Diabetes In The United States Essay

Diabetes in the United States Essay
The United States is a collection of multicultural and diverse individuals and communities
(Dreachlin, Gilbert, & Malone, 2013). People of all races, ethnicities, religions, and diversities, each
with their own uniqueness, now comprise our health care system. However; in one way we are all
the same. Our bodies are all subject to disease. Currently, Diabetes is our nation's seventh leading
cause of death. Diabetes A Systems Approach Because we are all physiologically the same there are
factors that must be addressed in all Diabetics Diabetic Care Behaviors that require education and
services: Healthy eating –Dietician Exercise – Gym, weight management, and achievement of goals
Taking medication – medications in pill, ... Show more content on Helpwriting.net ...
Our patient is Eva Ybarra. She is a 40 year old married, Spanish speaking woman. Her husband and
she are overweight. There is a family prevalence of diabetes and poor lifestyle habits. Planning Mrs.
Ybarra's treatment:  Mrs. Ybarra and his wife will receive all of the above mentioned healthcare
services for diabetes but will require additional services as follows:  Training, education, and
treatment instructions in Spanish  Dietary education that includes Mrs. Ybarra and addresses the
patient's cultural preferences. Eating is a fundamental and social activity in the Hispanic cultures. It
is more than just sharing food. It is providing nurturance and an opportunity to converse with other
members of the family. In a culture steeped in family understanding a Hispanic woman's beliefs
about food may be as important as understanding what she eats. Many Hispanic women associate
comfort with food as this has been passed down through their family for generations.  The family
may request a Curandero, or spiritual healer, to provide alternative treatment options. It may be
important to review treatment suggestions to ensure they comply with patient's current regimen.
Mrs. Ybarra will require Spanish speaking materials and provider to help her understand her
treatment, glucose monitoring, and insulin injections. More diabetes facts based on race: 8.4% of
diabetics in the United States are Asian Americans (ADA, 2011). Our second patient is Mrs. Ling
Tsai. She
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Diabetes And Its Effects On Diabetes
Diabetes is caused when a person's blood sugar level becomes too high. This is often described as a
lifelong condition. There are two types of Diabetes within the UK; Type 1 Diabetes, where the
body's immune system attacks and destroys the cells that the body uses to produce insulin. This can
develop over weeks or even days. Type 2 Diabetes occurs when the body doesn't produce enough
insulin or the body's cells do not react to insulin. Type 2 diabetes is far more common than type 1.
Many people can suffer from type 2 Diabetes for many years without realising due to symptoms
being so broad. Many people have blood sugar levels above the normal rate. This suggests that there
is a risk of developing full diabetes in the future. However, sometimes it is not high enough to be
diagnosed as having diabetes. This is known as pre–diabetes. It is extremely important to diagnosis
diabetes as soon as possible as it progressively gets worse over time if it's not treated (NHS.UK,
2016). There are many risk factors that can have the likelihood impact on developing diabetes, such
as in males or females, food preferences, pregnancy, obesity, genetics, damaging effects and race
and ethnicity. These risk factors and their trends will be discussed in depth later in this essay.
It is very important to the detect diabetes from early stage as high glucose levels can damage the
blood vessels, nerves and organs within the body. Mildly raised glucose levels which don't cause
any symptoms can have

A Short Note On Diabetes And Diabetes Mellitus
Diabetes is a disease that plagues many individuals, causes adverse health problems, and if left
uncontrolled can lead to premature death. Diabetes Mellitus is characterized by unstable glucose
levels and has 3 different forms: Type 1 Diabetes, Type 2 Diabetes, and Gestational Diabetes. This
research paper will focus on Type 2 Diabetes Mellitus (T2DM). Type 2 diabetes is a chronic disease
in which insulin is not produced sufficiently or non–existing within the pancreas, causing an
increase in the bodies blood glucose levels (U.S. National Library of Medicine, 2014). Gestational
diabetes mellitus is when a pregnant woman develops insulin resistance during pregnancy;
generally, women return to normal glucose levels after pregnancy, but ... Show more content on
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The goal of the American Diabetes Association (ADA) (2014) is to reach out to these communities,
provide resources for the population affected and improve the lives of the people who suffer with
diabetes.
Though the ADA does not actually provide healthcare services they target various ethnic populations
within the community; provide its residents with resources on how to manage and treat prediabetes
and diabetes. Por tu Familia is an outreach program that is specifically designed to provide resources
and educate Hispanic communities around the United States. "Diabetes is an urgent health problem
in the Latino community. Their rates of diabetes are almost double those of non–Latino whites,"
(American Diabetes Association, 2014). While improving and revamping this existing program, Por
tu Familia Dos, can create a greater knowledge within the community about how to treat and care
for prediabetes and diabetes amongst the Hispanic population. Por tu Familia Dos has a target
population that includes individuals of all ages, males and females, who have Type 2 Diabetes and
are accustomed to dealing with diabetes on their own. The majority of the projected participants are
from low income families and individuals with lower education levels within a specific community.
The program will provide participants with additional resources of how to treat, control and monitor
their diabetes.
Data Collection
This preliminary program will take place in Sunnyside, WA and will be

The Effects of Genetic and Environmental Factors on Type 1...
The Effects of Genetic and Environmental Factors on Type 1 Diabetes
Type 1 diabetes is an autoimmune disorder, in which the pancreas does not produce insulin. It
usually begins in childhood or adolescence. In Type 1 diabetes, the body's immune system destroys
beta cells in the pancreas that produce insulin. Insulin is a hormone that converts sugar, starches, and
food into energy. Without insulin, blood glucose levels become too high, which is known as
hyperglycemia. To prevent hyperglycemia, people with Type 1 diabetes must take insulin daily to
survive. Genetic and environmental factors affect the onset of Type 1 diabetes. [1] According to the
American Diabetes Association, a predisposition to Type 1 diabetes is ... Show more content on
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The research on the affect of viruses in triggering Type 1 diabetes is inconclusive, and some is even
contradictory. Some researchers have also found that viruses may prevent Type 1 diabetes. Scientists
at Joslin Diabetes Center add trauma as a potential trigger of Type 1 diabetes. A traumatic event,
such as a body trauma or a car crash, increases the body's insulin requirement and strains the
pancreas. [5] Dr. James H. Warram at the Joslin Diabetes Center concluded that the trauma does not
cause diabetes, but it can trigger the onset of the disease.
Another possible environmental cause of Type 1 diabetes is early diet. Breastfeeding for at least
three months has shown to decrease the risk of Type 1 diabetes, and a diet including cow's milk
before the age of one year old may increase the risk of diabetes. The American Diabetes Association
reports that the onset of Type 1 diabetes occurs more often in winter than in summer. It is also more
prevalent in cold climates. This leads researchers to conclude that cold weather may be a possible
trigger of Type 1 diabetes, as well. [6] Dr. Andrew Weil (2014) explains that in addition, "Weather
has an impact on eating and exercise habits, which can in turn influence how well you're able to
control your blood sugar." (drweil.com, 2014) The phenotype for Type 1 diabetes includes the
presence of autoantibodies in the body. [7] These autoantibodies prevent the pancreas from
adequately

