The Road to Health with Prediabetes Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes. Despite advances in medical technology, treatments, and diagnoses, uncontrolled diabetes continues to rise in the United States (US) (American Diabetes Association [ADA], 2016). Between 2012-2014, 33.9 % of the US population were diagnosed with prediabetes (Center for Disease Control and Prevention [CDC], 2016). According to the ADA (2016) in 2010 18.8 million of the population was diagnosed with diabetes, 7 million were undiagnosed, compared to 2012 where the numbers continued to increase to 29.1 million. Out of the 29.1 million individuals affected with …show more content…
Patient prevention and education should start in the primary care setting where information could be shared with the patient and their love ones. Patient education can be initiated by the primary care provider and the ancillary staff. Initiating this fundamental exchange of information can establish a knowledge base for health promotion behaviors and increase self-management skills that can improve the patient quality of life (Cha et al., 2012). Type 2 diabetes is a chronic disease where patient education is imperative and requires education that surpasses the primary care office. According to Cha et al. (2012) basic education and family involvement is an essential component for pre-diabetic and diabetic population to achieve glycemic control. Time management and time constraint are obstacles that are affecting the primary care provider in initiating health promotion topics and disease prevention information (Kowinsky, Greenhouse, Zombek, Rader & Reidy, 2009). Recognizing the time constraint at the EBP change project site for health promotion and patient education a culturally sensitive educational program would be created to promote healthy lifestyle behaviors targeting African Americans with prediabetes. Significance 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
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,
Education for the providers and patients both need to be more accessible. Providers education for screening, and implementation of a policy to set better guidelines for screening, needs to be created so that patients at risk can be educated soon rather than later on lifestyle changes. The education for patients needs to be more extensive in the office and also in the community where individuals are more likely to ask questions and be in an environment where they are more comfortable.
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.
Are you a Prediabetes or a Type 2 Diabetes patient? Many our patients are under the understanding that if they aren’t on an insulin regimen and/or taking medication for Diabetes they are in the clear. Well, not necessarily, we find that a number of our patients fall under Prediabetes category. This means that their blood sugar is high, but not high enough to be type 2 diabetes, which is why they aren’t on insulin and/or medication. This isn’t something that you can self-diagnose you need to see your provider and lab test has to be done in order to be diagnosed as a prediabetes patient as many don’t show symptoms. This is when you have to make lifestyle changes, weight loss and possibly go on some medication to aid lower and/or bring your blood sugar back to normal. This being said advancement from prediabetes to type 2 diabetes isn't certain.
In becoming cultural competent and expanding ones worldview, new healthcare strategies can be implemented to better serve underserved populations, such as African Americans. Acknowledging the barriers to patient improvement, as well as areas that can ease the way to modifying food habits, will allow clinicians to individualize patient care, expectations, and diabetes management. Additionally, outside the clinicians office, creating a framework for diabetes support groups will lead to continuation of care and high likelihood of
In the United States in 2010, “diabetes was the seventh leading cause of death” and out of all these, “a total of 234,051 death certificates [listed] diabetes as an underlying or contributing cause of death” (American Diabetes Association, 2014). In 2012, “29.1 million people or 9.3% of U.S. population have diabetes” (Center for Disease Contro, 2014). Out of 29.1 million, 21.0 million people are diagnosed and 8.1 million people are undiagnosed. About 25.9% are ages 65 and older and approximately 0.25% is under the age of 20. With the growing number of fast food restaurants opening on almost every corner, these numbers are, sadly, not very surprising. People these days have schedules that are so hectic that they almost always don’t have time to care about their well-being and have such unhealthy lifestyles. With that, serious health complications arise and unfortunately, diabetes mellitus is one of the most prevalent.
Almost everyone knows somebody who is suffering from diabetes, from family members or just acquaintances; the number of people associated with diabetes is colossal. A total of 29.1 million people or 9.3% of the population have diabetes according to Centers for Disease Control and Prevention (CDC), (2014). This incredibly dreadful disease is commonly known as diabetes; its medical term is Diabetes Mellitus. “Mellitus is the Latin word for “sweet like honey”, referring to the excess glucose in the blood and urine of a patient with diabetes” according to Ladd, D. L., & Altshuler, A. (2013).
