Used Tableau to created a Geo-map by zip codes, Bar chart by sex and race, and another Bar chart by age to display the dense of diabetes prevalence in 17 zip codes of North Texas.
Literature Review is conducted to demonstrate the reduction of hyperglycemia events after the implementation of an inpatient multidisciplinary glucose control management program.
Created Info-graphic to exhibit the ways to manage diabetes through education, counseling, meal/diet, and exercise and potential comorbidities in the diabetic patient that undergoes surgeries.
The Top Myths About Ketosis Debunked by Clinical TrialsJames McCarter
Present at CrossFit Health. October 13, 2019 by Dr. James McCarter. The one goal for this talk is arm medical providers to answer any objection to ketogenic and low carb nutrition approaches for the treatment of type 2 diabetes and other chronic metabolic diseases.
The Top Myths About Ketosis Debunked by Clinical TrialsJames McCarter
Present at CrossFit Health. October 13, 2019 by Dr. James McCarter. The one goal for this talk is arm medical providers to answer any objection to ketogenic and low carb nutrition approaches for the treatment of type 2 diabetes and other chronic metabolic diseases.
Evidence for a new category of diabetes care reversalJames McCarter
Virta Health doesn't just prevent or manage type 2 diabetes. We reverse the disease and restore metabolic health.
Virta Health delivers the first clinically-proven treatment to safely and sustainably reverse type 2 diabetes and other chronic metabolic disease without the risks, costs, or side effects of medications or surgery. Join us for this educational session as we review the impact of the Virta Treatment on metabolic and cardiovascular health in our clinical trial and nationwide commercial populations. We’ll discuss how nutritional ketosis combined with continuous remote care—technology-enabled and proactive, near real-time care from physicians and health coaches—is helping patients normalize blood sugar, remove diabetes medications, and lose clinically-significant body weight.
Effect of Patient Counseling in Improving Physical and Mental Health of Type-...Gangula Amareswara Reddy
The present study concluded that chronic diseases like diabetes affect the quality of life of patients.As the main goal of any medical care is the improvement of the patients’ overall quality of life, the clinical pharmacist imparted patient education through counseling has a major role in improving the physical as well as mental health outcomes.
Continuous Care Intervention in Type 2 DiabetesJames McCarter
CME Talk at Washington University Kilo Diabetes Symposium, November 2nd, 2018. CME Objectives:
1. Describe the evidence for carbohydrate restriction in the management of type 2 diabetes.
2. Distinguish between nutritional ketosis, fasting ketosis and ketoacidosis.
3. Discuss the role of ketones as both energy sources and signaling molecules.
4. Discuss the rationale for reduction of glycemic-control prescriptions following implementation of nutritional ketosis in the treatment of type 2 diabetes.
5. Hypothesize factors that allow for sustained behavior change in diabetes reversal and remission.
Effectiveness of Continuous Remote Care and Nutritional Ketosis for Type 2 Di...James McCarter
Society of Behavioral Medicine Annual Meeting, New Orleans,
April 14, 2018. eHealth Carbohydrate-Reduced Diet and Lifestyle
Programs for Adults with Type 2 Diabetes: Three Approaches
Data Driven is just the beginning, why the details of evidence matter by Dr. ...James McCarter
At Virta Health, our values include being evidence-based and prioritizing data and science over opinion in our decision-making. But how does this apply to the data we provide employers? Here are three questions we think employers should be asking healthcare providers and vendors offering health solutions to make smarter data-driven decisions (and some examples of vendor data that doesn’t stand up to scrutiny).
What Spine Surgeons Need to Know About Dietary Strategies for Heart Disease a...James McCarter
Presentation to the North American Spine Society Annual Meeting. Interdisciplinary Spine Forum: Obesity and Diabetes: Impact on the Spine and Evidence-Based Management Strategies. Organized by Dr. Carrie Diulus
Diabetes and obesity have reached epidemic proportion. It is imperative that spine providers take these factors into consideration. We also have the opportunity to be powerful motivators to our patients with some straight forward evidence-based strategies.
Upon completion of this session, participants should gain strategies to:
Understand impact of metabolic syndrome on spine conditions/degeneration and treatment outcomes
Learn dietary strategies to have a positive impact on these conditions and the most current science behind these recommendations
Understanding the impact of strategies on heart disease and lipids
How to implement recommendations in a busy clinical setting
Running head Healthy people 2020Healthy people 2020 .docxcowinhelen
Running head: Healthy people 2020
Healthy people 2020 2
Healthy people 2020
Diabetes mellitus
Introduction
This is a disease that results from the body’s inability to produce enough insulin or inability of the body to produce an appropriate response to insulin. This is the hormone regulation the way the body absorbs glucose. The improper functioning of the insulin in the body may result in elevated levels of blood glucose resulting in various abnormal metabolic activities. This finally results in complications in the body functioning. I am interested in this illness because of its prevalence currently. Across the globe, the number of individual suffering from diabetes mellitus has increased in the past ten years and that has brought this concern. Currently, in the United States, the effect is estimated at 29.1 million. The disease has been classified by the healthy people 2020 initiative group as occupying the 7nth position among the leading causes of death currently.
Morbidity and comorbidity in the United States
There are various disparities in the diabetes risk. The people from the minority population are most likely to suffer from type 2 diabetes. The minority groups, in this case, comprises 25% of the adult patient suffering from diabetes in the United States. The majority group comprises the children and adolescent with diabetes type 2. According to the healthy people initiate 2020, the African American, American Indians, and some Asian Americans are at higher risk of suffering from type 2 diabetes. The prevalence of this illness among the American Indians is 2-5 times that of the whites. Averagely, African Americans are 1.7 times as likely compared to Mexican Americans (Healthy people 2020, 2016). There are some barriers to the progress of diabetes care. The first one being the challenges arising from the design of the healthcare system and the other one being the continuous increase of diabetes cases. This results to decrease in the attention and resources available for every patient. Apart from the two, there are other comorbidities associated with diabetes. These include fracture risks, cancer risk, and prognosis, cognitive impairment, and incontinence.
