Recommendations for delaying the onset of diabetes and controlling it organism that converts food into energy. A significant amount of the food we consume is metabolized into glucose and transported into the bloodstream. When the sugar content in the blood increases, the pancreas receives instructions to secrete insulin. Insulin mimics the role of a key that allows blood glucose to be absorbed into the body's cells as an energy currency. Diabetes occurs due to insufficient insulin production or insulin resistance. When one of the conditions mentioned persists, glucose remains in the blood longer than it should, a phenomenon known as hyperglycemia. As a result, it causes serious complications such as cardiovascular disease, retinopathy, and kidney disease. Unfortunately, there is no way to reverse diabetes, but losing weight, adopting healthy eating habits, and leading an active lifestyle could keep it under control. In addition, compliance with medications and compliance with medical visits significantly reduce the impact of this disease. (Diabetes, 2019). Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get Original Essay Statistically speaking, as many as 30.3 million adults in the United States, or 9.4% of the US population, suffer from diabetes, of which a quarter of the mentioned population, or 12.2% of US adults, he is completely unaware of it! Not surprisingly, diabetes ranks seventh among the leading causes of death in the United States, where, in 2015, 79,535 deaths were due to diabetes complications. Even worse, in 2014, it was the No. 1 cause of lower limb amputations with 108,000 cases and of kidney failure with 52,159 cases. Over the past two decades, the population diagnosed with this disease has increased more than twofold! Specifically, the chance of developing this disease increased by 25.2% among those who are 65 years old or older! It was estimated that the cost of diabetes interventions was $245 billion in 2012. Each year, a patient with diabetes spends an average of $13,700 on medical expenses. (Diabetes, 2019) (Estimates of diabetes and its burden in the United States, 2017). There are three types of diabetes: type 1, type 2 and gestational diabetes. Type 1 diabetes is an autoimmune condition that occurs among children and adolescents, in which the sufferer must inject insulin daily. This type has affected 5% of the overall diabetic population and is completely unavoidable. While 90% of the diabetic population are patients with type 2 diabetes. Type 2 occurs when the body fails to use insulin effectively to keep the blood glucose level within the normal range. It was thought that type 2 diabetes was diagnosed only in adults, but recently, young people are also being diagnosed more and more often (Diabetes, 2019). From 2011 to 2012, 5,300 children and adolescents diagnosed with type 2 diabetes (Estimates of Diabetes and Its Burden in the United States, 2017) From 2013 to 2015, the prevalence of diabetes was highest among Native Americans, who was 15.1%, followed by Mexicans, 13.8%, non-Hispanic blacks, 12.7%, Hispanics, 12.1%, Puerto Ricans, 12.0%, and Asian Indians, 11.2%. Prevalence differed markedly by socioeconomic background, particularly educational level. (Estimates of diabetes and its burden in the United States, 2017) Type 2 diabetesit could be avoided or delayed by leading a healthy lifestyle. While gestational diabetes is a form of diabetes that occurs in women conceived with no history of diabetes. Usually, this diabetes resolves after giving birth, but it increases women's susceptibility to developing type 2 diabetes in the future. Furthermore, the child tends to be obese and also predisposed to type 2 diabetes. In the US adult population, in 2015, more than 1 in 3, or 84.1 million or 33.9% of adults, were pre-diabetic! Surprisingly enough, 90% of pre-diabetics were unaware of this, as their blood glucose levels were above the normal level, but not yet high enough to be diagnosed. Smoking, obesity, sedentary lifestyle, hypertension, hyperlipidemia and hyperglycemia have been highlighted as risk factors. Of all data collected from diabetics from 2011 to 2014, 15.9% were smokers, 87.5% were obese, 40.8% were physically inactive, 73.6% had high blood pressure, 58 .2% had hyperlipidemia and 15.6% had hyperglycemia. Since 90% of diabetics have type 2 diabetes, almost all data are typical of type 2 diabetes. (Diabetes, 2019) (Estimates of diabetes and its burden in the United States, 2017) In this article I have made recommendations to delay the onset and control of diabetes. Recommendations I strongly recommend adequate health education as the main tool to delay, control or prevent diabetes, since in the period 2013-2015, the age-adjusted incidence of diabetes was approximately two times higher among patients who had never achieved higher education, or 10.4 per 1,000 people, compared to 5.3 per 1,000 people, of whom have more than high school education (Estimates of diabetes and its burden in United States, 2017). In addition to education, community involvement and ecological or multilevel approaches are needed to ensure the success of the health promotion program (Kelley, 2005). Below are my recommendations