Diabetes Culture
The student will choose a culture or ethnicity and develop a written and oral presentation that
addresses the required elements listed above. "We work tirelessly to reach communities throughout
the United States to create awareness, prevent diabetes among at–risk populations, and ensure that
all people with diabetes get the best care, treatment, and information about how to manage their
diabetes " as stated by the American Diabetes Association ("Awareness Programs," n.d.).
They have divided their community outreach into different sectors by 3 distinct cultures and
ethnicities: African American, Latino, and Asian/Pacific Islanders. We choose to describe the
initiatives directed at African Americans and to analyze its strengths and weaknesses. ... Show more
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For example, smoking in public places has been banned, why because enough people in the public
supported it. On the contrary, taxing sugary drinks, the way cigarettes are taxed, has not picked up
the same political support. Should the American Diabetes Association spend more money on
commercials to help spread their message amongst African Americans? The national budget for the
ADA is 132 million dollars annually, that can buy a lot of commercials. At this time, there isn't a
particular health policy that has been made into law that will fight the obesity epidemic, which in
turn will help curb the number of Type 2 diabetics. Until there is a public outcry against sugary
drinks there will not be an effective health policy made ("Awareness Programs,"

The Evolution Of American Diabetes Association
The Evolution of American Diabetes Association
Introduction
When an individual is asked whether or not they would rather be HIV positive or have diabetes, the
obvious response is that they would prefer to be diagnosed with diabetes. Even though, diabetes is a
complicated endocrine disease that most often results in patients having multi–organ dysfunction,
such as: blindness, lower extremity amputation, kidney dysfunction and pancreas malfunction. Most
people associate diabetes with bad food, bad genetics and a lack of exercise, which are definite risk
factors (Polonsky, 2014). According to the American Diabetes Association (ADA), diabetes cost
$174 billion in health care cost in 2007. This health disparity is what leads to formation of the ...
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In regards to proper nutrition, a diet that has a low glycemic index has been found to improve blood
sugar control. Unfortunately, diet and exercise aren't enough to achieve glycemic control for some
individuals. At this time, medication is usually introduced to the treatment regimen. Oral
medications such as Metformin, sulfonylureas, nonsulonylurea secretagogues, alpha glucosidase
inhibitors and thiazolidinediones are available. However, Metformin is usually the first line of
treatment. In some patients, insulin can be added to their medication regimen. Consequently, in
cases where the individual is morbidly obese and lifestyle modifications with medication therapy
prove to be ineffective in maintaining glycemic control, weight loss surgery can be considered
(Polonsky, 2014).
Part 1
History of diabetes and the formation of ADA
Diabetes Mellitus is not a new disease. It was first recognized in ancient Egypt around 1500 B.C.E.
It was considered a rare condition in comparison to present times. In 1812, diabetes was
acknowledged as a clinical disorder. However, its prevalence at the time was not well documented.
During those time periods, diabetes was considered fatal (Polonsky, 2014). The most significant
progress came with the discovery of insulin. In 1921, Frederick G. Banting, MD and then student
assistant, Charles H. Best, made the discovery of insulin. This discovery led Dr. Banting to being

American Diabetes Association : A Long History Of Research...
Introduction
American Diabetes Association has a long history of research support and engagement. The first
direct ADA research were awarded in 1952, and in the late 1970s, the ADA research funding was
centralized into a program model after that of the National Institute of Health (NIH), with
operational and scientific oversight housed in the national office. Founded in October 1994, the
ADA Foundation was created to substantially accelerate the Association 's ability to raise major gifts
to directly fund diabetes research. Now the ADA is a volunteer–driven organization, with about 90
local offices above the United States. The goal of the ADA is to prevent and cure diabetes and to
improve the lives of all people affected by diabetes. The burdens of diabetes are enormous and
escalating at an alarming rate. About 26 million Americans have the disease, and over 10% of the
total adult population and over 25% of the population aged 65 years and older. If present trends
continue, as many as one in three Americans adult will be diagnosed with diabetes by 2050; in
majority of cases will include older adults and racial ethnic minorities.
The high dispersion of diabetes, especially through the aging population, comes at a considerable
economic cost. Health care expenses for individuals with diabetes are 2.3 times greater than
expenses for those without diabetes, and diabetes complications account for a significant amount of
those cost. The ADA is committed to improve the lives of

A Research Study On The American Diabetes Association (...
Strict glycemic control in T2DM can prevent the onset and progression of complications [4].
Despite of numerous interventions to improve adherence to the recommended standards have been
implemented, control is improving, but slowly [5]. Based on recent large clinical trials there is a
growing current of opinion that no single hemoglobin A1c (HbA1c) target is appropriate for all
patients. The American Diabetes Association (ADA) suggests a fundamentally patient–centered
approach to determine an individual's HbA1c target. However, the ADA also recommends a HbA1c
target level of less than 7% for the majority of patients [6].
Sample
Two–phases observational descriptive study. In the quantitative phase we conducted a cross–
sectional survey of a sample of 380 healthcare professionals (general practitioners
(GPs), endocrinologists, internists and nurses). In the qualitative phase, a discussion group reviewed
the results of the survey to propose solutions.
Challenges of insulin initiation
To set personalized targets reminding the current targets recommended by guidelines
To recommendHbA1c test every 3months in patients with poorly controlled Type 2 diabetes and
take action
Patients may benefit from early treatment with basal insulin added to oral antidiabetic drug (OAD)
through early glycemic
control (metabolic memory can reduce complications)
To reinforce insulin therapy as the most effective treatment
To initiate insulin therapy with basal insulin reaching for