Impact on health of the nation
Though manageable, diabetes is still one of the diseases posing a major health threat to the United States population and its healthcare system. This illness affects approximately 26 million people in this country with approximately 18.8 million people diagnosed and about seven million not yet diagnosed. Diabetes comes with an array of health issues. Among them being lower limb amputation, it has been determined to possibly cause blindness and kidney failure. Again, it contributes a lot to cardiovascular diseases. Research has indicated that approximately 68% of people suffering from diabetes end up dying of cardiovascular diseases. Economically, research shows that in 2012, this illness caused the United States to close to ...
1
Change Proposal Summary Report
Jessica Ramos
Capella University
FPX 6218: Leading the Future of Health Care
Dr. Donna Ryan
November 24, 2021
2
Change Proposal Summary Report
One of the clinical conditions affecting numerous people globally is diabetes. Around 35
million people in the United States are diagnosed with diabetes annually. Based on the world
statistics, diabetes pervasiveness has increased promptly among people of low and middle
incomes. Accordingly, people living in countries such as India and China have the highest
prevalence of diabetes. Globally, approximately 5.0 million deaths resulted from diabetes and
diabetes-related disorders. Again, the countries spend billions of dollars on health expenditures for
diabetic patients and other approaches to minimize its prevalence through education and other
evidence-based practices. Besides, more than 400 million people globally are likely to develop
type 2 diabetes mellitus. The executive summary will describe some of the challenges facing
healthcare, such as type 2 diabetes, and ideal strategies and measures to mitigate such health issues.
Executive Summary
Proposed Change
Globally, type 2 diabetes mellitus is a chronic health issue affecting numerous people.
From statistics, persons diagnosed with the disease have increased significantly in the past few
decades. The Center for Disease Control has pointed out a high incidence of type 2 diabetes
mellitus among children, the elderly, and teenagers (Mayer-Davis et al., 2017). Some of the risk
factors aligned with diabetes mellitus encompass behavioral practices, lifestyle, and genetics. A
proposed change to lessen the prevalence of type 2 diabetes mellitus entails implementing
programs including the Lifestyle Change Program and Diabetes Management Education and
Support (DMES). Such a proposed change will play a central role in raising awareness and giving
people critical information regarding type 2 diabetes, its prevention, and management (Munshi et
al., 2016). From contemporary clinical studies, recognizing diabetes risk factors early is crucial in
Donna Ryan
need to cite sources of all facts in this paragraph
Donna Ryan
cite source of this fact
3
preventing and managing chronic disorders (American Diabetes Association, 2016). Efficient
therapy might prevent or precisely delay diabetic complications. Thus, the DMES program
educates people regarding diabetes, preventive, and management strategies to improve their
lifestyle and behavioral practices.
Desired Outcomes
There is a need to boost awareness of various risk factors aligned with type 2 diabetes
mellitus. Many people will understand the risk factors contributing to the clinical disorder and
various measures or strategies to reduce its prevalence through the proposed programs ...
Evidence for a new category of diabetes care reversalJames McCarter
Virta Health doesn't just prevent or manage type 2 diabetes. We reverse the disease and restore metabolic health.
Virta Health delivers the first clinically-proven treatment to safely and sustainably reverse type 2 diabetes and other chronic metabolic disease without the risks, costs, or side effects of medications or surgery. Join us for this educational session as we review the impact of the Virta Treatment on metabolic and cardiovascular health in our clinical trial and nationwide commercial populations. We’ll discuss how nutritional ketosis combined with continuous remote care—technology-enabled and proactive, near real-time care from physicians and health coaches—is helping patients normalize blood sugar, remove diabetes medications, and lose clinically-significant body weight.
Effect of Patient Counseling in Improving Physical and Mental Health of Type-...Gangula Amareswara Reddy
The present study concluded that chronic diseases like diabetes affect the quality of life of patients.As the main goal of any medical care is the improvement of the patients’ overall quality of life, the clinical pharmacist imparted patient education through counseling has a major role in improving the physical as well as mental health outcomes.
Continuous Care Intervention in Type 2 DiabetesJames McCarter
CME Talk at Washington University Kilo Diabetes Symposium, November 2nd, 2018. CME Objectives:
1. Describe the evidence for carbohydrate restriction in the management of type 2 diabetes.
2. Distinguish between nutritional ketosis, fasting ketosis and ketoacidosis.
3. Discuss the role of ketones as both energy sources and signaling molecules.
4. Discuss the rationale for reduction of glycemic-control prescriptions following implementation of nutritional ketosis in the treatment of type 2 diabetes.
5. Hypothesize factors that allow for sustained behavior change in diabetes reversal and remission.
Effectiveness of Continuous Remote Care and Nutritional Ketosis for Type 2 Di...James McCarter
Society of Behavioral Medicine Annual Meeting, New Orleans,
April 14, 2018. eHealth Carbohydrate-Reduced Diet and Lifestyle
Programs for Adults with Type 2 Diabetes: Three Approaches
Data Driven is just the beginning, why the details of evidence matter by Dr. ...James McCarter
At Virta Health, our values include being evidence-based and prioritizing data and science over opinion in our decision-making. But how does this apply to the data we provide employers? Here are three questions we think employers should be asking healthcare providers and vendors offering health solutions to make smarter data-driven decisions (and some examples of vendor data that doesn’t stand up to scrutiny).
What Spine Surgeons Need to Know About Dietary Strategies for Heart Disease a...James McCarter
Presentation to the North American Spine Society Annual Meeting. Interdisciplinary Spine Forum: Obesity and Diabetes: Impact on the Spine and Evidence-Based Management Strategies. Organized by Dr. Carrie Diulus
Diabetes and obesity have reached epidemic proportion. It is imperative that spine providers take these factors into consideration. We also have the opportunity to be powerful motivators to our patients with some straight forward evidence-based strategies.