for diabetes:-Diabetes Self-Management Education and Support (DSME/S) The DSME lays the foundation for diabetics to explore their decisions and plans to improve their health and quality of life . DSME/S involves the process of imparting knowledge, skills and competencies to diabetics for self-care. It provides the necessary support for diabetics to continuously apply coping skills and behavioral transformations to avoid complications due to diabetes. DSME/S includes various community members and healthcare workers. However, they are required to comply with the systematic referral process so that type 2 diabetics receive adequate training and support in the clinical setting. Two distinctive features of the DSME/S are education and support. Because they recognize that educating diabetics only once in a while will not bring them any favors, as behavioral transformation is of utmost importance to practice what they are taught. That's why DSME/S modules are customized to address diabetics' beliefs about health, culture, knowledge, physical and emotional challenges, family response, financial context, and other often overlooked dimensions that can still profoundly influence their motivation for self-promotion. treatment. The American Diabetes Association (ADA) recommends DSME/S for all diabetics, regardless of diabetes type, as it improves diabetics' self-care education and experience. Additionally, it focuses on reducing costs incurred from diabetes. (Powers, 2015). Additionally, healthcare organizations wishing to offer DSME/S may seek recognition by the American Diabetes Association(ADA) or the American Association of Diabetes Educators (AADE) to qualify for medical expense reimbursement from the Medicare and Medicaid agencies. and health insurance policies. Since covered benefits may vary by insurer, it is important to be aware of your insurer's benefits. Specifically, Medicare Part B beneficiaries are entitled to 10 hours of diabetes self-care education for an entire year, upon referral from physicians, physician assistants, nurse practitioners, and nurse practitioners. Thereafter, training hours increase by two hours each subsequent year. Despite its cost-effectiveness and health benefits, in the United States, only about 5% of Medicare beneficiaries diagnosed with diabetes have signed up for DSME/S. (Diabetes Self-Management Education and Support Toolkit (DSMES), 2018). Since Medicare authorized outpatient coverage for DSME/S, numerous randomized trials have been conducted to evaluate the effectiveness of DSME/S on health outcomes among type 2 diabetics. It turns out that DSME/S has been given an undeniable glycemic control. 61.9% of the 118 surgeries reported notable changes in glycated hemoglobin, or A1C. The mean total drop in A1C was 0.74, and the mean absolute drop in A1C was 0.57. An even greater reduction, equal to 83.9%, was recorded in patients with consistently high glycemic hemoglobin values, above 9, in the A1C scale (Chrvala, 2016). Another study shows that each 1% decrease in A1C could reduce the risk of death by 21%, myocardial infarction by 14%, and microvascular complications by 37% (Stratton, 2000). In addition to this, DSME/S was also associated with a lower decline in A1C. readmission rate within 30 days of analysis of 2,069 patients. Those who received diabetes education had a readmission rate of 11% compared to 16% for those who did not participate in the training. The study suggested that diabetes education indirectly influenced patients' overall health by promoting adherence to medications and therapeutic diet, as well as keeping up with improved self-care skills and behaviors (Healy, 2013). Reduced readmissions have resulted in lower hospitalization expenditures and cost patterns among diabetics (Duncan, 2011). Native Diabetes Wellness Program Alaska Natives and Indigenous Americans have a greater predisposition to contract diabetes than any other racial group in the United States. Additionally, Native Americans are at twice the risk of diabetes than whites. Diabetes has been identified as the cause of kidney failure in approximately 2 out of 3 Native Americans. This has made Native Americans the race most likely to experience kidney failure due to diabetes more than any other race in the United States. Additionally, in 1996 Native Americans were 5 times more at risk of kidney failure than any other race. However, this risk has decreased dramatically due to the implementation of the Indian Health Service, an intervention of the Native Diabetes Wellness Program. (Vital Signs, 2017). The Native Diabetes Wellness Program uses a population-based approach to study long-term health outcomes and health care disparities among Native Americans. They also evaluate poverty, availability of nutritious food, jobs and places conducive to exercise. Additionally, the program focuses on the entire Native American community and bridges the gap between people and local resources, such as healthy food, housing, mental health care and transportation. Furthermore, the program involves a team approachcoordinated which consists of diabetes education, follow-up and awareness to connect people with volunteers, pharmacists, health