Diabetes Among Ethnic Minorities And The Aging Population
The high number of reported new cases of diabetes yearly among ethnic minorities and the aging
population is alarming. According to a report by the Center for Disease Control and Prevention
(CDC), National diabetes Statistics Report in 2014, diabetes is high among minorities; 15.9%
American Indian/Alaska Native, 13.2% African American and 12.8% Hispanics. This is consistent
with the community I worked with during the first part of my clinical rotation. The community of
Casa de Merced in Tolleson. The residents comprise of low–income seniors aged 65 and over. Upon
assessment of this community, the predominant health problems discovered were diabetes and high
blood pressure. As a community nurse, it is vital to assess your community, identify problems and
suggest remedies to stakeholders. This paper will attempt to analyze four peer reviewed articles on
diabetes management and prevention. Article one Cadzow, R. B., Vest, B. M., Craig, M., Rowe, J.
S., & Kahn, L. S. (2014). "Living Well with Diabetes": Evaluation of a Pilot Program to Promote
Diabetes Prevention and Self–Management in a Medically Underserved Community. Diabetes
Spectrum, 27(4), 246–255 10p. The purpose of this study was to evaluate the at the community–
level problems of diabetes among the underserved communities. The research question for this study
is "How to promote diabetes prevention and self–management in a medically underserved
community" (Cadzow et al., 2014). The program design used "health talkers

Development Of Culture Centered Educational Program For...
Development of Culture–Centered Educational Program for Nigerian Immigrants to Assess
Knowledge and Attitudes Surrounding Diabetes Mellitus
Name
Affiliation Development of Culture–Centered Educational Program for Nigerian Immigrants to
Assess Knowledge and Attitudes Surrounding Diabetes Mellitus
Introduction
Diabetes Mellitus affects 29.1 million people in the United States of America. According to the
center for disease control and prevention (2014), minorities have higher rates of disability and death
due to diabetes mellitus. Traditional diabetes educational programs have not proven very effective to
Nigerian Immigrants in assessing knowledge and attitudes surrounding diabetes mellitus. Culture –
Centered Educational Programs are more effective in improving metabolic control, (American
Diabetes Association, 2014). This paper will assess the need for America to develop a Culture–
Centered Educational Program for Nigerian Immigrants to Assess Knowledge and Attitudes
Surrounding Diabetes Mellitus.
Literature review
Diabetes Mellitus affects 29.1 million in the United States of America alone. Complications due to
diabetes mellitus are a significant measure of costs of healthcare and estimated to be 249 billion
dollars annually, (Center for Disease Control and Prevention, 2014). Health problems secondary to
diabetes mellitus include cardiovascular diseases, hospitalization for diabetic ketoacidosis, end–
stage renal disease, lower extremity conditions especially

A Brief Note On Diabetes And Its Effects On Diabetes Essay
Diabetes Policy This paper focuses on people with diabetes. Diabetes occurs when there is impaired
ability by the pancreas to produce enough insulin, or the body loses its ability to utilize the insulin
produced by pancreas effectively. Consequently, the body fails to regulate the level of glucose in the
blood. The failure to control glucose leads to episodes of hyperglycemia, especially after a meal.
Diabetes is one of the chronic conditions that account for the largest morbidity rates globally.
According to the Centres for Disease Control and Prevention (CDC) (2015), approximately 29.1
million people living in the United States had diabetes. Out of this number, about 21.0 million
people were diagnosed. The remaining 8.1 million cases were undiagnosed. According to the World
Health Organization (2016), the prevalence of diabetes among adults aged over 18 years was 8.5%
in 2014. The prevalence had increased from 4.7% in 1980 to 8.5% in 2014. The increased has been
most significant among the middle and low–income countries. This has mostly been explained by
the changes in income distribution in those countries. In other words, the proportion of people who
have had an increase of revenue has increased significantly in the middle and low–income countries.
People with diabetes lack the ability to regulate the level of glucose in the blood. Consequently,
whenever they eat, their blood glucose level rises above the normal maximum limit leading to
hyperglycemia. Poorly controlled

Health Belief Model Of The American Diabetes Association,...
Theoretical Background
According to the American Diabetes Association, the complications and cost acquired from diabetes
can be dramatically reduce if patients are more aware of the potential risk and receive proper health
prevention education. Diabetes self–management is essential in reducing the complications of
disease. Researchers use several theories to help come up with the best way to provide care to
patients with chronic illness such as diabetes. The major theory for this EBP is the Chronic Care
Model, the author chose this model because of its versatility, it can be apply in any setting and allow
for the improvement of care of both the individual and community level (Coleman, Austin, Brach, &
Wagner, 2009)
Health Belief Model
Jalilian, Motlagh, Solhi, & Gharibnavaz (2014) used the Health Belief Model (HBM) to evaluate
self–management promotion educational program intervention efficiency among diabetic patients.
The HBM theory framework hypothesize that patients and or populations are more likely to engage
in health promoting behaviors if they perceive a threat to their wellbeing (Jalilian, Motlagh, Solhi, &
Gharibnavaz, 2014). Therefore patients with diabetes will adhere to their prescribed medical
treatment if they are well educated about the disease process, understand the serious consequences
that come with non–compliance(Jalilian et al., 2014). The authors used an HBM questionnaire to
assess the different component of the framework: perceived susceptibility,

Diabetes : A Major Chronic And Complex Public Health Problem
Introduction: Diabetes mellitus is a major chronic and complex public health problem that is
affecting over 31 million people worldwide (Nguyen, 2014). Approximately fifty percent of people
living with diabetes are undiagnosed and it has been estimated that every ten seconds three persons
are diagnosed with diabetes mellitus (American Diabetes Association, 2008). In the United States,
nearly 26 million adults and children are diagnosed with diabetes, another 7 million are undiagnosed
and 79 million living with pre–diabetes (American Diabetes Association, 2012). The total amount of
healthcare expenditure for diabetes in the United States was $245 billion of which $176 billion in
direct medical costs and $69 billion in reduced productivity (Selp, 2015). Diabetes is one of the
nation's most deadly diseases and has been a contributor to major health consequences such as
kidney failure, blindness, stroke, heart disease, non– traumatic limb amputation and the fifth leading
cause of death in the United States (Nguyen, 2014). Despite the high prevalence of diabetes mellitus
in the United States there is a significant disparity in non–Hispanic Blacks living with diabetes
(Ogden, 2012). Several factors such as body weight, physical inactivity, cultural influences,
environmental and psychosocial issues have been identified as contributing to the disparity. The
United States has become a global society and is the home for immigrants needing work and a place

