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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
$245billion as both direct and indirect costs (The Cost of
Diabetes, 2015). Since 1990, the prevalence of this illness has
increased by approximately 60% to the currently estimated
figures of 29.1 million. Looking at the figure as at 2012 which
stood at 18.8 million and the figures produced by the healthy
2020 people as at 2017 which stands at 29.1 million. That
indicates clearly how fast this disease is escalating and how
much it is affecting the United States healthcare system.
Even though the government is trying all the best to equip the
healthcare facilities with the necessary equipment and personnel
to fight this disease, the rate at which it is advancing is too high
for the government to meet. That is what results in the high
doctor-patient ratio and minimum resources allocated to each
patient. This intron effects the quality of medical care provided
by the hospital facilities across the country and for that matter,
the difficulty in fighting the illness sets in. Looking at the total
population of the United States population which is
approximately 324 million, 29 million are diabetic. That is a
large population of unhealthy people. That implies that the
number of people who can work effectively to deliver to the
country’s economy is reduced by 29 million. The numbers
indicate that the health of the United States population is
reducing as years passes by.
Healthy people 2020 goals and objectives
The healthy people 2020 initiative have various objectives and
goals for this population.
i. Reduce the number of new cases of diabetes. The initiative is
aiming at providing lifestyle education and other means of
living free of diabetes through conduction public education and
awareness.
ii. Reduce death rate caused by diabetes. This involves teaching
the diabetic person way to live with diabetes. The concept of
disease management is something the initiative has the aimed at
doing. This is to be achieved in three ways, the first way is to
reduce the general mortality among the persons with diabetes
and secondly is to reduce the number of cardiovascular deaths
occurring to the diabetic persons. Finally, the initiative is aimed
at reducing the rate if lower extremity amputation in diabetic
patients.
iii. To improve the glycemic control among diabetic patients.
The initiative is aimed at reducing the proportion of the persons
with diabetes with an A1c value which is greater than 9%.
Secondly, the initiative aims at improving the lipid control in
diabetic persons, increase the number of people diagnosed with
diabetes and their blood pressure put under control. Ensure that
the proportion of persons with diabetes having annual dental
examination is increased. Increase the number of diabetic
individuals with glycosylated hemoglobin measured at least
twice a year. Increases the number of people receiving diabetes
education once they are diagnosed with the disease. Increasing
the number of diabetic patients performing self –blood glucose
monitoring daily. Increase the number of diabetic persons who
obtain urinary microalbumin measurement. Increase the number
of diagnosed cases of diabetes (Healthy people 2020, 2016).
iv. To increase behaviors for prevention for persons at high risk
of suffering diabetes. This goal has the various objectives
among them is increasing the number of people at high risk of
suffering from diabetes who have prediabetes reporting the
increase in levels of physical activity. Secondly, the initiative
aims at increasing the number of people with prediabetes
reporting attempts of loss of weight. Finally, this initiative also
aims at increasing the number of people at high risk of suffering
from diabetes who report reduced amounts of fat in their diets.
In general, the main objective of this initiative is to reduce the
burden of diabetes and improve quality of life for the people
who are suffering from the illness and those at risk of being
affected by the disorder.
Questionnaire
Please enter the following details
Name__________________________ Age
_________________________________
Gender_________________________
Date_________________________________
Please answer the following questions to the best of your
knowledge. Feel free while providing your response and do not
feel obligated or compelled.
When were you diagnosed of this disorder?
_____________________________________________________
________________________
What type of diabetes were diagnosed of?
_____________________________________________________
________________________
What were some of the symptoms you had before being
diagnosed of this disorder?
_____________________________________________________
_______________________
What was your lifestyle before the diagnosis of the disorder?
I.e. feeding habit and level of exercise.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
___________________
Have any member of your family suffered from diabetes before?
If yes please indicate who.
_____________________________________________________
_____________________________________________________
__________________________________________________
How do you feel when working or after doing some physical
job?
_____________________________________________________
_____________________________________________________
__________________________________________________
Please comment on you level of anger?
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________
How frequent are attended to by your doctor?
_____________________________________________________
________________________________
What advice have your doctor given to you on how to make a
difference on our physical and emotional health?
What kinds of food have your healthcare team advised you to
take?
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________
Which tests have your healthcare doctor asked you to take?
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_
What medications have the doctor prescribed for you? Please
indicate the dosage where you can.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________
What are some of the physical activities your doctor has advised
you to undertake?
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________
References
1-Healthy people 2020 (2016). Retrieved November 12, 2017,
from https://www.healthypeople.gov/2020/topics-
objectives.
