Diabetes is the 7th leading cause of death in United States and it has debilitating effects to the health and finances of America. American Diabetes Association (2012) presented data on the demographics of Americans afflicted with diabetes and the numbers are staggering. Obama’s new healthcare reform brings in the effort of prevention instead of treatment of disease, and promotion of diabetes prevention will be among the leading health issue. This presentation will show the basic health promotion for those at high risk of diabetes.American Diabetes Association. (2012). Diabetes basics. Retrieved from http://www.diabetes.org/diabetes-basics/diabetes-statistics/?loc=DropDownDB-stats
Normally , cells in the body need sugar as a source of energy. What happens is that the digestive system breaks down the carbohydrates into simple sugars such as glucose, which travel into and through the bloodstream to nourish and energize cells. Type 2 diabetes usually occurs in the adult years, although it, too, can appear at any age. This is the most common form of the disease and is closely correlated with the obesity epidemic. In this form the cause is usually a problem in the way the body responds to insulin. It usually develops gradually and usually a result of poor lifestyle choices in people who are genetically susceptible (Yerkovich, 2011).ReferenceYerkovich, S. (2011). Health smarts, what is diabetes? PN, 65 (11), 13-4.
In type 2 diabetes, cells of the body become less responsive to insulin (a hormone produced by pancreas), which in turn causes the body to secrete more insulin to maintain normal metabolism. The pancreas usually rallies to compensate for the resistance by pumping out more insulin. For most people with insulin resistance, blood sugar levels stay within a normal range. But for some, the insulin-producing cells eventually fail to keep up with the increased demand. Blood sugar levels rise, resulting in diabetes. Insulin resistance occurs when the pancreas supplies too little insulin to keep up with the increased demand (What is Diabetes, 2009).ReferenceWhat is Diabetes. (2009). In Diabetes: A plan for living. Harvard Health Publications, 2-5.
ReferenceAmerican Diabetic Association. (2012). Symptoms. Retrieved from http://www.diabetes.org/diabetes-basics/symptoms/
Among U.S. residents ages 65 years and older, 10.9 million, or 26.9 percent, had diabetes in 2010 (National Diabetes Statistics, 2011). Diabetes can cause serious complications to major organs of the body and it can cause death.ReferenceNational Diabetes Statistics. (2011). National Diabetes Information Clearinghouse (NDIC). Retrieved from http://diabetes.niddk.nih.gov/dm/pubs/statistics/#fast
Data taken from National Diabetes Statistics (2011),heart disease was noted on 68 percent of diabetes-related death certificates among people ages 65 years or older;stroke was noted on 16 percent of diabetes-related death certificates among people ages 65 years or older.Diabetes is the leading cause of new cases of blindness among adults ages 20–74 years.Diabetes is the leading cause of kidney failure, accounting for 44 percent of all new cases of kidney failure in 2008.More than 60 percent of nontraumatic lower-limb amputations occur in people with diabetes (National Diabetes Statistics, 2011).ReferenceNational Diabetes Statistics. (2011). National Diabetes Information Clearinghouse (NDIC). Retrieved from http://diabetes.niddk.nih.gov/dm/pubs/statistics/#Estimation
The National Screening Committee produced its policy position in 2006and advised that population screening for diabetes should not be offered. It is not cost-effective, misses some people who do have diabetes and worries others who do not. But there are certain people that needs to be screened and those are the ones who are with risk factors for diabetes (Hall, 2011).ReferenceHall, G. (2011). An introduction to diabetes. Practice Nurse, 41(8), 18-25.
To find out if you are at risk for diabetes, take this quick, simple diabetes risk test by American Diabetes Association (2012).