If not corrected by the year 2050, 1 in 3 Americans will have diabetes. The cost on the medical system to prevent and treat this population by 2007 was reported to be as high as $218 billion. It is imperative to continue research to prevent current state of disease for some but also to prevent secondary medical complications, which can include other organs and disease (Fonseca et al.,
Patients who are considered at risk, prediabetes and type 2 will be discharged with this brochure. My goal is to provide efficient and effective preventive teaching in order to reduce this deadly disease from occurring and provide physical activity goals that everyone can incorporate in their daily lives and to make healthy lifestyle changes. As previously stated, diabetes ranks seventh among deaths in the United States. The number of people developing diabetes is rising at alarming rates and must be stopped. According to the American Diabetes Association 1.4 million new cases of diabetes are diagnosed each year. The total cost of diagnosed diabetes was $245 billion dollars. Direct medical cost was $176 billion and $69 billion in reduced productivity (American diabetes association, n.d.). Not only does the cost to treat diabetes outrageous, but the number of complications and co-morbid conditions contribute to rising health care cost each year and possible death. These complications and co morbid conditions include hypoglycemia, high blood pressure, cardiovascular death, heart attack, stroke, blindness, kidney disease, and amputations (American diabetes association, n.d.). Far too often, I see patients coming into the hospital overweight, with poor eating habits and lack of daily activity. Most of these patients have diabetes as a diagnosis or are
In my current role with the Hawaii State Department of Health (DOH), I am working on a number of projects aimed at increasing awareness of prediabetes and preventing the onset of diabetes in Native Hawaiians and Pacific Islanders with prediabetes. An emerging trend in public health is the prevalence of prediabetes. On one hand, a prediabetes diagnosis is an opportune time to implement preventative interventions earlier and hopefully prevent the onset of Type II diabetes and lends itself to the concept of “early detection = better health outcomes”. However, the prevalence of prediabetes is staggering; more than 1 out 3 adults in the U.S. and 14% of Hawaii’s population has prediabetes. Additionally, 30 % of people with prediabetes will develop
Type 2 diabetes is an enormous and rising chronic disease seen in the United States (U.S.) and throughout many parts of the world. “Nearly 26 million Americans have the disease” (Fonseca, Kirkman, Darsow & Ratner, 2012, p. 1380). This includes over 10% of the total adult population and greater than 25% of the population 65 years and older (Fonseca, Kirkman, Darsow & Ratner, 2012). High prevalence rates of prediabetes have been recorded as well. According to Fonseca, Kirkman, Darsow & Ratner (2012), there is an additional 79 million adult Americans who have prediabetes. There are several reasons type 2 diabetes has a higher prevalence rate at this time and these risks include; age, ethnicity, obesity, family history, smoking and a sedentary
The prevalence of type II diabetes is increasing in the United States. In 2012, the incidence of type II diabetes in adults
Diabetes, often referred to as diabetes mellitus, is one of the leading chronic diseases. Diabetes is a group of diseases marked by high levels of blood glucose, also known as hyperglycemia, resulting from problems in the body’s ability to produce insulin, the body’s effective use of insulin, or both (Centers for Disease Control and Prevention, 2014). The food we eat on a daily basis is broken down into glucose and enters the bloodstream. Insulin, a hormone made by the pancreas, is then used to transform glucose into energy by letting them into the cells (Centers for Disease Control and Prevention, 2014). Therefore, insulin is very important because it regulates the blood sugar in our body. High levels of blood glucose increases the risk of heart attacks, strokes, blindness, kidney disease, and limb amputation (Centers for Disease Control and Prevention, 2014). According to International Diabetes Federation, over 387 million people have diabetes worldwide. It is projected that by 2035, this number will rise to 592 million (Atlas, 2013). In 2012, a total of 29.1 million people or 9.3% of the United States population have diabetes (Centers for Disease Control and Prevention, 2014). That’s about 1 out of every 11 people. According to 2010 statistics, diabetes is the seventh leading causes of death in the United States (Centers for Disease Control and Prevention, 2014). The estimated diabetes costs in the United States for 2012 was $245 billion, which
Each year, at least 1 million people in the United States are diagnosed with diabetes, which makes this disease one of the nation's most serious health concerns that, if left unchecked, could reach epidemic proportions. And it doesn't stop there. Often, people who suffer from diabetes also have to contend with other complications, which not only increase the risk to the patient's health but also add to the rising cost of health care. This makes it necessary for an effective disease management program for diabetes to be in place.
Diabetes mellitus has risen to epidemic proportions in the United States, from 1980 through 2011, the number of adults with diabetes has increased immensely from 5.5 million to 19.6 million (Centers for Disease Control and Prevention [CDC], n.d.). Diabetes global prevalence research by Wild, Roglic, Green, Sicree, and King (2004) predicted that, the total number of people with diabetes will rise from 171 million in 2000 to 366 million in 2030. Diabetes has many causative factors that encompass genetic, lifestyle, and environmental categories. Diabetes can vary in different individuals in correlation with their surrounding population and environmental exposures. Individuals who manage their diabetes often need specific plans and counseling.