Upon completion of this session, participants should gain strategies to:
Understand impact of metabolic syndrome on spine conditions/degeneration and treatment outcomes
Learn dietary strategies to have a positive impact on these conditions and the most current science behind these recommendations
Understanding the impact of strategies on heart disease and lipids
How to implement recommendations in a busy clinical setting
Running head Healthy people 2020Healthy people 2020 .docxcowinhelen
Running head: Healthy people 2020
Healthy people 2020 2
Healthy people 2020
Diabetes mellitus
Introduction
This is a disease that results from the body’s inability to produce enough insulin or inability of the body to produce an appropriate response to insulin. This is the hormone regulation the way the body absorbs glucose. The improper functioning of the insulin in the body may result in elevated levels of blood glucose resulting in various abnormal metabolic activities. This finally results in complications in the body functioning. I am interested in this illness because of its prevalence currently. Across the globe, the number of individual suffering from diabetes mellitus has increased in the past ten years and that has brought this concern. Currently, in the United States, the effect is estimated at 29.1 million. The disease has been classified by the healthy people 2020 initiative group as occupying the 7nth position among the leading causes of death currently.
Morbidity and comorbidity in the United States
There are various disparities in the diabetes risk. The people from the minority population are most likely to suffer from type 2 diabetes. The minority groups, in this case, comprises 25% of the adult patient suffering from diabetes in the United States. The majority group comprises the children and adolescent with diabetes type 2. According to the healthy people initiate 2020, the African American, American Indians, and some Asian Americans are at higher risk of suffering from type 2 diabetes. The prevalence of this illness among the American Indians is 2-5 times that of the whites. Averagely, African Americans are 1.7 times as likely compared to Mexican Americans (Healthy people 2020, 2016). There are some barriers to the progress of diabetes care. The first one being the challenges arising from the design of the healthcare system and the other one being the continuous increase of diabetes cases. This results to decrease in the attention and resources available for every patient. Apart from the two, there are other comorbidities associated with diabetes. These include fracture risks, cancer risk, and prognosis, cognitive impairment, and incontinence.
Impact on health of the nation
Though manageable, diabetes is still one of the diseases posing a major health threat to the United States population and its healthcare system. This illness affects approximately 26 million people in this country with approximately 18.8 million people diagnosed and about seven million not yet diagnosed. Diabetes comes with an array of health issues. Among them being lower limb amputation, it has been determined to possibly cause blindness and kidney failure. Again, it contributes a lot to cardiovascular diseases. Research has indicated that approximately 68% of people suffering from diabetes end up dying of cardiovascular diseases. Economically, research shows that in 2012, this illness caused the United States to close to ...
1
Change Proposal Summary Report
Jessica Ramos
Capella University
FPX 6218: Leading the Future of Health Care
Dr. Donna Ryan
November 24, 2021
2
Change Proposal Summary Report
One of the clinical conditions affecting numerous people globally is diabetes. Around 35
million people in the United States are diagnosed with diabetes annually. Based on the world
statistics, diabetes pervasiveness has increased promptly among people of low and middle
incomes. Accordingly, people living in countries such as India and China have the highest
prevalence of diabetes. Globally, approximately 5.0 million deaths resulted from diabetes and
diabetes-related disorders. Again, the countries spend billions of dollars on health expenditures for
diabetic patients and other approaches to minimize its prevalence through education and other
evidence-based practices. Besides, more than 400 million people globally are likely to develop
type 2 diabetes mellitus. The executive summary will describe some of the challenges facing
healthcare, such as type 2 diabetes, and ideal strategies and measures to mitigate such health issues.
Executive Summary
Proposed Change
Globally, type 2 diabetes mellitus is a chronic health issue affecting numerous people.
From statistics, persons diagnosed with the disease have increased significantly in the past few
decades. The Center for Disease Control has pointed out a high incidence of type 2 diabetes
mellitus among children, the elderly, and teenagers (Mayer-Davis et al., 2017). Some of the risk
factors aligned with diabetes mellitus encompass behavioral practices, lifestyle, and genetics. A
proposed change to lessen the prevalence of type 2 diabetes mellitus entails implementing
programs including the Lifestyle Change Program and Diabetes Management Education and
Support (DMES). Such a proposed change will play a central role in raising awareness and giving
people critical information regarding type 2 diabetes, its prevention, and management (Munshi et
al., 2016). From contemporary clinical studies, recognizing diabetes risk factors early is crucial in
Donna Ryan
need to cite sources of all facts in this paragraph
Donna Ryan
cite source of this fact
3
preventing and managing chronic disorders (American Diabetes Association, 2016). Efficient
therapy might prevent or precisely delay diabetic complications. Thus, the DMES program
educates people regarding diabetes, preventive, and management strategies to improve their
lifestyle and behavioral practices.
Desired Outcomes
There is a need to boost awareness of various risk factors aligned with type 2 diabetes
mellitus. Many people will understand the risk factors contributing to the clinical disorder and
various measures or strategies to reduce its prevalence through the proposed programs ...
Peer #1 Nicholette ThomasTypes of diabetes Type 1 .docxpauline234567
Peer #1
Nicholette Thomas
Types of diabetes:
Type 1 diabetes only accounts for 5% of diabetes cases and is usually diagnosed in childhood or adolescent ages (Rosenthal & Burchum, 2017). In type 1, the body destroys its own pancreatic beta cells through an autoimmune process. For this reason, no insulin can be produced innately, hence why it is known as insulin-dependent diabetes (Rosenthal & Burchum, 2017). Juvenile diabetes used to be used interchangeably with the term Type 1 diabetes, although the incidence of children developing type 2 diabetes is on the rise as well as the correlated rates of childhood obesity (Valaiyapathi et al., 2020).
Type 2 diabetes, which will be the main focus of this discussion, is usually diagnosed after the age of 40, and while there is a large hereditary component, it is often brought on largely by modifiable risk factors such as obesity, poor diet and sedentary lifestyle (Rosenthal & Burchum, 2017). It is characterized by the development of insulin resistance within target tissues such as the liver and adipose tissue, as well as an impaired or delayed secretion of insulin (Rosenthal & Burchum, 2017). Diagnosis of diabetes can include a combination of different tests including a fasting plasma glucose (FPG) of greater than 126 mg/dL, a random glucose of greater than 200, an oral glucose tolerance test (OGTT) of greater than 11, and an A1c of greater than 6.5% (Quattrocchi et al., 2020). It is important to note that other conditions can affect the hgb A1c as well, such as sickle cell, anemia, blood transfusions, dialysis and pregnancy (Quattrocchi et al., 2020). Therefore, multiple tests should be performed and possibly repeated before making a definitive diagnosis.
