TYPE II DIABETES IN AFRICAN AMERICANS
KIN 644 – ADVANCED EXERCISE TESTING AND PRESCRIPTION
ANNELISE DAVIES
DECEMBER 6, 2016
INTRODUCTION
Over the past few decades, there has been an increased concern about diabetes and its effects on minority populations. Type II Diabetes is also referred to as “adult onset diabetes”, and is a condition where the body does not regulate blood glucose effectively and resists insulin. This does not allow for glucose to get into the cells of fat tissue, the liver, and muscle cells and therefore they cannot function optimally. The National Center for Health Statistics reported that in 2012, African Americans had the highest amount of new reported cases of Type II diabetes when compared to all other racial and ethnic populations, and the second highest amount of overall diabetes diagnosis at 13.2%.1,2 In 2012, type II diabetes was the sixth-leading cause of death in the United States, and African Americans are nearly two times more likely to develop diabetes. More than 50% of all new diabetes cases are developed in African American populations, with a 27% higher mortality rate than Caucasians.1
EPIDEMIOLOGY Over the past 30 years, the rate of diabetes in African American populations has tripled. Prevalence of diabetes in adults is 1.4 times as frequent in African Americans as in Caucasians. The increased prevalence is not dependent on gender.2 Additionally, nearly half of adults who meet the criteria for
The incidences of diabetes are growing annually, and predicted to increase within the coming decades. The number of cases yearly is not only increasing, but the age of onset for diabetes has decreased. This means more individuals are developing diabetes at an earlier age. Diabetes not only affects individuals and communities but countries as well. The prevalence of diabetes has gathered billions of dollars in healthcare costs. [1]Type 2 diabetes also leads to other serious medical conditions such as heart disease, renal failure, blindness, and tissue damage in extremities that will eventually lead to amputation. These illnesses, as a result, result in further costs in the form of disability and the loss of a portion of our workforce. However, incidences of type 2 diabetes are in higher occurrence amongst Hispanic groups. According to the Hispanic Health and Nutrition Examination Survey, Mexican Americans have an unusually high prevalence of diabetes compared to that of the general population [2]. Hispanic females have the highest lifetime risk of becoming diabetic – 52% [3], compared to that of the average risk of
The health disparities among the Blacks/African American is on the rise which is of being mostly affected by diabetes the United States and Maryland. Diabetes and cardiovascular diseases are connected which can lead to increase mortality among this population. In that matter, the Health Empowerment African Americans Diabetes Program proposal includes my creating awareness which will offer diabetes education as connected to other commodities and self-management and counseling. This will be done through outreach programs in the community in health classes and health fairs through health screening, blood glucose screening, A1C, exercise activities, body mass index (BMI), weight, monitoring of individual self-monitor log, and
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).
While only 7.6 percent of non-Hispanic whites and 9 percent of Asian-Americans have diabetes, 12.8 percent of Hispanics have diabetes. Other high-risk ethnic groups are non-Hispanic blacks (13.2 percent) and American Indians/Alaskan Natives (15.9 percent). For Hispanics living in the United States, the prevalence of type 2 diabetes is lower in those coming from Central and South America (8.5 percent) or Cuba (9.3 percent), but higher for those who are Mexican American (13.9 percent) and Puerto Rican (14.8 percent), who comprise the majority of Hispanic immigrants in the U.S. (Valencia, Oropesa-Gonzalez, Hogue & Florez,
There are nearly 30 million people living with diabetes in the U.S. African Americans are disproportionately affected by diabetes, with 13.2% having been diagnosed with diabetes, compared to 7.6% of non-Hispanic whites. They are also at an increased risk for serious complications of diabetes, which include blindness, kidney disease and amputations. Although the risk for complications can’t be eliminated, good control of diabetes has been shown to reduce those risks.
