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Diabetes Evidence-Based Practice Essay

… At the same time, EBM has garnered critiques, particularly from social scientists, who question its underlying assumptions, impact on professional practice, and broad reinforcement of medical authority. Little empirical work has been done, however, to explore these concerns (Gabbay, 1999).

The term "evidence-based medicine" was formalized at McMaster University in the 1980s as part of a new approach to problem-based learning in medical education (Gabbay, 1999). Its philosophical roots, however, can be traced to the mid-nineteenth century when medicine began aggressively to position itself as a science. The concept has spread widely beyond medicine and is often referred to as evidence-based practice to encourage its adoption by diverse health disciplines such as nursing, midwifery, physiotherapy, psychology, and dietetics (Bogdan-Lovis and Sousa, 2006).

The founders of…. [read more]

Diabetes Management Diabetes Mellitus Essay

… Management


Management includes use of an insulin pump or lifelong daily insulin injections. There is also a need for regular blood glucose level tests, regular physical exercise and healthy eating.

Management includes healthy eating and regular physical activity. The lifestyle modification is critical to lower the level of glucose in the body. Management may also include regular taking of blood glucose-lowering tablets.

(Maple-Brown. Sinha. & Davis 2010).

Case Study

The case study below reveals the method the type 1 diabetes could alter pathophysiological condition of an individual, which consequently leads to the development of the chronic condition. Josh is a 9-year-old Australian-Aboriginal boy living with his parents, his grandmother (who is NIDDM) and two siblings. Over the last few months, Josh mother has noticed…. [read more]

Diabetes in Australia the Australian Essay

… In both cases, the other similarity they have is that early detection, effective treatment and continued good management can significantly lead to reduction in the diabetic related complications and even death.

Differences; according to Rheem G., (2013)

While Type 1 diabetes is basically an auto-immune disease where the cells responsible for producing insulin in the pancreas are attacked by the immune system and the person has no control over this, the Type 2 diabetes is caused by predisposition to risk factors as docile living conditions, poor diet and obesity.

While Type 1 diabetes renders the patient dependent on lifelong injection of insulin into the body to help manage the blood glucose levels, the Type 2 diabetes can be managed through change of lifestyle.

Type 1…. [read more]

Diabetes Mellitus Research Proposal

… Diabetes Mellitus is one of the most important and common chronic diseases found in humans. The disease has foundational consequences for the body and the mind and seriously affects society in general in both direct and indirect ways. Millions of people have diabetes mellitus and many more are likely to develop it as the years go by, risk factors increase in prevalence and as more people manage the disease and successfully have children. Another reason why diabetes is important is because the majority of medical care that is provided for the disease is self administered and therefore at high risk of patient noncompliance.

Diabetes is one of the most common of the chronic medical disorders and is expected to present one of the twenty-first century's…. [read more]

Epidemiology of Diabetes Essay

… Epidemiology of Diabetes

Causes and Types of Diabetes

Symptoms of Diabetes

Consequences of Diabetes

Etiology and natural history of condition

Diagnosis and Treatment


Elderly Population

Individuals with Family History of Diabetes

Pregnant Females

Obese Population

Incidence and Prevalence

Elderly Population

Individuals with Family History of Diabetes

Pregnant Females

Obese Population

Causes and Types of Diabetes

Diabetes is not an infectious/communicable disease; rather it is a disorder that is linked to the abnormal metabolism in human body. The food that one consumes is digested and broken down into smaller units, prominently glucose, in a series of enzyme controlled chemical reactions. Furthermore, these simpler substances enter blood capillaries from where cells absorb and utilize them to harvest energy for numerous processes that are continuously occurring for…. [read more]

Diabetes Self-Care Term Paper

… Diabetes Self-Care

This research study conducts an extensive review of relevant academic literature including professional nursing journals in a qualitative review in order to determine the factors that exist in relation to barriers and challenges of specific groups of patients in self-care management of diabetes mellitus. Findings in this study include race/ethnicity differences in self-care management as well as psychological, social, and family predictors of the probability of self-care management of diabetes success for patients.