educators, behavioral doctors and nutritionists. Additionally, this program incorporates diabetic nephropathy prevention into regular diabetes care which helps patients control blood pressure and glucose level. They also provide regular medications and appointments for kidney lab tests. (Vital Signs, 2017). As a measure to combat the diabetes epidemic in the Native American community, Congress established the Special Diabetes Program (SDPI) grant program in 1997. This grant program allocates $150 million per year to reach Native Americans. community. The Tribal Leaders Diabetes Committee has been established and is entrusted with the annual fund, which will be donated to the Indian Health Service to coordinate all treatment and prevention interventions (Special diabetes program for Indians, nd). Additionally, the federal government funded the development of the Chronic Kidney Disease or CKD Surveillance System to track prevalence, incidence, and risk factors restricted to any particular race, including Native Americans (Vital Signs, 2017). From 1996 to 2013, Diabetic Nephropathy reduced by 54% among Native Americans thanks to Indian Health Service efforts. In 5 years, renal drug use among Native Americans increased from 42% to 74%. Mean arterial pressure was kept under control among hypertensive patients (133/176 mmHg). Blood sugar control increased 10% and kidney tests among those 65 and older were 50% higher than in the Medicare-covered diabetes population. Then, in 2013, Native Americans ranked third on the list of races with kidney failure due to diabetes compared to first place in 1996 (Vital Signs, 2017). National Diabetes Prevention Program It has been estimated that, currently, the pre-diabetic population has almost reached 86 million in the United States and within another 5 years to come, 15-30% of the mentioned population will have type 2 diabetes With this in mind, Congress directed the CDC to form the National Diabetes Prevention Program, or NDPP, a quasi-government effort to provide cost-effective, evidence-based interventions across the nation to combat type 2 diabetes. It aims to bring together community organizations, religious bodies, private insurance agencies, employers, healthcare providers and government sectors, to achieve optimal impact on reducing type 2 diabetes. This effort has been supported by research that has demonstrated that structured lifestyle transformations can reduce the risk of developing type 2 diabetes by half (National Program for Diabetes Prevention, 2018). Diverse community members join together in this national initiative to raise awareness about prediabetes, disseminate information about the NDPP, motivate participation in lifestyle transformation programs, and promote the NDPP as one of the inclusive health benefits covered by insurers. As a result, a strong workforce could be created to successfully manage the lifestyle transformation program nationwide, while ensuring world-class standardized reporting on progress. Furthermore, participation in interventions could be maximized by increasing reporting (National Diabetes Prevention Program, 2018). One of the key features of the NDPP is the CDC-recognized diabetes prevention lifestyle change program, designed to meet patients' needs on an intrapersonal level,

Topic > Recommendations for delaying the onset of diabetes and controlling it organism that converts food into energy. A significant amount of the food we consume is metabolized into glucose and transported into the bloodstream. When the sugar content in the blood increases, the pancreas receives instructions to secrete insulin. Insulin mimics the role of a key that allows blood glucose to be absorbed into the body's cells as an energy currency. Diabetes occurs due to insufficient insulin production or insulin resistance. When one of the conditions mentioned persists, glucose remains in the blood longer than it should, a phenomenon known as hyperglycemia. As a result, it causes serious complications such as cardiovascular disease, retinopathy, and kidney disease. Unfortunately, there is no way to reverse diabetes, but losing weight, adopting healthy eating habits, and leading an active lifestyle could keep it under control. In addition, compliance with medications and compliance with medical visits significantly reduce the impact of this disease. (Diabetes, 2019). Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get Original Essay Statistically speaking, as many as 30.3 million adults in the United States, or 9.4% of the US population, suffer from diabetes, of which a quarter of the mentioned population, or 12.2% of US adults, he is completely unaware of it! Not surprisingly, diabetes ranks seventh among the leading causes of death in the United States, where, in 2015, 79,535 deaths were due to diabetes complications. Even worse, in 2014, it was the No. 1 cause of lower limb amputations with 108,000 cases and of kidney failure with 52,159 cases. Over the past two decades, the population diagnosed with this disease has increased more than twofold! Specifically, the chance of developing this disease increased by 25.2% among those who are 65 years old or older! It was estimated that