Gestational diabetes is brought on by pregnancy and subsides rapidly after the birth of the child (Rosenthal & Burchum, 2017). It can be difficult to control due to elevated cortisol levels during pregnancy, other placental hormones that can antagonize the actions of insulin, and also due to the ability of glucose to freely get into the blood of the fetus (Rosenthal & Burchum, 2017). For this reason, blood glucose levels often need to be checked six to seven times per day and be correlated properly with meals / amount of carbohydrates to avoid harm to the fetus. Diet and insulin are utilized primarily to treat this type of diabetes (Rosenthal & Burchum, 2017).
Drug Therapy: Metformin
There are many different types of oral medications and different types of insulin that can be used to manage diabetes. Each class of oral medications works differently in the body to help lower blood sugar. A stepwise approach for managing diabetes, especially alongside different comorbidities such as heart disease and CKD should be implemented, as noted by the recommendations by the ADA, which I will link the updated 2023 articles for standards of care for pharm management under the references listed below. For the purpose o.
Diabetes Type 1 Sara MartinezChamberlain College of Nursing.docxlynettearnold46882
Diabetes Type 1
Sara Martinez
Chamberlain College of Nursing
NR 507 Advanced Pathophysiology
2018
1
1
What is Diabetes
Body Does not make or properly use insulin: (ADA,2005)
No insulin production
Insufficient insulin production
Resistance to insulin’s effects
No insulin to move glucose from blood into cells
High blood glucose means:
Fuel loss, cells starve
Short and long term complications
2
Diabetes is a chronic disease in which the body does not make or properly
use insulin, a hormone that is needed to convert sugar, starches, and other
food into energy by moving glucose from blood into the cells ( American Diabetes Association, 2005).
People with diabetes have increased blood glucose (sugar) levels for one or
more of the following three reasons: Either
No insulin is being produced,
Insulin production is insufficient, and/or
The body is resistant to the effects of insulin.
As a result, high levels of glucose build up in the blood, and spill into the
urine and out of the body. The body loses its main source of fuel and cells
are deprived of glucose, a needed source of energy. High blood glucose
levels may result in short and long term complications over time ( Centers for Disease Control and Prevention, 2017).
2
Understanding Diabetes Type 1
Auto immune disorder
Insulin – producing cells destroyed
Daily insulin replacement necessary
Age of onset: usually childhood, young adults
Most prevalent type of diabetes in children and adolescent’s
(CDC,2017)
3
Diabetes mellitus (DM) is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both (CDC,2017).
The term diabetes mellitus describes a metabolic disorder of multiple aetiology characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both.
The effects of diabetes mellitus include long–term damage, dysfunction and failure of various organs.
Diabetes is a condition where the body fails to utilize the ingested glucose properly. This could be due to lack of the hormone insulin or because the insulin that is available is not working effectively. Diabetes is the fastest growing long term disease that affects millions of people worldwide (CDC,2017). According to the charity Diabetes UK, more than two million people in the UK have the condition and up to 750,000 more are unaware of having the condition. In the United States 25.8 million people or 8.3% of the population have diabetes. Of these, 7.0 million have undiagnosed diabetes. In 2010, about 1.9 million new cases of diabetes were diagnosed in population over 20 years. It is said that if this trend continues, 1 in 3 Americans would be diabetic by 2050 (Mayo Clinic, 2017).
Type 1 diabetes is a disease of the immune system, which is the body’s system for fighting infection.
In people with type 1 diabetes, the .
1Obesity Florida National UniversityAlina RiveroTatianaMajor22
1
Obesity
Florida National University
Alina Rivero
Health Promotion and Role Development in Advanced Nursing Practice
Professor: Alexander Garcia Salas
January 20, 2022
Obesity
2
Good nutrition is a vital factor in leading a healthy life. However, poor nutrition may
lead to nutritional problems, such as poor growth, malnutrition, obesity, and overweight.
Obesity is a major health problem at the local, national and global levels as it is associated with
the prevalence of chronic diseases. It is a major risk factor for cardiovascular conditions, such
as stroke and heart diseases, diabetes as well as cancer. Obesity affects individuals of all ages.
It is, thus, important to develop effective health promotion strategies for addressing obesity in
communities.
Obesity is a serious health concern worldwide. According to global health statistics,
there is a rising number of people who are becoming overweight and obese (World Health
Organization (WHO), 2020). Obesity has been identified as a major risk factor for the
development of cardiovascular diseases such as hypertension and heart diseases, and one of the
leading causes of premature death. There is an estimate of 340 million adolescents and children
who are obese and overweight across the world, where it is also estimated that the number of
children and adolescents who are obese has outweighed the number of individuals who are
underweight (WHO, 2020). The main causes of the increase of obesity worldwide are
increasing urbanization as well as an increase in the dietary intake of sugary foods and fatty
meals. The health strategies towards reducing obesity worldwide include global action by
international agencies as well as promoting health education worldwide on the importance of
taking healthy meals and frequent exercises.
Obesity is also a growing health concern at the national level. According to the Centers
for Disease Control and Prevention (CDC), there is a constant rise in poor nutrition across the
country (Wang et al, 2020). Obesity, which is expressed in terms of Body Mass Index (BMI)
has had a significant and steady rise among children, adolescents, and the elderly, and
approximately, 37% of the entire population in the United States is estimated to be either obese
or overweight (Wang et al, 2020). Obesity has strongly been associated with the rising
3
prevalence of health concerns, such as diabetes, heart diseases, cancerous infections as well as
stroke as contributing risk factors in the United States. Similar to the global situation, obesity
has been associated with increased dietary intake of fatty and sugary meals. Other contributing
factors include physical environments, social health determinants, and family inheritance. The
health promotion strategies towards reducing its prevalence include providing access to
healthier foods, limiting access to junk and fast foods, promoting physical activities, a ...
"Empowered Living with Diabetes: Navigating the Path to Wellness" is an indispensable guide for individuals seeking comprehensive knowledge and practical strategies for effectively managing diabetes. Written by Dr. Olivia Mitchell, a renowned expert in the field of diabetes management, this book offers a holistic approach to understanding and navigating the complexities of diabetes.