American Diabetes Association Research Paper
Madeline Rosario/ Yesenia Cruz
Michelle Kaplan
Academic Discussion IV
Final Project
I Draft
November 18, 2015
American Diabetes Association
A charity is a non–profit organization that helps people under an specific cause. They depend on the
donations to accomplish their purpose (Northstar 4). The charities do not take the money that they
receive for their own interest, on the contrary, the use these funds to help the cause. According to
Medical news today, diabetes is a condition in which the organism cannot produce insulin, causing
high levels of glucose in the blood. Diabetes affects almost all the organs such as the liver, the heart,
circulation and others. According to the American Diabetes Association website, "the ADA is a
charity institution was founded in 1940, in order to fight against the lethal consequences of having
diabetes". It is located at 33 7th avenue, New York, New York 10001. The phone number is 212–
594–3452. The organization has been expanded in the United States territory with more than 90
offices. The ADA has a call center to support the patients working 24 hours 7 days a week. The
number is ... Show more content on Helpwriting.net ...
To accomplish this mission ADA have been sponsoring investigations, publishing the results of this,
educating the patients and their relatives. The association also has a large number of legal advocates
who work to defend the rights of the patients. American Diabetes Association was founded to stop
the rising percentage of diabetes patients and to face the negatives effects of it. The ADA is very
important because diabetes is a serious and dangerous condition. It is concerning how many adults
and young people had been affected by diabetes. The country needs an association like this to
conduct and administrate the funding to prevent and develop researches for the

I Choose Certified For The Diabetes Educator Certification
There are over one hundred specialties in nursing, each requiring different specifications of
educational level, degree attained, and clinical contact hours. Numerous studies have shown that
advanced education and certification improve collaboration and communication, patient satisfaction,
and fewer adverse events in patient care, as well as improved outcomes in patient compliance. The
state of Montana accepts 26 advanced practices registered nursing specialties. But each hospital
encourages nurses to specialize and become certified to improve patient care. Certified Diabetes
educator is a certification that requires only contact hours and an examination, no college courses
required, although there are college course that prepare nurses ... Show more content on
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I have a passion for education, I first started college to be teacher, but I was also interested in health
careers, so I changed my major and pursued a community health promotion degree in order to
become a licensed health educator, life happened and I didn't finish, but I am now and LPN and
pursuing my RN. This background, lays a foundation that to me leads to different types of health
education, and to me diabetes education feels natural, in addition it is subject I know I would be
passionate about, as it brings many of my past experiences together. According to National
Certification Board of Diabetes Educators website the Diabetes educator certification began in 1986;
the national certification board of diabetes educators was created to establish to develop criteria and
an exam that would ensure excellence in diabetes education. Diabetes certification is not entry level
you must acquire the skills of becoming a diabetes educator through practiced based experience,
before applying to sit for the exam. Because of the increasing need for diabetes educators across the
country, the criteria as of 2014 has changed 1000 contact volunteer experience and practice hours of
diabetes self–management education hours are needed, in the past only hours through a diabetes
mentorship program were excepted. Also over 15 other health

Diabetes Research Paper For Diabetes
with diagnosed diabetes accounts for more than 1 in 5 health care dollars in the U.S., and more than
half of that expenditure is directly attributable to diabetes.
According to Thomas Schlenker, (Express–News published Saturday, May 28, 2016), cost of
diabetes for Bexar County is staggering, and is creating a burden on the community. Some of the
costs of diabetes affecting at least 14.2 percent of adults in Bexar County include daily blood tests
and insulin injections, progressive blindness, kidney failure, foot and leg amputations, plus death at
an early age. There are almost 2,000 lower–limb amputations in Bexar County each year. At $38,000
per amputation, the annual cost is $76 million. Much of the amputation is attributable to ... Show
more content on Helpwriting.net ...
AACOG also has a type 2 diabetes self–management class which meets once a week for seven
weeks for 2 ½ hrs. The classes are facilitated by two trained leaders who have diabetes themselves.
Participants are taught techniques to deal with the symptoms of diabetes; appropriate exercise for
maintaining and improving strength and endurance; healthy eating, and appropriate use of
medication. Connally Memorial Diabetes Support Class meet every third Tuesday each month for
1.5 hours. These support classes are provided by various health care providers and are designed for
anyone interested in learning more about diabetes and its treatment and a variety of issues related to
the disease.
The Young Men's Christian Association (YMCA) also have a Diabetes Prevention Program that
serves Bexar county. This program is free and provides a supportive environment where participants
work together in a small group to learn about healthier eating and increasing their physical activity.
The program, which is led by a trained Lifestyle Coach in a classroom setting, is delivered over a
12–month period beginning with 16 weekly sessions followed by monthly maintenance. Bexar
county community members also have access to another program called "Take Control Diabetes
Self–Management Program" an evidence–based self–management Stanford workshop developed at
Stanford University. This program is free, and provides support for individuals to take control of
their health.

Preventing The Prevalence Of Diabetes
Introduction Community health is an essential aspect of wellness of a community's citizens. In order
to ensure that a community is safeguarding the health for its residents, the healthcare professional
must recognize that the process of evaluation, assessment, implementations and planning is essential
for the community health nurse to assure adequate outcome of indicated interventions. In the
community assessment, diabetes was noted to be a major problem in the Irvington community. It is
only adequate to identify suitable interventions that can help curtail this ailment amongst the
residents of Irvington, New Jersey. As identified during the community assessment of Irvington
Township, several aspects of the community and environmental risks relating to the high incidence
of diabetes amongst this population were recognized. During the course of this paper, specific
interventions and quantifiable goals will be identified. The main goal of this paper is to curtail the
prevalence of diabetes in Irvington Township. Brief overview of Diabetes Diabetes is a condition
that affects the way the body breaks down glucose for energy and development. The insulin–
dependent and noninsulin –dependent diabetes are not the same disorders. Although the origins,
short–term effects, and managements for the two types fluctuate, both can cause similar long–term
health complications (Monahan & Marek, 2011). According to the

Obesity And The American Diabetes Association Essay
According to the American Diabetes Association (2016), 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).
Many studies have examined the link between poverty and diabetes. The CDC (2015b) have
identified the following as primary factors that lead an individual to have an increased risk of
developing diabetes: being overweight or obese; having a parent or sibling with diabetes; having
African American, American Indian, Asian American, Pacific Islander, or Hispanic American/Latino
heritage; having a history of gestational diabetes; having blood pressure measuring 140/90 or
higher; abnormal cholesterol; and being physically inactive.
The