American Diabetes Association (2012) recommends staying physically active, eating healthy diet, and maintaining a healthy weight to reduce risk of diabetes.ReferenceAmerican Diabetes Association. (2012). Diabetes basics. Retrieved from http://www.diabetes.org/diabetes-basics/prevention/?loc=DropDownDB-prevention
8 principles of low-glycemic eating according to Ludwig and Rostler (2008):Eat a lot of non-starchy vegetables, beans, and fruits such as apples, pears, peaches, and berries. Even tropical fruits like bananas, mangoes, and papayas tend to have a lower glycemic index than typical desserts.Eat grains in the least-processed state possible: “unbroken,” such as whole-kernel bread, brown rice, and whole barley, millet, and wheat berries; or traditionally processed, such as stone-ground bread, steel-cut oats, and natural granola or muesli breakfast cereals.Limit white potatoes and refined grain products such as white breads and white pasta to small side dishes.Limit concentrated sweets—including high-calorie foods with a low glycemic index, such as ice cream— to occasional treats. Reduce fruit juice to no more than one cup a day. Completely eliminate sugar-sweetened drinks.Eat a healthful type of protein at most meals, such as beans, fish, or skinless chicken.Choose foods with healthful fats, such as olive oil, nuts (almonds, walnuts, pecans), and avocados. Limit saturated fats from dairy and other animal products. Completely eliminate partially hydrogenated fats (trans fats), which are in fast food and many packaged foods.Have three meals and one or two snacks each day, and don’t skip breakfast.Eat slowly and stop when full.ReferenceLudwig, D., & Rostler, S. (2008).Adapted from Ending the Food Fight. Retrieved from http://www.helpguide.org/life/healthy_diet_diabetes.htm
Physical activity is anything that gets your body moving. According to the 2008 Physical Activity Guidelines for Americans, you need to do two types of physical activity each week to improve your health–aerobic and muscle-strengthening (Center for Disease Control and Prevention, 2012). Moderate intensity aerobics can be brisk walking and swimming. Vigorous intensity aerobics can be jogging and running. Muscle strengthening should work all muscle groups (legs, hip, back, abdomen, chest, and arms).ReferenceCenter for Disease Control and Prevention. (2012). How much physical activity do adults need? Retrieved from http://www.cdc.gov/physicalactivity/everyone/guidelines/adults.html
To find out the data on the health lifestyle of America, this simple survey will help evaluate the needs in promoting diet and exercise.
Nurses, as part of the health promotion environment can achieve lowering the risks of Americans in having diabetes. All we need to do is be proactive in education and implementation towards having healthy lifestyle. Thank you.
Unit 6 power point assignment diabetes prevention (4)
Arlene K Hilado Kaplan UniversityMN 510 Instructional Technology Integration Dr. Mary Ann Theiss August 9, 2012
1. Learners will be able to define the meaningof type 2 diabetes. 2. Learners will be able to identify risk factors ofdiabetes. 3. Learners will be able to describe theimportance of diabetes prevention. 4. Learners will be able to use their knowledgeon diabetes prevention measures to teach theirclients.
By the end of this presentation, learners will be able to:1. Define what type 2 diabetes is.2. Identify at least three risk factors of diabetes.3. Describe at least two reasons on the importance of diabetes prevention.4. Use two effective preventive measures in teaching diabetes prevention on clients.
Definition of type 2 diabetes Introduction Why prevent diabetes? Who’s at risk? Diabetes risk test What are the prevention measures? Healthy diet Fitness fun Check-up America Conclusion
Pancreas does not produce enough insulin Cells don’t respond appropriately to insulin Elevated blood glucose or sugar
Frequent urinationType 2 Diabetes Unusual thirst Extreme hunger Unusual weight loss Signs Extreme fatigue and Irritability Frequent infections and Blurred vision Cuts/bruises that are slow to heal Symptoms Tingling/numbness in the hands/feet Recurring skin, gum, or bladder infections
Complications of Diabetes in the United States Heart Disease and Stroke Kidney failure Diabetic retinopathy Others
Family history of diabetesObesitySedentary lifestyleIncreased ageHypertensionDyslipidemiaPrevious gestational diabetes