The objective of this research is to examine diabetes self-care with an emphasis on evidence-based clinical management and education which addresses the patient and nurse practitioner's concerns related to this problem and specifically appropriate nurse practitioner clinical management including non-pharmacologic treatment, pharmacotherapy, patient education, patient and family psychological…. [read more]

Diabetes the Diabetic Epidemic Essay

… Diabetes

The Diabetic Epidemic

The issue of diabetes and particularly type 2 diabetes has reached alarming proportions in many developed societies today. As one study notes; "…approximately 4,110 people are diagnosed every day with diabetes. In 2005, 1.5 million new cases of diabetes were diagnosed in people age 20 years or older" (Galvin, 2006, p. 157). However, while there is a radical growth in the prevalence and the extent of this disease, there is also a concomitant growth in knowledge and this form of diabetes and methods of managing and treating it.

There are two forms of diabetes mellitus. Type 1 is insulin dependent while Type 2 is non-insulin-dependent. In Type 2 sufficient insulin is formed in the pancreas, but the body has difficulty in…. [read more]

Diabetes Is a Disease Research Paper

… 45).

Screening Guidelines

Pre-diabetic screening is taking place on a daily basis around the world. Some of the factors being considered include weight (as a percentage of height), physical activities, parents or siblings who are diabetic, advanced age, and individuals who are living unhealthy lifestyles. The American Diabetes Association suggests that testing should be considered in all overweight adults with the following additional risk factors: physical inactivity, first-degree relative with diabetes, members of high-risk ethnic populations, hypertension, women with PCOS, other clinical conditions associated with insulin resistance, history of cardiovascular disease (ADA, 2010). Additionally, individuals 45 years and older should be tested for diabetes and pre-diabetes and testing should continue every three years thereafter according to the ADA.

Prevention strategies

There is no cure for…. [read more]

Diabetes Bill and Chicano Mental Health Term Paper

… Diabetes Bill and Chicano Mental Health

Effect of HR 5225 or Diabetes Prevention Access and Care Act to Chicano mental health

The new bill HR 5225, or the Diabetes Prevention Access and Care Act is a newly-introduced measure through which minority groups can gain access to government and social support on the treatment and diagnosis of diabetes. The increasing prevalence of diabetes mellitus as a common illness among Americans, as well as minority groups in the country, have become rampant that it required special attention and appropriate action standards in order to alleviate its adverse effects.

HR 5225 is composed of several components, which provides a direct and specific description of the measures that the government is proposing to enact, specifically addressing the problem of…. [read more]

Diabetes and Learning Term Paper

… State run schools have to comply with the requirements mentioned in the law. The IDEA ensures that diabetic children suffering from cognitive disabilities because of the abnormal fluctuations in the blood glucose level have special support and care to maintain their optimum learning ability. Proactive treatment and management of symptoms is the most effective way of dealing with chronic diseases. Hence schools are also required to provide assistance for the medical needs of the children like glucose testing, insulin administration, etc. [DREDF]

However there is considerable amount of difficulty in implementing special education policies for diabetic students because it involves integration of both medical and academic realms. The confusion that prevails in classification of children under three separate groups of special education needs makes it…. [read more]

Diabetes II Description Term Paper

… , MD. (1999). Psychosocial Aspects of Type I Diabetes Mellitus. Diabetes Living. European Association for the Study of Diabetes, Annual Meeting. Retrieved October 30, 2003, at

Connell-CM; Davis-WK; Gallant-MP; Sharpe-PA. (1994). Impact of social support, social cognitive variables, and perceived threat on depression among adults with diabetes. Health-Psychology. 13 (3): 263-73

Knoll. (2003). Gender Differences in Living with Type 2 Diabetes. Diabetes Forum.

Knoll Pharmaceuticals Ltd., Magnus Division, Mumbai. Retrieved October 30, 2003, at

Marcus-MD; Wing-RR; Guare-J; Blair-EH; Jawad-A. (1992). Lifetime prevalence of major depression and its effect on treatment outcome in obese type II diabetic patients. Diabetes-Care. 15 (2): 253-255

Mayou-R; Peveler-R; Davies-B; Mann-J; Fairburn-C. (1991). Psychiatric Morbidity in Young Adults with Diabetes Mellitus. Psychology and Medicine. 21 (3): 639-45

Mousleh, Jadala;…. [read more]

Health Fair Presentation on Diabetes Research Paper

… What is your waist circumference measured below the ribs?