Abstract. This Paper Will Share Some Steps Towards A Proposal
Abstract
This paper will share some steps towards a proposal for a diabetes prevention program (DPP)
Model. For many years, the medical community has struggled with questions about the
implementation of a diabetes prevention program to offset the growing need to curb the increasing
diabetes epidemic of children and adolescent in the Queens community. With ample evidence, the
Kick–Start program will be helpful in preventing or delaying the onset of full–blown diabetes and
helping those at risk; it will save money. Kick–Start aims to decrease the number of diabetes in
children and adolescents. It is essential to remember that obesity and type 2 diabetes have become
critical health issues for the community, therefore, the goals and objectives ... Show more content on
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Stepping Forward curriculum have been clinically tested by the Naomi Berrie Diabetes Center in
affiliation with Columbia University Diabetes Research Department.
By approving the proposal for Kick–Start, the answer is unquestionable that the program will work
and it will save money and lives. Kick–Start intend to make a difference in diabetes by using
Stepping Forward to build and strengthen diabetes education and interventions to curb the rates of
diabetes. DESIGN AND GOALS
Stepping Forward will implement a 12–month CDC–approved curriculum, with 16–24 core sessions
in addition to weekly supplemental physical activities, followed by options for monthly core
maintenance sessions after the first 6 months. Community workshops will be held periodically at
various venues within the community including schools, and churches.
Kick–Start's Curriculum
Kick–Start's Curriculum entitled Stepping Forward includes tested, collected and evaluated toolkits
and guides, web content, videos, booklets, tip sheets for:
Children at risk for diabetes
Children and adolescent with diabetes and their families
African American and individual of African Ancestry
American Indians and Alaska Natives
Asian Americans
Hispanic and Latinos
Stepping Forward will cover subjects that children need to

Diabetes And The American Diabetes Association
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. The Characteristics of the diabetes are very distinctive and in some cases they are
unnoticed. The Center for Disease Control and Prevention (2014), recommends individuals contact
their physician if they

Study Design : Material And Methods
Chapter (4): Material and methods 4.1 Study design, Setting and The study design will be cross–
sectional observational study . 4.2 Study area/stetting The study will be carried out as community
base among adult in alowegeela city where it is far about 140 kilometer eastern to arar city. 4.3
Study population/subjects The study will be carried out among the adult population (18years old or
more) in alowegeela city . 4.4 Study sample: Sample frame: The study frame include the adult
residents in Alewagila. The total population of the city amounts to 11657 individuals, where the
adult population are 6162 represents around 52% ( individual) Sample size: The size of the sample
has been calculated using the following formula Using earlier published prevalence data from study
done in Saudi Arabia in jedda by Bahijri .S.M and et al found prevalence of pre–diabetes is 10.2 %
among adult and will use the confidence level 95% with chance error 5% ,and by formula the size of
sample is 138 participants. Sample selection: The sample selection technique is stratified systemic
random sampling technique where each ward of the city represents a stratum, using probability
proportional to size technique. Inclusion and exclusion criteria Inclusion criteria are adult, age 18
years and above, who not known diabetic and who resident in alowegeela city . Exclusion criteria
will who less than 18 years, known case of diabetes . 4.5 Data collection: Data collection tool: The
data

American Diabetes Association: Case Study
Saturday, November 13, 2015 The American Diabetes Association will be sponsoring the Bridge to
Wellness Expo at the David L. Lawrence convention center. This event is free to the public and will
provide them with a number of different events to help promote a healthy lifestyle. I believe that this
event will be target towards a large range of different people such as uninsured, underinsured, or
people who just want to live a longer healthier life. I think that many people will come out to this
event because there is a lot that is going to be offered. Personally, if I was not participating in this
event I would consider going to it just to see the different stations that will be set up there. I think
that it is important to stress the importance of prevention because once something happens the
damage is already done. I believe in living a healthy lifestyle and getting a handle on my health
early. The expo will be offering a wide variety of different focus areas including but not limited to:
active lifestyle, diabetes, cancer prevention, stress management, tobacco cessation, and heart health.
... Show more content on Helpwriting.net ...
This event will have events for all ages. Everyone needed to focus on his or her health and live a
healthy lifestyle. Studies have shown that a healthy lifestyle can pay a role in preventing or delaying
diseases/events associated with heart disease, diabetes, and cancer. Living a healthy lifestyle is not
just for adults, children can also benefit from a healthy lifestyle. Teaching children how to live
healthy at a young age will carry them a long way in life. This event will give me the opportunity to
participate in events that will help the community take control of their health one step at a

Developing Outreach Efforts For Primary Care Providers Essay
The grantee is working with 232 HELP/2–1–1 in Lafayette to develop outreach efforts to primary
care providers to promote awareness of prediabetes to their patients. 211 is also providing DSME
and National DPP information to callers. These contractors is using marketing materials from the
American Medical Association and the CDC to increase awareness about diabetes and promote
diabetes prevention programs. Also, the grantee conducted site visits to the sites to discuss progress
of the current work and plans and renewing the contract for the next grant year. For the amended
contract, the 2–1–1 site will focus on increasing awareness about prediabetes to patients and
providers focused on primary care. This work will include the distributing the AMA/ CDC Provider
toolkit and the use of the CDC and risk test.
The Diabetes team is working with the YMCA of Baton Rouge, YMCA of the Capital Area's region
and the YMCA of the Greater New Orleans region to expand National DPP to rural parishes
surrounding Baton Rouge and to work with providers in these areas.
The grantee hosted a YMCA– National DPP Lunch N Learn for Local Department of Health and
other state employees. At this event, free glucose screenings were offered, scholarship enrollment
into YMCA DPP for those eligible, education on diabetes prevention, management and nutrition
from Novo Nordisk representative, information presented on farm to work program and healthy
eating from Healthy Lives representative and free one