From the introductory chapters that provide a thorough overview of diabetes and its various types, to the detailed discussions on prevention, management, and coexisting conditions, this book covers it all. With clarity and expertise, Dr. Mitchell delves into topics such as blood glucose monitoring, medication management, healthy eating, physical activity, stress management, and the emotional well-being of individuals with diabetes.
Through insightful chapters that address common comorbidities associated with diabetes, readers will gain valuable knowledge on how to effectively manage cardiovascular health, hypertension, kidney disease, eye complications, nerve damage, and mental health concerns. Practical tips, evidence-based recommendations, and real-life examples provide readers with the tools needed to take control of their health and embrace a life of empowerment.
Furthermore, this book offers guidance for navigating special occasions, traveling with diabetes, and staying motivated while overcoming challenges. Dr. Mitchell emphasizes the importance of a supportive environment, self-advocacy, and the power of a positive mindset in achieving long-term success in diabetes management.
"Empowered Living with Diabetes" is not just a guidebook, but a source of inspiration and empowerment for individuals living with diabetes. Dr. Olivia Mitchell's expertise and compassionate approach create a valuable resource that will help readers develop the skills, knowledge, and confidence to thrive while managing their condition.
Whether you are newly diagnosed, have been living with diabetes for years, or are a caregiver or healthcare professional seeking comprehensive insights, this book is an invaluable companion on your journey towards wellness and empowerment. With its practical advice, empowering strategies, and the belief that a fulfilling life with diabetes is possible, "Empowered Living with Diabetes" will guide you towards a healthier, happier, and more empowered future.
Similar to Approach to Support Diabetes through Data Visualization (20)
Opendatabay - Open Data Marketplace.pptxOpendatabay
Opendatabay.com unlocks the power of data for everyone. Open Data Marketplace fosters a collaborative hub for data enthusiasts to explore, share, and contribute to a vast collection of datasets.
First ever open hub for data enthusiasts to collaborate and innovate. A platform to explore, share, and contribute to a vast collection of datasets. Through robust quality control and innovative technologies like blockchain verification, opendatabay ensures the authenticity and reliability of datasets, empowering users to make data-driven decisions with confidence. Leverage cutting-edge AI technologies to enhance the data exploration, analysis, and discovery experience.
From intelligent search and recommendations to automated data productisation and quotation, Opendatabay AI-driven features streamline the data workflow. Finding the data you need shouldn't be a complex. Opendatabay simplifies the data acquisition process with an intuitive interface and robust search tools. Effortlessly explore, discover, and access the data you need, allowing you to focus on extracting valuable insights. Opendatabay breaks new ground with a dedicated, AI-generated, synthetic datasets.
Leverage these privacy-preserving datasets for training and testing AI models without compromising sensitive information. Opendatabay prioritizes transparency by providing detailed metadata, provenance information, and usage guidelines for each dataset, ensuring users have a comprehensive understanding of the data they're working with. By leveraging a powerful combination of distributed ledger technology and rigorous third-party audits Opendatabay ensures the authenticity and reliability of every dataset. Security is at the core of Opendatabay. Marketplace implements stringent security measures, including encryption, access controls, and regular vulnerability assessments, to safeguard your data and protect your privacy.
Adjusting primitives for graph : SHORT REPORT / NOTESSubhajit Sahu
Graph algorithms, like PageRank Compressed Sparse Row (CSR) is an adjacency-list based graph representation that is
Multiply with different modes (map)
1. Performance of sequential execution based vs OpenMP based vector multiply.
2. Comparing various launch configs for CUDA based vector multiply.
Sum with different storage types (reduce)
1. Performance of vector element sum using float vs bfloat16 as the storage type.
Sum with different modes (reduce)
1. Performance of sequential execution based vs OpenMP based vector element sum.
2. Performance of memcpy vs in-place based CUDA based vector element sum.
3. Comparing various launch configs for CUDA based vector element sum (memcpy).
4. Comparing various launch configs for CUDA based vector element sum (in-place).
Sum with in-place strategies of CUDA mode (reduce)
1. Comparing various launch configs for CUDA based vector element sum (in-place).
Levelwise PageRank with Loop-Based Dead End Handling Strategy : SHORT REPORT ...Subhajit Sahu
Abstract — Levelwise PageRank is an alternative method of PageRank computation which decomposes the input graph into a directed acyclic block-graph of strongly connected components, and processes them in topological order, one level at a time. This enables calculation for ranks in a distributed fashion without per-iteration communication, unlike the standard method where all vertices are processed in each iteration. It however comes with a precondition of the absence of dead ends in the input graph. Here, the native non-distributed performance of Levelwise PageRank was compared against Monolithic PageRank on a CPU as well as a GPU. To ensure a fair comparison, Monolithic PageRank was also performed on a graph where vertices were split by components. Results indicate that Levelwise PageRank is about as fast as Monolithic PageRank on the CPU, but quite a bit slower on the GPU. Slowdown on the GPU is likely caused by a large submission of small workloads, and expected to be non-issue when the computation is performed on massive graphs.
Techniques to optimize the pagerank algorithm usually fall in two categories. One is to try reducing the work per iteration, and the other is to try reducing the number of iterations. These goals are often at odds with one another. Skipping computation on vertices which have already converged has the potential to save iteration time. Skipping in-identical vertices, with the same in-links, helps reduce duplicate computations and thus could help reduce iteration time. Road networks often have chains which can be short-circuited before pagerank computation to improve performance. Final ranks of chain nodes can be easily calculated. This could reduce both the iteration time, and the number of iterations. If a graph has no dangling nodes, pagerank of each strongly connected component can be computed in topological order. This could help reduce the iteration time, no. of iterations, and also enable multi-iteration concurrency in pagerank computation. The combination of all of the above methods is the STICD algorithm. [sticd] For dynamic graphs, unchanged components whose ranks are unaffected can be skipped altogether.