Less than 94cm

94-102 cm

More than 102cm

5. Do you engage in regular physical activity for at least 30 minutes every day?



6. How often do you consume fruits or vegetables?



7. Have you ever been diagnosed with high blood pressure?



8. Have you ever been found to have high blood glucose?



9. Have any of your immediate family members or relatives been diagnosed with diabetes?



Total Risk Score

You are at risk of developing Type 2 Diabetes within the next decade based on the following scale & #8230;

Lower than

Low (roughly 1 in 100 people)

Between 7 and

Slightly elevated (1 in 25…. [read more]

Diabetes Amongst Indigenous Australians Research Paper

… , 2007).

Knowledge: It's supremely essential to supply precisely maintained records of an the patient, which include each and every tiniest element such as how the person is been looked after, in context to the predetermined standard of diabetes care. Important points to think about whilst documenting particulars are, it should be according to facts, ought to be accurate, crystal clear, legible and simple to comprehend, it ought to be dated as well as signed, it ought to be kept classified as well as shouldn't be revealed or distributed except inside the designated chief staff. Risky elements ought to be high-lighted and layout of the individual record should be demarcated. Observations regarding progress or deteriorating indicators and signs should be obligatorily recorded with date (Randall…. [read more]

Diabetes Mellitus Is a Metabolic Disorder Term Paper

… Diabetes Mellitus is a metabolic disorder marked by hyperglycemia, or high blood sugar levels.

There are three main forms of this illness, each with similar signs, symptoms, and consequences. However, they have different causes and affect different populations. In all cases, tough, the primary cause is that the pancreatic beta cells that produce insulin are unable to produce sufficient insulin, leading to hyperglycemia. There are various treatments for diabetes that reduce the symptoms, but there is no cure. Higher blood sugar in the body can have a number of other detrimental health consequences that affect the sufferer.

Improving control is a primary goal for sufferers and their doctors. There is no cure, as noted, and so controlling blood sugar is the way that the deleterious…. [read more]

Diabetes Mellitus (Dm) Is a Family Essay

… Diabetes mellitus (DM) is a family of diseases that is typified by chronic hyperglycemia and the development of long-term complications. Decreased insulin action is characteristic of all forms of diabetes mellitus (Winter & Sognorino 2002). DM usually has its onset in individuals before the age of 25 years, where the essential abnormality is related to absolute insulin deficiency (Venes 2009). Diabetes is a systemic disease that has harmful effects on several organs with potentially devastating effects on a person's health (2002). In people with DM, there can be adverse effects on the retina, glomeruli, nerves, and arterial blood vessels. This can lead to high morbidity and premature mortality (2002). In general, DM is becoming more and more common in the United States as well as…. [read more]

Diabetes Mellitus in Pregnancy Research Paper

… Diabetes Mellitus in Pregnancy

Diabetes during pregnancy increases the risk for developing congenital anomalies by over 10 times. Maternal glycemic control is critical to prevent such abnormalities in the baby. When glycemic control is not achieved by dietary adjustments, commencing insulin therapy is strongly recommended. Regular monitoring of maternal glycemic levels and proper obstetric care should greatly help in reducing the potential health complications associated with diabetes during pregnancy.

Diabetes is the single most common complicating condition during pregnancy. [Rosenberg, (2005)] Gestational Diabetes Mellitus refers to the diagnosis of diabetes during pregnancy and it may be of either type 1 or type 2. In the United States 3 to 8 out of 100 pregnant women suffer from gestational diabetes. [Medline] In the UK also, 2…. [read more]

African Americans and Diabetes Research Paper

… All of that is highly significant for the future of people with diabetes. The more education they have and the more they are able to put that education to use by seeing their doctor and accepting treatment, the more these people will be capable of living longer, healthier lives (Vaccaro & Huffman, 2012). Type II diabetes can be managed, but it takes commitment and understanding to do so.


Unlike some medical conditions that get progressively worse over time, type II diabetes can be managed and -- in some cases -- even reversed. Because the African-American population is twice as likely to acquire this condition when compared with those who are Caucasian, educating them on the risk factors, signs and symptoms, and treatment options is…. [read more]

Managed Diabetes Still Result Research Paper

… Conclusion

This study will examine the connection between diabetes and kidney disease in a detailed manner. The purpose of the study is to determine whether controlling diabetes has an effect on the development or progression of kidney disease. The literature suggested that once a person develops kidney disease that controlling diabetes has no affect. The presence of microalbuminuria will be used to classify those that already have early stages of the disease in to separate them from those that have not yet developed the disease. The study will play an important role and prevention of kidney disease as a complication of diabetes.