2-The Cost of Diabetes. (2015). Retrieved November 12, 2017,
from
http://www.diabetes.org/advocacy/news-events/cost-of-
diabetes.html

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Running head Healthy people 2020Healthy people 2020 .docx

  • 1. 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
  • 2. 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 $245billion as both direct and indirect costs (The Cost of Diabetes, 2015). Since 1990, the prevalence of this illness has increased by approximately 60% to the currently estimated figures of 29.1 million. Looking at the figure as at 2012 which stood at 18.8 million and the figures produced by the healthy 2020 people as at 2017 which stands at 29.1 million. That indicates clearly how fast this disease is escalating and how much it is affecting the United States healthcare system. Even though the government is trying all the best to equip the
  • 3. healthcare facilities with the necessary equipment and personnel to fight this disease, the rate at which it is advancing is too high for the government to meet. That is what results in the high doctor-patient ratio and minimum resources allocated to each patient. This intron effects the quality of medical care provided by the hospital facilities across the country and for that matter, the difficulty in fighting the illness sets in. Looking at the total population of the United States population which is approximately 324 million, 29 million are diabetic. That is a large population of unhealthy people. That implies that the number of people who can work effectively to deliver to the country’s economy is reduced by 29 million. The numbers indicate that the health of the United States population is reducing as years passes by. Healthy people 2020 goals and objectives The healthy people 2020 initiative have various objectives and goals for this population. i. Reduce the number of new cases of diabetes. The initiative is aiming at providing lifestyle education and other means of living free of diabetes through conduction public education and awareness. ii. Reduce death rate caused by diabetes. This involves teaching the diabetic person way to live with diabetes. The concept of disease management is something the initiative has the aimed at doing. This is to be achieved in three ways, the first way is to reduce the general mortality among the persons with diabetes and secondly is to reduce the number of cardiovascular deaths occurring to the diabetic persons. Finally, the initiative is aimed at reducing the rate if lower extremity amputation in diabetic patients. iii. To improve the glycemic control among diabetic patients. The initiative is aimed at reducing the proportion of the persons with diabetes with an A1c value which is greater than 9%. Secondly, the initiative aims at improving the lipid control in diabetic persons, increase the number of people diagnosed with diabetes and their blood pressure put under control. Ensure that
  • 4. the proportion of persons with diabetes having annual dental examination is increased. Increase the number of diabetic individuals with glycosylated hemoglobin measured at least twice a year. Increases the number of people receiving diabetes education once they are diagnosed with the disease. Increasing the number of diabetic patients performing self –blood glucose monitoring daily. Increase the number of diabetic persons who obtain urinary microalbumin measurement. Increase the number of diagnosed cases of diabetes (Healthy people 2020, 2016). iv. To increase behaviors for prevention for persons at high risk of suffering diabetes. This goal has the various objectives among them is increasing the number of people at high risk of suffering from diabetes who have prediabetes reporting the increase in levels of physical activity. Secondly, the initiative aims at increasing the number of people with prediabetes reporting attempts of loss of weight. Finally, this initiative also aims at increasing the number of people at high risk of suffering from diabetes who report reduced amounts of fat in their diets. In general, the main objective of this initiative is to reduce the burden of diabetes and improve quality of life for the people who are suffering from the illness and those at risk of being affected by the disorder. Questionnaire Please enter the following details Name__________________________ Age _________________________________ Gender_________________________ Date_________________________________
  • 5. Please answer the following questions to the best of your knowledge. Feel free while providing your response and do not feel obligated or compelled. When were you diagnosed of this disorder? _____________________________________________________ ________________________ What type of diabetes were diagnosed of? _____________________________________________________ ________________________ What were some of the symptoms you had before being diagnosed of this disorder? _____________________________________________________ _______________________ What was your lifestyle before the diagnosis of the disorder? I.e. feeding habit and level of exercise. _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ___________________ Have any member of your family suffered from diabetes before? If yes please indicate who. _____________________________________________________ _____________________________________________________ __________________________________________________ How do you feel when working or after doing some physical job? _____________________________________________________ _____________________________________________________ __________________________________________________ Please comment on you level of anger?
  • 6. _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ______________________ How frequent are attended to by your doctor? _____________________________________________________ ________________________________ What advice have your doctor given to you on how to make a difference on our physical and emotional health? What kinds of food have your healthcare team advised you to take? _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ______________________ Which tests have your healthcare doctor asked you to take? _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _ What medications have the doctor prescribed for you? Please indicate the dosage where you can. _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________
  • 7. _____________________________________________________ ______________________ What are some of the physical activities your doctor has advised you to undertake? _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ______________________ References 1-Healthy people 2020 (2016). Retrieved November 12, 2017, from https://www.healthypeople.gov/2020/topics- objectives. 2-The Cost of Diabetes. (2015). Retrieved November 12, 2017, from http://www.diabetes.org/advocacy/news-events/cost-of- diabetes.html