Explore our comprehensive data analysis project presentation on predicting product ad campaign performance. Learn how data-driven insights can optimize your marketing strategies and enhance campaign effectiveness. Perfect for professionals and students looking to understand the power of data analysis in advertising. for more details visit: https://bostoninstituteofanalytics.org/data-science-and-artificial-intelligence/
Data Centers - Striving Within A Narrow Range - Research Report - MCG - May 2...pchutichetpong
M Capital Group (“MCG”) expects to see demand and the changing evolution of supply, facilitated through institutional investment rotation out of offices and into work from home (“WFH”), while the ever-expanding need for data storage as global internet usage expands, with experts predicting 5.3 billion users by 2023. These market factors will be underpinned by technological changes, such as progressing cloud services and edge sites, allowing the industry to see strong expected annual growth of 13% over the next 4 years.
Whilst competitive headwinds remain, represented through the recent second bankruptcy filing of Sungard, which blames “COVID-19 and other macroeconomic trends including delayed customer spending decisions, insourcing and reductions in IT spending, energy inflation and reduction in demand for certain services”, the industry has seen key adjustments, where MCG believes that engineering cost management and technological innovation will be paramount to success.
MCG reports that the more favorable market conditions expected over the next few years, helped by the winding down of pandemic restrictions and a hybrid working environment will be driving market momentum forward. The continuous injection of capital by alternative investment firms, as well as the growing infrastructural investment from cloud service providers and social media companies, whose revenues are expected to grow over 3.6x larger by value in 2026, will likely help propel center provision and innovation. These factors paint a promising picture for the industry players that offset rising input costs and adapt to new technologies.
According to M Capital Group: “Specifically, the long-term cost-saving opportunities available from the rise of remote managing will likely aid value growth for the industry. Through margin optimization and further availability of capital for reinvestment, strong players will maintain their competitive foothold, while weaker players exit the market to balance supply and demand.”
Data Centers - Striving Within A Narrow Range - Research Report - MCG - May 2...
Approach to Support Diabetes through Data Visualization
1. Running head: APPROACH TO SUPPORT DIABETES 1
NURS 4923 Capstone in Informatics
Approach to Improve Diabetes Through Education
Divya Bastola
Texas Woman’s University
Dallas, Texas
Author Note
Divya Bastola, Texas Woman’s University, Mathematics & Computer Science
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Table of Contents
Problem Identification 3
Literature Review 5
Search Process 5
Findings 6
Formulation of Innovative Approach for Clinical Problem 6
Outcomes and Associated Evaluation Criteria 7
Appendix A: Visual Analytic Dashboard for Support of Diabetes Type 2, Inpatient 10
Appendix B: Infographic 11
References 13
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Approach to Improve Diabetes Through Education
Problem Identification
According to the Center for Disease Control and Prevention (Centers for Disease Control and
Prevention, 2020), 34.2 million US adults have diabetes in which 1 out of 5 do not know they
have it. There are mainly 4 types of diabetes: Type 1, Type 2, Newly found diabetes, and
Gestational Diabetes. Diabetes is a chronic (long-lasting) health condition that affects how your
body turns food into energy (Centers for Disease Control and Prevention, 2020). The food that
we eat, especially carbohydrates, is broken down into a simpler form called glucose in the small
intestine and released in the bloodstream so that blood can take to the cells and tissue. Insulin
produced by the beta cells of pancreatic islets helps in absorbing the blood glucose level into the
cells and tissue to convert it into energy. However, sometimes there is not enough insulin
produced or sometimes cells in our body do not recognize the insulin therefore leaving too much
glucose level in the bloodstream which leads to Diabetes. The number of diabetes cases is
increasing every day. Diabetes is the 7th leading cause of death in the U.S. and the number one
cause of several other diseases like kidney failure, lower limb amputation, and adult blindness.
Type 1 Diabetes:
Type 1 diabetes occurs at every age, in people of every race, and every shape and size (American
Diabetes Association, 2020). According to the CDC, in the United States, there are nearly 1.6
million people that have Type 1 diabetes out of which 187,000 are children and adolescents. 5-
10% of diabetic patients fall under Type 1 diabetes (Centers for Disease Control and Prevention,
2020). In this type of diabetes, the body does not produce enough insulin. Different factors lead
to Type 1 diabetes. Type 1 diabetes can be inherited risk factors from parents. If a parent has
Type 1 diabetes, the odds for their child developing diabetes is 1 in 17. The chance of getting
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diabetes is 1 in 17 for a type 1 diabetic mother who gives birth to a child before the age of 25 and
1 in 100 if she gives birth after she turns 25 (American Diabetes Association, 2020). Food habits
might be another factor in developing diabetes. In experiments that followed relatives of people
with type 1 diabetes, researchers found that most of those who later got diabetes had certain
autoantibodies in their blood for years before developing diabetes (American Diabetes
Association, 2020). Type 1 diabetes can be managed with the help of insulin therapy, treatments,
a healthy diet, and enough exercise.
Type 2 Diabetes
According to the CDC, Type 2 diabetes is more common than Type 1. Unlike Type 1 diabetes,
the body does not use insulin properly as a result cannot control sugar and increases blood sugar
level (Centers for Disease Control and Prevention, 2020). The term insulin resistance is most
appropriate to describe this condition, about 90-95% of people who have diabetes are diagnosed
with Type 2 diabetes. Diabetes develops over many years and is usually diagnosed in adults, but
more and more in children, teens, and young adults (Centers for Disease Control and Prevention,
2020). Individuals should consider the risk factors of developing diabetes such as having
prediabetes, overweight, 45 years or older, having a parent, brother, or sister with type 2 diabetes
and physically active less than 3 times a week to be conscious ahead of time. Pregnant women
often develop gestational diabetes which may later develop into type 2 diabetes (Centers for
Disease Control and Prevention, 2020). Type 2 diabetes is highly linked to family history,
environmental factors, lifestyle, food habits, and obesity. Children who are introduced to an
unhealthy food diet from their parents are more likely to develop diabetes. Things like healthy
eating, exercising, compliance with prescribed insulin medication, injectable medications, and
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oral diabetes medicine can treat Type 2 diabetes (Centers for Disease Control and Prevention,
2020).
Newly Found Diabetes
According to the American Diabetes Association, 1.5 million people will be diagnosed with
diabetes this year. Diabetes can develop at any age. Although it may seem frightening and
stressful, there are always ways people can manage and control diabetes. Individuals with
diabetes can live longer than in the past, by practicing healthy measures. Individuals with type 1
or type 2 diabetes can manage this disease with diet and exercise (American Diabetes
Association, 2020). Eating foods that include a variety of whole grains, vegetables, fruits, non-
dairy products, lean meats, and healthy fats to acquire nutrients can help reduce the risks of
developing diabetes. Being physically active and decreasing stress levels can lower the risk of
developing diabetes (American Diabetes Association, 2020).
