The aim of this paper is to discuss the topic and objectives for the management of diabetes as it pertains to the Healthy People 2020 agenda. The National Diabetes Statistics Report, 2014 shows that in 2012, 29.1 or 9.3 % of the population had diabetes (as cited by the CDC, 2014). The paper will be reviewing social media websites focused on health disorders to analyze and share some of the lived experiences of patients with diabetes and from that create a strategy for empowering patients living with the disease. Finally, the paper will examine and analyze the management challenges of diabetes in adolescent and early childhood patients.
Keywords: diabetes, adolescent diabetes, type 1, type 2
Diabetes
In continuation of its decade long agenda for improving the nation’s health, Healthy People 2020 has identified 16 objectives for the management of diabetes, with an overall goal to “reduce the disease and burden of diabetes mellitus (DM) and improve the quality of life for all persons who have or, are at risk for, DM.” (Healthy People, 2014)
The CDC describes diabetes as being a group of diseases marked by high levels of blood glucose resulting from problems in how insulin is produced, how insulin works, or both (CDC, 2014). There are many forms of diabetes, but the three most common are, type 2, type 1, and gestational diabetes. Type 2 diabetes occurs when there is a resistance to insulin and insufficient production of insulin. It was previously called
Diabetes mellitus is a disorder characterized by increased blood sugar levels which result in problems with insulin production and action. Insulin is the hormone in the body that regulates the metabolism of carbohydrates and fats. Diabetes is a chronic disorder with three types. Type 1 diabetes or insulin dependent occurs when the body is unable to produce insulin, thereby requiring insulin injections regularly. Type 2 diabetes or non-insulin dependent occurs when the body
There is a great deal of literature and studies that have been done on the subject of Diabetes Mellitus (DM). According to Healthy People.gov, there is an estimated 23.6 million people in the United States living with diabetes and it is the 7th leading cause of death. It also lowers life expectancy by up to 15 years, increases the risk of heart disease, is the leading cause of kidney failure, lower limb amputations, and adult-onset blindness (Office of Disease Prevention and Health Promotion, 2015). The goal set by Healthy People 2020 is to reduce the disease and economic burden created by Diabetes Mellitus (DM) and to improve the quality of life for persons at risk for or living with this disease. The types of studies I reviewed include clinical
Diabetes is a disease that cases blood glucose levels to rise higher than normal in the body. Type 2 diabetes is the most common form of diabetes when being compared to type 1diabetes. When blood sugars rises to levels higher than normal it is called hyperglycemia. Diabetes, type 2 can result in many different issues that affect the body. There are many complications that are linked with diabetes for example, higher risk
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,
With increased levels of stress and psychological demand, the need for peer support and networking is evident. Both face-to-face and online options are available for support. One method of peer support is through online social networking support. Online support of the parents has been shown to significantly increase self-efficacy in managing diabetes¹³. Parents share experiences and provide support to one another leading to a positive impact in dealing with the distress of managing diabetes¹⁴.
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.
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).
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.
Helen Keller once said, “All the world is full of suffering. It is also full of overcoming.” Throughout life each person will face obstacles, but will only be defined by how they overcome or fail. In today’s society health and wellness has become such a challenge. Many things in our environment, social status, financial position, and culture can affect what we eat and our health status. Families in many countries are facing new onset of diseases and disorders, in which modern medicine now has the ability to combat to prolong good quality of life. Through research and education, families are now being able to understand juvenile diabetes. As a result, children are being able to live more normal lives.
Diabetes type 1, diabetes type 2 and gestational diabetes are the 3 types of diabetes. Diabetes type 1 is where little to none of insulin is being produced. Diabetes type 2 is the result of family history and poor healthy lifestyle and gestational diabetes is when a woman develops diabetes through her pregnancy.
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 mellitus refers to a group of chronic diseases that “share the same phenotype of hyperglycemia” (Kalra & Gupta, 2015, p. 1). In simpler terms, diabetes is made up of a group of disorders where there is too much glucose in the blood. Whether it is type 1, type 2, or gestational, all can lead to severe health complications. Looking at the disease in a holistic way, it’s easy to see that it impacts more than just blood sugar; it affects the skin, eyes, nerves, feet, heart, blood vessels, family dynamics, mental health, and more. It’s imperative to point out that healthcare now places a lot of stress on prevention. This project will concentrate on diabetes type 2 because of prevention through lifestyle choices.
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.
Diabetes is a problem with the human body which causes blood glucose levels to rise higher than normal. This is also called hyperglycemia. There are three types of diabetes, type 1, type 2 and Gestational diabetes. Type 1 diabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. 5 to 10 out of 100 people who have type 1 diabetes. Type 2 diabetes are formerly called adult onset or non-insulin dependent diabetes, it can develop at any age as well. It most commonly becomes apparent during adulthood. Type 2 diabetes accounts for the vast majority of people who have diabetes that is 90 to 95 out of 100 people. In type 2 diabetes, the body isn 't able to use insulin the right way. Once type 2 diabetes becomes worse, the pancreas may make less and less insulin. This is called insulin deficiency. Gestational diabetes is a common complication of pregnancy. Diabetes is currently among the top five causes of death in most high-income countries and resulted in 4.6 million deaths globally in 2011 (Garcı´a-Pe´rez LE, Alvarez M, Dilla T, Gil-Guille´n V, 2013). Approximately 552 million persons with diabetes in 2030 (SEC, 2014)
86 million adults have prediabetes from those diagnosis 15-30% turn into type 2 diabetes within 5 years (CDC, 2014). Some people may be unaware of how changing to a healthy lifestyle by eating healthy, losing weight and being more physically active can help delay or prevent type 2 diabetes, as a result it could also help reduce the financial burden of diabetes care for the individual and the economy. The cost of diabetes as a whole may not be on U.S. tax payer’s radar, or seen as a big picture concerns, even small or corporate business may not be aware of how the cost of productivity effect their bottom dollar. The cost of being unhealthy living with chronic disease does not just effect one person’s quality of life but it effect their families, caregivers, business productivity, health professionals, which has a trickledown effect on the U.S. economy. If the rate of diabetes diagnoses continue to increase it is estimated that by the year 2050 1 in 3 adults will have diabetes (Boyle, Thompson, & Gregg, 2010). The office of Disease Prevention and Health Promotion, have a Healthy People 2020 goal to “reduce the disease and economic burden of diabetes mellitus (DM) and improve the quality of life for all persons who have, or are at risk for DM. Evidence base research exist which supports the prevention or delay of type 2 diabetes through the use of medical nutrition therapy, weight management and physical activity.