de Boer, I., Rue, T., & Hall, Y et. al. (2009). Temporal trends in the prevalence of diabetic kidney disease in the…. [read more]

Diabetes Mellitus Among Older Age Groups Essay

… The first diabetes prevention strategy I would provide a patient upon discharge from hospital is self-management skills, which would help the individual to prevent complications and stay healthy (Royal College of Nursing, 2018). Self-management education is critical for the patient because most of the complications associated with diabetes are developed outside the health care environment. Patients develop these complications because of lack of knowledge on appropriate measures to manage their conditions.
The second prevention strategy I would provide is lifestyle changes recommendations, especially in relation to nutrition and physical activity (exercise). Lifestyle changes play a crucial role in preventing diabetes and its complications through lessening risk factors of the condition. Some of the recommendations I would provide include maintaining a balanced diet, regular physical exercise,…. [read more]

Versus Type II Diabetes Mellitus Term Paper

… Diabetes: Caring for Your Emotions as Well as Your Health. Reading, MA: Perseus Books, 1998.

Fackelmann, K.A. Pregnancy raises risk of Type II diabetes. Science News; 11/4/1989;

Gavin, James R. "Special Section on Diabetes." Ebony Mar. 1997: 115+. Questia. 6 Jan. 2005 / .

Gestational Diabetes. American Diabetes Association: . Accessed Jan 3, 2004.

Gestational Diabetes Mellitus. hl=en& start=12 Accessed Han 4, 2004.

Harris MI. Gestational diabetes may represent discovery of pre-existing glucose intolerance. Diabetes Care. 1988; 11:402-411.

Moses RG, Moses M, Russell KG, et al. The 75-g glucose tolerance test in pregnancy: a reference range determined on a low-risk population and related to selected pregnancy out comes. Diabetes Care. 1998; 21:1807-1811

Mullooly, Cathy. Keeping fit for 2. Diabetes Forecast; 12/1/1997;

Metzger…. [read more]

Gestational Diabetes and African-American Women Essay

… It is important for women to become educated about this disease, it will help them to control their blood glucose during pregnancy and protect them after delivery. Women with gestational diabetes have a high risk of developing type 2 diabetes in the years after delivery. There are many risk factors for gaining diabetes; however developing gestational diabetes is a major predictor for the individual becoming diabetic. Minority women, especially African-American women are at greater risk for this disease. A lack of health care access is a contributing factor for minority women getting gestational diabetes. Health education is extremely important; it helps these women understand the disease and how to protect themselves from the disease. Diet and exercise is the most important variables for controlling or…. [read more]

Diabetes Prevalence of Diabetes (Diabetes Mellitus) Research Proposal

… ¶ … Diabetes [...] prevalence of diabetes (diabetes mellitus) in the urban areas of the United States. Diabetes is a growing healthcare problem in the United States because there are more overweight Americans than ever before, and obesity is a leading cause in the most prevalent type of diabetes, adult onset diabetes, or Type 2 diabetes. Diabetes is especially prevalent in the urban African-American and other ethnic communities, and there are differing opinions about why this is the case.

Diabetes is extremely prevalent in the United States. Two authors note, "Approximately 18.3% (8.6 million) of the U.S. population age 60 and older has diabetes. This population is more likely to experience heart attacks, strokes, hypertension, blindness, end-stage renal disease, and lower-limb amputations than their nondiabetic…. [read more]

Evidence for Association Between Type 2 Diabetes Essay

… ¶ … Type 2 Diabetes

and intake of Fruits and Vegetables

Diabetes Mellitus has become one of the major chronic diseases affecting more than 220 million people around the world. [WHO, 2009] In Australia too the incidence of diabetes is on the rise with current estimates indicating that more than 1.7 million people are affected by the condition. Of these more than 85 to 90% are type 2 diabetes and on an average 275 people are diagnosed with diabetes everyday. [Diabetes Australia, (2010)] What is more alarming is the increasing prevalence of type 2 diabetes among younger generation. However, it is believed that healthy eating habits, active lifestyles and effective blood glucose control can help prevent up to 60% of type 2 diabetes cases. [Diabetes…. [read more]

Nursing and Healthy Communities Essay

… Diabetes and Learning Games - The learning games could be used by either the school nurse, a science classroom teacher, or a public health nurse as a means to open up the discussion regarding diabetes. For adults, seminars at schools, churches, or as community events could use the exercise as an "ice-breaker" and introduction to the presentation.