Case Study Of D-Glucose
2.– Product:
The product or products to be imported and commercialized are, almost entirely, energy recovery
products (glucose, dextrose, etc.).
Dextrose Monohydrate or what is the same, D–Glucose is its main component. Its presentation and
format are varied.
Dextrose monohydrate or D–glucose monohydrate, is a commercial form of hydrated dextrose,
whose chemical form is exactly equal to dextrose plus a water molecule.
According to the CODEX rules for sugars, dextrose monohydrate is defined as purified and
crystallized D–glucose containing a water molecule of crystallization, with a D–glucose content of
not less than 99,5% m/m over its dry weight and a total solids content of not less than 90.0% m/m.
It is an excellent source of energy that can be added to different foods ... Show more content on
Helpwriting.net ...
We intend to distribute the product at a national level (Spanish island territories included, together
with the Spanish African cities of Ceuta and Melilla) in a first phase, aiming, in the middle term, to
extend the distribution to Portugal and the rest of Europe.
The sector of focus to which our product is directed mainly are diabetics. Their current number in
Spain exceeds 5,300,000. That is more than 14% of the Spanish population, although 6% still have
not been diagnosed. Within this large number there are two large groups, Type 1 and Type 2
diabetics, but all of them are possible clients and/or consumers of glucose, to help them recover
from hypoglycemia (episodes of low blood glucose).
Diabetics are informed, first in the hospitals and health centers where they are treated, besides
private medical offices of different centers. But where we really come in is in consultations at a
private level in the different media on

Weight Loss And Its Effect On Adult Onset Diabetes
In 2012, 86 million Americans 20 years and older had prediabetes. This is an increase from 79
million in 2010 (American diabetes association, n.d.). Diabetes ranks seventh among the leading
causes of deaths in the United States (Healthy people 2020, 2014). Most people do not know how
deadly this disease can be. Weight loss is a primary goal towards preventing this disease. There are
many companies today that introduce medications, and diet plans that promise instant weight loss.
These techniques are not always effective and that can be very expensive. There is one way that is
inexpensive and has been proven to reduce and control weight, exercise! Exercise is the most
offered suggestion by doctors to prevent adult onset diabetes. People ... Show more content on
Helpwriting.net ...
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

American Diabetes Association (T2DM): A Case Study
This question warrants investigation as T2DM is a gateway disease. Overtime, the disease
progresses to affect other bodily functions, harming both an individual's physical and psychological
well–being. For example, T2DM is responsible for higher risks of neuropathy, low bone density,
hypertension, heart disease, lower limb amputations and vision and hearing loss, as well as
psychological disorders such as depression and dementia. According to 2015 statistics from the
American Diabetes Association, T2DM is the 7th leading cause of death in the United States,
contributing to 332,341 US deaths. However, treatments that address the causes of T2DM are more
prudent than current treatments which focus on mitigating the complications that arise

Community Gardening: One Solution for Curing Diabetes
To talk about the diabetic epidemic African Americans, Native Americans and Latinos and not
include its companion obesity only paints half of the full picture (Lombard, Forster–Cox and Smeal)
(Oregon Department of Human Services). The diabetes targeted in this discussion is type 2. Type 1
diabetes is genetically derived; it is the body's inability to produce insulin (American Diabetes
Association). This type usually affects children and young adults. Type 2 is caused by unhealthy
eating and lifestyle choices over a period of time. This type usually is characteristic of older adults,
but lately has been seen in older children (Oregon Department of Human Services). This problem is
personal for me, as I have recently been diagnosed with ... Show more content on Helpwriting.net ...
Too much of the general population does not recognize the correlation between food and health. In
addition, when looking at diabetes, not everyone affected is at the poverty level. Statistics support
that more people with diabetes are poor, but the middle working class are also at risk. One of the
reasons is that they have brought into the propaganda that they should be able to eat what they can
afford. Just recently I watched an episode of a reality television show called "Restaurant
Impossible." On the show an expert visits restaurants that are failing and going broke and provide
the owners with new menu items, clean up when necessary, and provide an investment of ten–
thousand dollars in a redesign of the restaurant. One of the new and improved menu items was
smoked chicken; after smoking the chicken the chef then slathered butter on it, grilled it and covered
it with barbeque sauce and served it with potatoes, and I don't remember seeing a vegetable.
Nevertheless, this is a prescription for disaster. Also consider the restaurant Applebee's; I was
shocked to find out that most of their entrées are over a thousand calories and also slathered with
butter and salt. I am afraid to eat there now. Middle–class Americans are frequenting these
restaurants. Therefore making the change to healthier eating is a huge and difficult endeavor. Excess
consumption of

Type 1 Diabetes Case Study
Diabetes This is a public service announcement. Bret Michaels, musician and winner of NBC's "The
Celebrity Apprentice", recently joined the American Diabetes Association in its movement to Stop
Diabetes by raising awareness about diabetes this November for American Diabetes Month. Bret
will serve as the "Face of Diabetes" by helping the Association kick–off the month with various
activities and is featured in a public service announcement campaign that he helped produce. Bret
says it is an honor to once again be working with the American Diabetes Association," said Bret.
"As someone with type 1 diabetes, I know how difficult it can be to live with this disease and how
important it is to raise awareness so that we can eventually put

Diabetes Care : What School Personnel Need For Know. Learners
Diabetes Care: What School Personnel Need to Know
Learners
According to Evans and Ficca (2012), within the last forty years, the number of chronic health
conditions among school children has risen from 1.8% to 25%. In the United States, more than
215,000 young people under the age of 20 have type 1 or type 2 diabetes (American Association of
Diabetes Educators, 2014). School age children typically spend more than one–third of their day in a
school setting under the supervision of teachers. Therefore, in order to provide a safe learning
environment for students with diabetes, school personnel must possess basic knowledge and
understanding regarding the disease process of diabetes, symptoms of hypoglycemia and
hyperglycemia, desired blood glucose level management, and the appropriate response to diabetic
emergency situations. The understanding and support offered by teachers and other school personnel
play a crucial role in reducing emotional issues related to their illness and increasing academic
success (Hains, et al., 2009). In particular, adolescents experience difficulty maintaining glycemic
control which may negatively impact academic outcomes, classroom behavior and emotions. Within
our school population, there are six adolescent students who are diagnosed with type 1 diabetes and
utilize insulin pumps and pods. Although general information regarding the management of students
with diabetes has been presented informally to the faculty, a more detailed presentation