The purpose of this paper is to identify resources for individuals with diabetes to improve and
prevent diabetes with support and education.
Literature Review
A summary of the literature review to support the topic of Diabetes Mellitus is provided.
First, the literature review process will be described followed by the key literature review
findings. Details of the top sources for relevance are provided in Table 1.
Search Process
The university Library’s EBSCO database was used to search the articles related to
diabetes. Some important keywords like Medline, diabetes mellitus, prevention, control, and
inpatients were used to locate the 5 articles. The top 5 selected articles are presented in Table 1.
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Findings
Five articles are selected out of which all of the studies demonstrate positive outcomes.
From enhancing diabetes care to impact of glucose control management, outcomes following
certain surgeries in diabetic patients are topics of interest found in the article. The articles are
retrospective in nature and the glucose level is measured before glucose control management is
conducted and after and complication flowing the surgeries in diabetic and non-diabetic patients.
Formulation of Innovative Approach for Clinical Problem
The proposed approach for the topic of Diabetes II is to identify resources for individuals with
diabetes to improve and prevent diabetes with support and education (McLendon et al., 2019).
The specific components of this approach in order of sequence are:
1. Approach step/component #1 Literature Review – Literature Review is conducted and
finding were significant reduction in hyperglycemic events after the implementation
of an inpatient multidisciplinary glucose control management program (Momesso et
al., 2018) and potential for improving diabetes control after access to specialty care
through telemedicine and reduction of health care utilization costs (McLendon et al.,
2019). (See Table 1)
2. Approach step/component #2 Visual Analytic Dashboard – Created a Geomap by zip
codes, Bar chart by sex and race, and another Bar chart by age to display the dense of
diabetes prevalence in 17 zip codes of North Texas. (Data source is THCIC,
QlikView is the business intelligence tool to extract records, and Tableau is used to
create a visual analytic dashboard. (See Appendix A)
3. Approach step/component #3 Infographic – Created Infographic to exhibit the ways
to manage diabetes through education, counseling, meal/diet, and exercise and
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potential comorbidities in the diabetic patient that undergoes surgeries. (See
Appendix B)
Outcomes and Associated Evaluation Criteria
Diabetes prevalence in the patient that went through Total Hip Replacement (THR) and
Total Knee Replacement (TKR) was 11 percent. Health care facilities utilizing this approach can
be expected to find out the increase/decrease in pain, function, complication, and length of
hospital stay in patients with diabetes vs without diabetes and patients with poorly controlled
diabetes vs well-controlled diabetes (Lenguerrand et al., 2018). Several specific outcomes
relating to the approach were noted. For example, the median length of stay was 1 day longer in
a patient with diabetes (p = 0.004), but this attenuated after adjustments for BMI and
comorbidities (p = 0.3) (Lenguerrand et al., 2018). Weight loss program from the Veterans
Affairs Diabetes Prevention Program (VD-DPP) showed a change in weight and hemoglobin
A1c with a short period which attenuates the complications (Moin et al., 2017).
Another specific outcome was inpatient pain was greater for patients with diabetes but attenuated
some adjustments. Controlled blood glucose levels achieved from glucose control management
programs like inpatient multidisciplinary glucose control can be effective to reduce pain and
complications if done before surgeries (Momesso et al., 2018). The 12-month postoperative
subscales were similar by diabetes status following adjustment and there was little evidence of a
difference in outcomes according to glycemic control (Lenguerrand et al., 2018).
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Table 1
Literature Review Articles
1. Title
2. First Author
3. Date
4. Country
5. Patient
Population
6. Sample Size
7. Intervention of Interest
8. Design (Experiment,
observation, etc.)
9. Level of Evidence (I - VI)
10. Comparison of
Interest
11. Outcome of
Interest
12. Results of Study
13. Conclusion
14. Strengths
15. Limitations
A.
1. Enhancing
diabetes care
through care
coordination,
telemedicine, and
education:
Evaluation of rural
pilot program.
2. Susan
3. 2019
4. United States
5. Adult
patients.
6. 59
7. Provide a grant-funded
pilot diabetes care program
to control diabetes.
8. Experiment
9. Analysis
10. Pre and post
diabetes cases
through care
coordination,
telemedicine, and
education.
11. Improved
12. Statistically
reduction in A1C,
DSME (Diabetes
Self-Management
Education) test
score
improvement, and
reduced
hospitalization.
13. Rural models
show potential for
improving diabetes
control.
14. Not listed
15. Delay in
staffing and
credentialing,
Telemedicine: a
new model in
health care
system’s primary
care and broad
band internet
strength.
B.
1. Impact of an
inpatient
multidisciplinary
glucose control
management
program.
2. Denise
3. 2018
4. Brazil
5. Teenager
and adult
6. 389 patients
in May 2014,
545 patients in
June 2015, and
475 patients in
May 2017
7. Evaluate the impact of
implementation of an
inpatient multidisciplinary
glucose control
management program on
glucose control in
hospitalization patients.
8. Observation.
9. Analysis
10. Glucose
monitoring
obtained by
POCT (Point of-
Care Testing)
before the
implementation
of the MGCP
(Multidisciplinary
Glucose Control
Management
11. Improved
12. Significant
reduction in
hyperglycemic
events.
13. Implementation
of an inpatient
multidisciplinary
glucose
management
14. Not listed
15.
Nonrandomized
design, absence of
a concurrent
control group and
potential for type I
error (i.e. a false-
positive result).
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1. Title
2. First Author
3. Date
4. Country
5. Patient
Population
6. Sample Size
7. Intervention of Interest
8. Design (Experiment,
observation, etc.)
9. Level of Evidence (I - VI)
10. Comparison of
Interest
11. Outcome of
Interest
12. Results of Study
13. Conclusion
14. Strengths
15. Limitations
Program) in May
2014 and after its
implementation in
June 2015 and
May 2017.
program improved
clinical outcomes.
C.