There are three different types of diabetes that affects African Americans. The first is Type 1 diabetes, which runs in the history of the family (Baptiste-Roberts, 2007). This is caused by a malfunctioning immune system, which annihilates the beta cells that are
According to Healthy People 2020 (2014), diabetes affects over 29 million people in the United States, with another estimated 28 percent of the population having undiagnosed cases. Of those at risk, African Americans are almost 2 times more likely to be diagnosed as opposed to their Caucasian counterparts. Many preventable associated factors include limited knowledge regarding disease processes, healthy diet, and limited knowledge of one’s own body. Our goal is to provide our African American community the opportunity to learn more about diabetes and how to reduce the risk of type II diabetes and signs and symptoms of diabetes during a community event.
Type II Diabetes in African Americans is a major health disparity that is growing every day and needs to be understood more. According to the American Diabetes Association, African Americans are 1.7 times more likely to have diabetes than non-Hispanic whites (American Diabetes Association). Why is that? Scientist have been extensively trying to answer this question with various studies and experiments. Though it is not yet fully understood, small achievements have been made and answers are constantly being searched for. Testing and early diagnosis, primary prevention, access to care for everyone and improving that quality of care will make a difference in the number of casualties and people being affected in the African American community.
There are three different types of diabetes that affect African Americans. The first is Type 1 diabetes, which runs in the history of the family (Baptiste-Roberts, 2007). This is brought on by a breaking
There exists a close relationship between diabetes and obesity. The two conditions have troubled the global sector, leading to numerous deaths and excessive expenditure. This study evaluates the relationship between exercise/diets with obesity and diabetes among Hispanic and African American populations. The two communities face challenges of contracting diabetes and obesity owing to their lifestyle. There is much to compare among the African American and Hispanic people as far as their culture and observance of healthy living are concerned. The study also presents a future projection of the issues that need addressing to mitigate obesity and
According to the diabetes risk test I am at low risk for type 1 or 2 diabetes. Although, I am at low risk, there are people in my extended family who have one or the other. An individual’s ethnicity plays a role as a risk for type 2 diabetes. Statistics from the American Diabetes Association shows that 12.7% of African American adults are diagnosed with type 2 diabetes. My current lifestyle puts me less at risk of type 2 diabetes, only because I take care of myself by trying to eat right, being physically active and I also get checked every few years to make sure I’m still at low risk. Along with that even though diabetes is common in my extended family, it’s not common in my immediate family so I believe that also has an impact on my risk.
Compared with other ethnic groups, African Americans have the highest prevalence of diagnosed diabetes. African Americans endure a disproportionate burden of the morbidity and mortality allied with diabetes1. African Americans have a high rate of diabetic complications, due to poor glycemic control and racial disparities in the USA. Unfortunately, Racial and ethnic minorities in the USA obtain lower quality health care.
According to the Centers for Disease Control and Prevention's National Center for Health Statistics, "[By 1993] death certificates listed diabetes as the fifth leading cause of death for Blacks aged 45 to 64, and the third leading cause of death for those aged 65 and older in 1990.” (Bailey, 2007). These statistics show how serious the problem of diabetes has become in the black community. Epidemiological studies can focus the efforts of the healthcare community to effective interventions aimed at lowering the prevalence and incidence of diabetes among African Americans.
According to the National Institute of Diabetes and Digestive and Kidney Diseases, about 17 million Americans have diabetes and every year about 1 million more age 20 or older are diagnosed with the disorder. People who are overweight, do not exercise, and are 30 years or older are more likely to get the disease (especially type 2 diabetes). People who are also of African American, Latino/Hispanic, Native American, Alaskan
The prevalence of diabetes Mellitus among African American are escalating on an alarming rate in the past 30 years and the rate has quadrupled. African Americans are 1.7 times more likely to be diagnosed with diabetes than the Caucasians, with individuals 20 years and older accounting to 10.8% of all individuals with diabetes (CDC, 2015). A comparison of rates of diagnosis of diabetes mellitus by ethnic and race disclosed that in 2010 by the American Diabetes Association reported that the African Americans accounted for 13.2% of 29.1 million Americans with diabetes followed by Hispanics (12.8%), Asians (9.0%), and the non-Hispanic whites having the least rate (7.6%) (ADA, 2014).