The Corporation: The Pathological Pursuit Of Profit And Power
One hundred and fifty years prior, the company was a generally inconsequential element. Today, it is
a distinctive, emotional and unavoidable nearness in every one of our lives. Like the Church, the
Monarchy and the Communist Party in different circumstances and spots, the enterprise is today's
prevailing establishment. Be that as it may, history lowers predominant establishments. All have
been smashed, put down or consumed into some new request. In this unpredictable, thorough and
very engaging narrative, Mark Achbar, co–chief of the powerful and creative Manufacturing
Consent: Noam Chomsky and the Media, collaborates with co–executive Jennifer Abbott and
essayist Joel Bakan to look at the expansive repercussions of the enterprise's expanding ... Show
more content on Helpwriting.net ...
Here's an association that should battle diabetes, and it's taking cash from an organization that offers
items that any nutritionist would concur contain fixings emphatically corresponded with the
advancement of diabetes and corpulence. It does that since it needs to flourish and survive. It needs
to develop and broaden its impact. It isn't so much that the general populations in that association
are malevolent; it's that the association itself has no other reason than to survive and expand its
impact on the planet. These ideas are canvassed in a considerable amount of detail in The
Corporation, which is the reason I firmly suggest you go out and lease or purchase this video and
see it for yourself. It's done, and it has a considerable measure of canny individuals discussing the
subject and truly clarifying how companies gain out of power.
What does this need to do with The Corporation? All things considered, I'm quite recently
attempting to bring up that I'm not against the possibility of a partnership, despite the fact that this
narrative has positively given me a phenomenal training in how these organizations gain out of
power. I think the arrangement here is having partnerships with particular missions and time limits,
so that, it could be said, each association ought to self–destruct when it finishes its central goal. It
ought to break down

An Integrative Literature Review : The American Diabetes...
An Integrative Literature Review
The American Diabetes association (2014) reports that, approximately 29.1 million U. S. residents
are diabetic. They found that 35% to 40% of people died from diabetic related causes. 2010 saw
69,071 death certificate reported deaths listing diabetes as the direct/underlying cause of death,
while, 234,051 death certificates lists diabetes as the underlying/contributing cause of death.
Diabetes still remains the 7th leading cause of death in the United States.
Diabetes is a chronic disease, with no remedy and carries many negative effects. Damage to the
kidneys, heart, blood vessels, nerves and eyes are among the affected areas. According to the
Centers for Disease Control and Prevention (2015), high blood pressure, cholesterol, and diabetes
related nerve damage, can affect any part of the body. Diabetic patients are encouraged to exercise
and practice good nutrition. It is recommended patients undergo screening to help monitor glucose
(blood sugar) levels and work with health care professionals to keep blood pressure and cholesterol
under control.
For the diabetic patient, blood glucose levels must be kept between 80 –140 mg/dl especially prior
to and after surgery. Surgery in diabetic patients is connected with longer hospital stays, expanded
morbidity and mortality, and postoperative infection. With or without diabetes, intraoperative
hyperglycemia is a "critical marker" for unfavorable events in surgical patients.
This review seeks to

A Brief Note On Diabetes And The American Diabetes...
Treatment There are a few main areas to look at when talking about treating type one diabetes
according to the American Diabetes Association. One of those areas is monitoring your blood
glucose levels. Blood glucose is also known as blood sugar and checking this regularly will help
your doctors ensure that your medication is effectively treating your condition. The American
Diabetes Association recommends keeping a blood glucose log, and patients can find one on their
website. A few complications that can occur if your blood glucose levels waver is Hypoglycemia,
which is having low blood glucose, and Hyperglycemia, which is having high blood glucose.
Keeping a log of your blood sugar levels will also help to determine if there is ... Show more content
on Helpwriting.net ...
The most common method of injecting insulin is by using a syringe, but other ways in which to
administer injections are with insulin pens or an insulin pump. From all of the information I have
gathered on insulin, it seems to be a very time sensitive form of medication for diabetes.
Unsurprisingly, insulin injections are also a necessary treatment for those with type one diabetes. A
third main area of treatment is exercise, which is said to help better stabilize a patient's blood
glucose levels. Aerobic exercise, strength training, stretching, balance exercises, and walking are
some of the activities and forms of exercise specifically recommended by the American Diabetes
Association for people who are facing type one diabetes. Aerobic exercise is a way for you to help
your body use insulin better and it can help to lower your blood glucose levels. The American
Diabetes Association website also elaborates by saying that strength training can help in lowering an
individual's blood glucose levels and can make your body more sensitive to insulin. A few tips to
help patients become more active in their everyday lives are to talk your dog for a walk, play with
your kids, walk down every aisle of the grocery store, and take the stairs instead of the elevator to
get from the parking garage to your office in the morning. Treatment for type one diabetes will also
tend to focus on your nutrition. The American

The Community Guide, American Association, And American...
Know How Paper #3 Program planning involves the use of many well defined evidence based
practice and services. In this paper we will elaborate on three services which public health
professionals may use in a variety of ways to perform their job more effectively. Our focus areas
include the Community Guide, American Diabetes Association, and American Heart Association.
For each area we will include a brief discussion summarizing the areas, their values in the field,
relevant theories the area encompasses, and how each might be applied in the profession. While the
topics of each area may differ, we hope you will gain a better understand for each and see how much
of their goals and approaches overlap.
Area Summaries
The Community Guide The Community Guide (TCG) is a website offering a plethora of resources
useful to community health workers (Truman, Smith–Akin, Hinman, et al., 2000). It is one place in
which professionals may seek information on which interventions do and do not work. The literature
provided is valid and backed by the Centers for Disease Control and Prevention (CDC) and other
supporting organizations, agencies, and researchers. The U.S. Department of Health and Human
Services (DHHS) established this resource, also known as The Community Preventive Services Task
Force, in 1996. As mentioned above, the original goal was to simply provide communities with
interventions for disease prevention and health promote on in regards to what does and does not

The Most Advanced Technology to Prevent Diabetes is the...
Present Technology The most advanced technology for preventing diabetes currently is the insulin
pump. This is a box about the size of a computer mouse and it supplies insulin to your pancreas. It
has many advantages but sadly, it has much more disadvantages. An advantage of having an insulin
pump is that the device delivers insulin to you. It keeps your blood glucose level in range. If your
blood glucose level gets too high you can press a button on your pump to produce insulin (American
Diabetes Association "Insulin Pumps"). It is a great machine to have if you have diabetes, it will
make your life much easier. This has lots of advantages but there are also lots of disadvantages of
the present technology which is why we are improving this a lot.
One disadvantage of the present technology is you have to carry it around everywhere. This is
basically shows everyone that you have diabetes and people might feel uncomfortable. That is why
our invention is a microchip inside you that nobody can see. Another disadvantage of the insulin
pump is every hour or two you have to measure your blood glucose level. People have to monitor
their blood glucose rate for the rest of their lives. But with our microchip you never have to worry
about checking your levels again. Also when people take baths, showers or go swimming they have
to disconnect the pump. With our microchip this never has to be worried about. You have to prick
your finger 4–5 times a day to check your