1. Outcomes
following hip and
knee replacement in
diabetic versus
nondiabetic patients
and well versus
poorly controlled
diabetic patients: a
prospective cohort
study.
2. Eric
3. 2018
4. United States
5. Adults
6. Total Hip
Replacement
(THR) =300
Total Knee
Replacement
(TKR) = 287
7. Impact of diabetes and
glycemic control in
outcome of Total knee and
Hip replacement.
8. Observation
9. Analysis
10. Pain,
function,
complication, and
length of hospital
stay in diabetic
and nondiabetic
patients receiving
THR or TKR and
compared these
outcomes with
poorly controlled
versus well
controlled
diabetes.
11. Not listed
12. patients with
diabetes had longer
hospital stays,
more severe acute
postoperative pain
and worst
outcomes than
non-diabetic
patients.
13. Association
between diabetes
and worse
postoperative
outcomes were due
to obesity and
comorbidities.
14. Not listed
15. THR and TKR
patients were
analyzed together
to ensure a
sufficient sample in
which to
investigate
disparities in
outcome by
diabetes and
glycemic status
D.
1. Diabetes
Prevention Program
Translation in the
Veterans Health
Administration
2. Tannaz
5.Adults
6. 720
7. Effectiveness of the
Veterans Affairs Diabetes
Prevention Program with
care management program
in the Veterans Health
Administration health
system.
10. Compare the
VA-DPP to the
pre-program
MOVE diabetes
management.
11. Improved.
12. Weight loss
significant
13. VA-DPP
participants had
higher participation
and weight loss
14. Not listed
15. Trail may limit
generalizability,
19% of participant
did not complete
follow up HbA1c
testing,
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1. Title
2. First Author
3. Date
4. Country
5. Patient
Population
6. Sample Size
7. Intervention of Interest
8. Design (Experiment,
observation, etc.)
9. Level of Evidence (I - VI)
10. Comparison of
Interest
11. Outcome of
Interest
12. Results of Study
13. Conclusion
14. Strengths
15. Limitations
3. 2017
4. Unites States
8. Prospective, pragmatic,
and non-randomized study.
9. Analysis
rates, HbA1x, and
health expenditure
at 12 months
compared to
MOVE.
Participations were
not randomized,
etc.
E.
1. Determinants of
hemoglobin A1c
level in patients with
type 2 diabetes after
in-hospital diabetes
education: A study
based on continuous
glucose monitoring.
2. Keiichi
3. 2017
4. Japan
5.Adult
6. 54
7. Investigate the
relationship between blood
glucose profile and
hemoglobin A1c and 12
weeks after discharge of
type 2 diabetic inpatient.
8. Retrospective study
9. Analysis
10. Compare the
blood glucose
level of the
inpatient at
discharge and
HbA1c at 12
weeks of
discharge
11. HbA1c level at
12 weeks after
discharge
correlated with
MBG (Mean Blood
Glucose) level.
12. HbA1c
correlates with
MBG level.
13. Blood glucose
level profile at
discharge using
CGM (Continuous
Glucose
Monitoring) seems
useful to predict
HbA1c level.
14. Not listed
15. Treatment goal
differentiated from
patient to patient, it
was a retrospective
study carried out in
two hospitals and
the interindividual
variability in the
educational effect
was not included in
the analysis.
Note: Instructions are for each of the main articles (at least five) in support your proposed evidence-based practice approach, provide as many of these 15
characteristics as possible. Indicate N/A if not available.
11. Running head: APPROACH TO SUPPORT DIABETES 11
Appendix A: Visual Analytic Dashboard for Support of Diabetes Type 2, Inpatient
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References
American Diabetes Association. (2020). The path to understanding diabetes starts here.
www.diabetes.org. https://diabetes.org/diabetes
Centers for Disease Control and Prevention. (2020). What is Diabetes? www.cdc.gov.
httpDepartment of State Health Services, (DSHS). (2020). Texas Health Care
Information Collection (THCIC). www.dshs.texas.gov.
https://dshs.texas.gov/thcic/s://www.cdc.gov/diabetes/basics/diabetes.html
Lenguerrand, E., Beswick, A. D., Whitehouse, M. R., Wylde, V., & Blom, A. W. (2018).
Outcomes following hip and knee replacement in diabetic versus nondiabetic patients and
well versus poorly controlled diabetic patients: a prospective cohort study. Acta
Orthopaedica, 89(4), 399-405. 10.1080/17453674.2018.1473327
McLendon, S. F., Wood, F. G., & Stanley, N. (2019). Enhancing diabetes care through care
coordination, telemedicine, and education: Evaluation of a rural pilot program. Public
Health Nursing (Boston, Mass.), 36(3), 310-320. 10.1111/phn.12601
Moin, T., Damschroder, L. J., AuYoung, M., Maciejewski, M. L., Datta, S. K., Weinreb, J. E.,
Steinle, N. I., Billington, C., Hughes, M., Makki, F., Holleman, R. G., Kim, H. M.,
Jeffreys, A. S., Kinsinger, L. S., Burns, J. A., & Richardson, C. R. (2017). Diabetes
Prevention Program Translation in the Veterans Health Administration. American
Journal of Preventive Medicine, 53(1), 70-77. 10.1016/j.amepre.2016.11.009
Momesso, D. P., Costa Filho, R. C., Costa, J. L. F., Saddy, F., Mesquita, A., Calomeni, M.,
Silva, C. D. S., Farret, J., Vasques, M. L., Santos, A. G., Cabral, A. P. V., Ribeiro, D.,
Reis, L., Muino, Maria de Fátima M., Vitorino, R. S., Monteiro, C. A., Tinoco, E., &
Volschan, A. (2018). Impact of an inpatient multidisciplinary glucose control
15. Running head: APPROACH TO SUPPORT DIABETES 15
management program. Archives of Endocrinology and Metabolism, 62(5), 514-522.
10.20945/2359-3997000000071
Torimoto, K., Okada, Y., Sugino, S., & Tanaka, Y. (2017). Determinants of hemoglobin A1c
level in patients with type 2 diabetes after in-hospital diabetes education: A study based
on continuous glucose monitoring. Journal of Diabetes Investigation, 8(3), 314-320.
10.1111/jdi.12589