Primary- (Sources: "Diabetes," 2010; "Diabetes Australia," 2010; "Diabetes for kids and teens," 2010; "Juvenile Diabetes Research Foundation," 2010).

What is diabetes? A. A bacteria we get from food; B. A condition that happens when our body does not have enough insulin to balance the sugars; C. A type of heart disease, D. Something we get when we run too fast and our sides hurt.

Answers/Justification: A car needs…. [read more]

Type 2 Diabetes Essay

… al., 1996).

The fact that was significantly highlighted during the study was the body weight of these people. The respondents engaged in the study were normal weighted; however, few respondents were even underweight. The study proved with evidence that obesity does not cause diabetes type 2. Furthermore, the study also claimed that the issue of fatty liver is not only found amongst Asian descents, but people residing in industrialized nations have a greater probability to suffer from it (Lovejoy et. al., 1996).

The experts conclude from the new research studies that the obesity is not a leading cause that results in the development of type 2 diabetes; rather, it is one of the symptoms of the syndrome. According to some schools of thoughts, the relationship…. [read more]

Elderly Population With Diabetes Age Research Paper

… Descriptive epidemiology is confined to the recognition and examination of the affected person, place and time of the disease or health event. The person is described and examined according to certain factors, such as age, education, socio-economic status, availability of health services, race and gender. Also pertinent to the person are information on behavior, such as use or abuse of drugs, shift work, eating and exercise patterns. Place refers to geographic borders or features of a given area. It has direct significance to people in and around the area. Evaluation of place includes worksites, the density of the population and the environment around homes, worksites and schools. And time refers to the season or certain occurrences during a particular hour or day. Flu, for example,…. [read more]

Type II Diabetes Prevention in the Adult Population Research Proposal

… Type II Diabetes Prevention

While modern lifestyles and medical care have certainly improved the longevity of humans in the developed world, and contributed to a greater quality of life scenario, those same lifestyles have engendered a number of issues that contribute to disease. Lack of proper diet, fast food, high fat and carbohydrate diets without adequate fruits and vegetables, lack of exercise, smoking and alcohol contribute to an epidemic of obesity which, in turn, contributes to a serious metabolic disorder called Diabetes Mellitus Type 2. While not managed by insulin injections, it is nevertheless quite serious and has a number of progressing symptoms that, if not treated properly, can result in cardiovascular, renal and neurological problems, as well as amputation, ocular issues, and even cognitive…. [read more]

Epidemiology Descriptive Case Study

… Hypertension is a major problem because it can lead directly to heart failure. Diabetes mellitus can also lead to kidney failure and has been the main reason for new hospital admissions for kidney related problems in the past decade. However, the main problem people with diabetes complain of is the way that there blood vessels react to a diagnosis of diabetes. People have issues healing because there is a restriction of blood flow related to the disease. Many will also have problems feeling there extremities (called neuropathy) which can lead to further injuries that cannot heal. These two problems are why individuals with diabetes often have amputations later in life. This is a disease which has some short-term detriments, but the long-term consequences of uncontrolled…. [read more]

Pathophysiology of Diabetes Mellitus II Term Paper

… In addition, the course red blood cells cause damage to the capillary beds which are very fragile in nature and this is important to note since the capillaries are the very small blood vessels in the human body that supplies the eyes, feet and kidneys. For patients with poor control of their blood sugar the result can be a large amount of damage in areas that are dense with capillaries including the hands and feet.

Additionally, damaged capillary beds result in the blood flow being very poor and infections resulting and even more serious problems resulting in amputations in individuals with Type 2 diabetes. Finally, the red blood cells that are so coarse can result in damage to the capillaries that supply the kidneys and…. [read more]

African-Americans in Louisiana Term Paper

… She dominated her children and husband, the Sambo, with her temper. This image of the Mammy as the controller of the African-American male, was used as further evidence of his inferiority to whites (

The second is the "Sapphire" stereotype, a demanding woman who refuses to take moral responsibility either for her own actions or for the actions that she demands of others.

Sapphire was a stereotype solidified through the hit show "Amos 'n' Andy" (Jewell, 1993). This profoundly popular series began on the radio in 1926 and developed into a television series, ending in the 1950s (Boskin, 1986). This cartoon show depicted the Sapphire character as a bossy, headstrong woman who was engaged in an ongoing verbal battle with her husband, Kingfish (Jewell, 1993).…. [read more]

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