father with the history of Diabetic mellitus and on my mother’s side; there is a history of High Blood Pressure. Although my father is not diabetic, my mother has been diagnosed with blood pressure. Blood pressure has been a steady disease in my household which has affected four out my five uncles. In 2010, after a seven year long battle with infertility, I was diagnosed with High Blood Pressure which I was given medication for and shortly thereafter, I had a son after my aggressive treatment. Ever since, I have always link most diseases with food intake and I strongly believe that my nutrition and my health work hand in hand. According to Grodner, Roth &Walkingshaw (2012),

JB was terrified during the interview because she also had a history of gestation diabetes with her last son and was not eating as nutritionous as she wanted to and did not exercise regularly despite having available resources. This author can understand her fear for developing diabetes as the literature indicates that it is the sixth leading cause of death and is cited as a global epidemic (Castro et al. 2008). The author also understand her risk for developing type 2 diabetes, like many of her maternal relatives, because it is closely linked to obesity and sedentary lifestyle which are factors the patient has at this time (Shulze & Hu 2005). This author will not just solely focus on her risk factors but on promoting her prevention of diabetes and well being in the future through the development of a

First, the HBM insist individuals are likely to change behavior if they believe they are susceptible to certain condition, and the condition is severe enough. Cues to action provide a guide for individual to engage in the healthy behaviors. Benefits must overrule barriers, and the individual must have confidence that he or she can engage in this healthy behavior for the change to occur. To illustrate, one of the diabetes healthy people 2020 objective is to “Increase the proportion of adults with diabetes who perform self-blood glucose-monitoring at least once daily”

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,