Service Learning Group Project: Senior Center Assessment...
Service learning is an important element of nursing education. It is not merely service which
benefits the community, nor is it simply providing community health promotion. As the name
suggests, service learning also facilitates student learning opportunities that differ from the
classroom or clinical experience. The senior center group project was valuable, in that it allowed for
the enhancement of personal health care knowledge, as well as the opportunity to share that
knowledge with the older adult community.
The initial visit to the senior center involved assessments of blood pressure, blood glucose, oxygen
saturation and heart rate. The participants were informed of their assessment values and encouraged
to write them down. Many of the seniors asked questions related to what the numbers meant, if the
values were within a healthy range and ultimately how they translated to daily living. Research
shows that older adults are more likely to learn and retain new information that is perceived as
relevant to their life, and should "include education with the explicit aim of enhancing active
involvement of patients so that they become partners in their health care process" (Cooper, Booth, &
Gill, 2003). It was evident that there was both a need and readiness for further education regarding
the assessments. For this reason, we chose to teach about the health assessment results, including:
target ranges, tips to achieve optimal levels, as well as how the numbers relate

Type 2 Diabetes Teaching Plan Summary
Type 2 Diabetes Teaching Plan
In order to create change healthcare providers must work together to educate their communities.
According to a study found that Type 2 Diabetes is the highest among all Hispanic/Latino groups in
which 16.9 percent for both men and ladies, contrasted with 10.2 percent for non–Hispanic whites.
It is evident communities are not being educated on preventing Type 2 Diabetes and their risks
(American Diabetes Association, 2014). The purpose of this paper is to discuss the summary of the
teaching plan, epidemiological rationale for topic, evaluation of teaching experience, community
response to teaching, areas of strengths and areas of improvement.
Summary of Teaching Plan Within the teaching plan it is important to incorporate all the aspects of
Type 2 Diabetes prevention. To know the history of Type 2 Diabetes it is vital that everyone in the
community knows the past struggles of this condition and the efforts that have been made to treat
and prevent Type 2 Diabetes. In like matter, the inclusion of Type 2 Diabetes overview is presented,
which includes the process of the pancreas that release's insulin to the bloodstream to help decrease
blood sugar levels. Overtime the increased blood sugar levels lead to other health complications,
such as eye, kidneys, nerves, and heart problems. Moreover, the presentation presents with the risk
factors to Type 2 Diabetes, which includes family history of diabetes, being overweight, unhealthy
diet, physical

The Link Between Poverty And Diabetes
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).
Many studies have examined the link between poverty and diabetes. The CDC (2015b) have
identified the following as primary factors that lead an individual to have an increased risk of
developing diabetes: being overweight or obese; having a parent or sibling with diabetes; having
African American, American Indian, Asian American, Pacific Islander, or Hispanic American/Latino
heritage; having a history of gestational diabetes; having blood pressure measuring 140/90 or
higher; abnormal cholesterol; and being physically inactive.
Background

American Diabetes Association Strengths And Weaknesses
We live in an era of rapid technological change, and this environment, undoubtfully changes the
human health. Diabetes is one of the most widespread diseases, unfortunately. Therefore, there is a
pressing need to inform people about healthy ways of living and a caring approach to their health.
The American Diabetes Association (ADA) is one of the organizations that try, to prevent diabetes
and raise awareness on the disease in the US and around the world. Unfortunately, it has a set of
weaknesses, which influence not only the work of the organization, but the general public's opinion
of it as well.
One weakness is their reliance on sponsorships. Firstly, the ADA is a public non–profitable
organization, which depends on sponsorships (Fraser, ... Show more content on Helpwriting.net ...
Understanding that diabetes has reached epidemic proportions globally, the ADA has set up a yearly
"wake up call" event that hopes to reach as many individuals in the workplace, homes, clinics, and
everywhere in America and have them take the Association's 60 second survey called the "Type 2
Diabetes Risk Test" ("American Diabetes Association Alert Day," 2017). This event is held every
year on the last Tuesday of March, and is called the "American Diabetes Association Alert Day" and
all companies and organizations that want to make a difference in this diabetes epidemic can
definitely make a difference by sharing via social media, email, digital banners, posters, risk test
handouts, and educational resources provided on the ADA's website. This event focuses on
awareness, as prediabetes is a condition that can be reversed with weight loss, active lifestyle,
healthy food choices, healthier lifestyle modifications and lastly medications regimen ("American
Diabetes Association Alert Day," 2017). As nurses, it is imperative to become involved with
associations like the ADA to assist communities with education, screenings measures, and

Minority Health Disparities: A Case Study
The Kansas Health Institute executive summary for Racial and Ethnic Minority Health Disparities in
Kansas (2016) revealed the state findings resemble national findings for racial and ethnic health
disparities. The distinct concern for the African–American population consist of an earlier death rate
for those diagnosed with diabetes. However, despite the initiatives to improve minority health
disparities, Kansas continues to fall short of achieving the goals for improvement in care (Kansas
Health Institute, 2016). These findings are alarming given the health outcome risk associated with
diabetes. Furthermore, the risk factor of obesity as the leading cause for the development of diabetes
is concerning for Kansas residents, especially given that ... Show more content on Helpwriting.net ...
Conduct ongoing assessments of the organization's CLAS–related activities and integrate CLAS–
related measures into measurement and continuous quality improvement activities.
(2). Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact
of CLAS on health equity and outcomes and to inform service delivery.
(3). Conduct regular assessments of community health assets and needs and use the results to plan
and implement services that respond to the cultural and linguistic diversity of populations in the
service area.
(4). Partner with the community to design, implement, and evaluate policies, practices, and services
to ensure cultural and linguistic appropriateness.
However, the Kansas Health Institute (2015) along with the Robert Wood Johnson Foundation and
the Kansas Health Foundation in the development of an action plan, the Kansas Turning Point
project, to address the health disparities in Kansas. The action plan addresses the important factors
of (1). Encourage better and more consistent data, (2). Monitor health conditions, (3). Develop
minority–targeted health programs, (4). Improve the workforce, (5). Establish an office of minority
health, (6). Build accountability, (7). Support communities (Kansas Health Institute,

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