Ann Nguyen November 7, 2014 D5 Initiative in Preventing Complications from Diabetes: A Pharmacist’s Role to Improve Diabetes Outcomes Table of Contents: Abstract I. Introduction: According to a 2012 statistic from the American Diabetes Association, diabetes is a prevalent disease in the United States with more than 29.1 million Americans diagnosed or approximately 9.3% of the population. In 2012, the incidence of diabetes was 1.7 million new diagnoses per year. It also remains the seventh leading cause of death in the United States. According to the Centers for Disease Control and Prevention (CDC), the risk of death is around …show more content…
The CDC also reports that management of persons with diabetes cost $69 billion in indirect costs as a result of disability, work loss, and personal days. 2 Proper management of this condition, especially blood glucose levels, is essential in preventing the complications from diabetes such as neuropathy, retinopathy, nephropathy, heart disease, and stroke. In managing this chronic disease state, it is vital that all providers on a patient’s healthcare team work synergistically to provide optimal patient-centered care in the management of diabetes. Under the Minnesota Department of Health, the Minnesota Diabetes Program established the D5 initiative to define five clinical measures of diabetes management that encourages collaboration between members on a patient’s healthcare team and as well as individuals diagnosed with diabetes to achieve optimal health outcomes. The five goals of the D5 include managing blood pressure below 140/90mmHg, low density lipoprotein (LDL) cholesterol below 100mg/dl, blood glucose (as measured by A1C) below 8%, being tobacco free, and the usage of aspirin (as appropriate). In meeting these five goals as established by the D5 initiative aimed to lower the risk of developing complications in patients with diabetes. Although these goals of therapy of the D5 initiative may be in place, the clinics and hospital systems across the state of Minnesota are have yet to achieve these optimal health outcomes for a majority of
Managing diabetes needs continuum of care to improve the health of the population, reduce per capita costs of care and improve the experience of care. Continuum of care is defined as a care system that guides and tracks the clients through a myriad of health services at all levels, stages and intensity of care (HIMSS.com, 2015). The provisions of Title II-Subtitle E provide new options for long-term services and support. The provision of community first choice allows the lower income diabetes patients to have access to long-term healthcare at an affordable cost (Obamacarefacts.com, 2013). Empowered by HIT, nurses can find community resources, develop patient
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.
Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of
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,
According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).
Costs incurred in the management of diabetes can be categorized as either direct or indirect, direct being the costs incurred in the management of the disease through medication, laboratory tests, physician and nursing care. Indirect cost, on the other hand, includes the cost of incurring a loss of productive individuals since the disease is associated with high mortality and morbidity. Over time the cost of management of diabetes has been rising with the increasing number of new cases of the disease. The cost of care for instance in 1980 ranged between 14 and 20 billion dollars. However, in 2002 the cost had increased to $132 billion, while the cost of managing the disease in the year 2007 was estimated at $174 billion in the United States
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
Type II Diabetes is a growing disease that according to Ley, Ardisson Korat, Qi, Tobias, Cuilin, Lu and ... Hu (2016) approximately 415 million adults are affected by this disease worldwide and in the United States in 2015, $348 million dollars was spent on treatment for
Diabetes affects over 180 million people in the US and is projected that by 2025 this figure will increase to 300 million.
According to the report from the center for disease and prevention (CDC) in 2011, nearly 26million Americans are suffering from Diabetes.3 Furthermore, CDC reported in 2014 that there are chances of 40% American adults developing diabetes in their lifetime and half of the ethnic minorities will be affected. It is worthwhile to note that obesity was reported as the reason for the tremendous increase.4
Diabetes mellitus, commonly referred to as diabetes, is a disease that is commonly overlooked as not being as serious as it actually is. According to the national diabetes fact sheet, in 2007, 71,382 people died from diabetes and doctors ruled that diabetes was a contributing cause of the death of an additional 160,022 people. That is a total of 231,404 deaths in one year related to diabetes (American Diabetes Association, 2013). Diabetes is definitely a disease that many should research to learn just how serious it really is.
Diabetes is a major medical problem in the US. In the year 2015, it was reported that 86 million Americans are diagnosed with prediabetes (ADA, 2016). Diabetes is the seventh leading cause of death in the United States (CDC, 2016). Research has
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,
There are many costs to the U.S. as more people are developing Diabetes at an increasing rate. The American Diabetes Association (ADA) researched and studied the costs to the healthcare systems and found that the costs were $174 billion in 2007 and rose to $245 billion in 2012. The cost of diabetes in the six years has risen to an outstanding 41%. The costs of Diabetes was broke down into two categories: medical costs and lost productivity. In the 2012 cost of $245 billion, $176 billion went to medical costs and $69 billion went to lost productivity (NCBI, 2013).