the cost of diabetes interventions was $245 billion in 2012. Each year, a patient with diabetes spends an average of $13,700 on medical expenses. (Diabetes, 2019) (Estimates of diabetes and its burden in the United States, 2017). There are three types of diabetes: type 1, type 2 and gestational diabetes. Type 1 diabetes is an autoimmune condition that occurs among children and adolescents, in which the sufferer must inject insulin daily. This type has affected 5% of the overall diabetic population and is completely unavoidable. While 90% of the diabetic population are patients with type 2 diabetes. Type 2 occurs when the body fails to use insulin effectively to keep the blood glucose level within the normal range. It was thought that type 2 diabetes was diagnosed only in adults, but recently, young people are also being diagnosed more and more often (Diabetes, 2019). From 2011 to 2012, 5,300 children and adolescents diagnosed with type 2 diabetes (Estimates of Diabetes and Its Burden in the United States, 2017) From 2013 to 2015, the prevalence of diabetes was highest among Native Americans, who was 15.1%, followed by Mexicans, 13.8%, non-Hispanic blacks, 12.7%, Hispanics, 12.1%, Puerto Ricans, 12.0%, and Asian Indians, 11.2%. Prevalence differed markedly by socioeconomic background, particularly educational level. (Estimates of diabetes and its burden in the United States, 2017) Type 2 diabetesit could be avoided or delayed by leading a healthy lifestyle. While gestational diabetes is a form of diabetes that occurs in women conceived with no history of diabetes. Usually, this diabetes resolves after giving birth, but it increases women's susceptibility to developing type 2 diabetes in the future. Furthermore, the child tends to be obese and also predisposed to type 2 diabetes. In the US adult population, in 2015, more than 1 in 3, or 84.1 million or 33.9% of adults, were pre-diabetic! Surprisingly enough, 90% of pre-diabetics were unaware of this, as their blood glucose levels were above the normal level, but not yet high enough to be diagnosed. Smoking, obesity, sedentary lifestyle, hypertension, hyperlipidemia and hyperglycemia have been highlighted as risk factors. Of all data collected from diabetics from 2011 to 2014, 15.9% were smokers, 87.5% were obese, 40.8% were physically inactive, 73.6% had high blood pressure, 58 .2% had hyperlipidemia and 15.6% had hyperglycemia. Since 90% of diabetics have type 2 diabetes, almost all data are typical of type 2 diabetes. (Diabetes, 2019) (Estimates of diabetes and its burden in the United States, 2017) In this article I have made recommendations to delay the onset and control of diabetes. Recommendations I strongly recommend adequate health education as the main tool to delay, control or prevent diabetes, since in the period 2013-2015, the age-adjusted incidence of diabetes was approximately two times higher among patients who had never achieved higher education, or 10.4 per 1,000 people, compared to 5.3 per 1,000 people, of whom have more than high school education (Estimates of diabetes and its burden in United States, 2017). In addition to education, community involvement and ecological or multilevel approaches are needed to ensure the success of the health promotion program (Kelley, 2005). Below are my recommendations for diabetes:-Diabetes Self-Management Education and Support (DSME/S) The DSME lays the foundation for diabetics to explore their decisions and plans to improve their health and quality of life . DSME/S involves the process of imparting knowledge, skills and competencies to diabetics for self-care. It provides the necessary support for diabetics to continuously apply coping skills and behavioral transformations to avoid complications due to diabetes. DSME/S includes various community members and healthcare workers. However, they are required to comply with the systematic referral process so that type 2 diabetics receive adequate training and support in the clinical setting. Two distinctive features of the DSME/S are education and support. Because they recognize that educating diabetics only once in a while will not bring them any favors, as behavioral transformation is of utmost importance to practice what they are taught. That's why DSME/S modules are customized to address diabetics' beliefs about health, culture, knowledge, physical and emotional challenges, family response, financial context, and other often overlooked dimensions that can still profoundly influence their motivation for self-promotion. treatment. The American Diabetes Association (ADA) recommends DSME/S for all diabetics, regardless of diabetes type, as it improves diabetics' self-care education and experience. Additionally, it focuses on reducing costs incurred from diabetes. (Powers, 2015). Additionally, healthcare organizations wishing to offer DSME/S may seek recognition by the American Diabetes Association(ADA) or the American Association of Diabetes Educators (AADE) to qualify for medical expense reimbursement from the Medicare and Medicaid agencies. and health insurance policies. Since covered benefits may vary by insurer, it is important to be aware of your insurer's benefits. Specifically, Medicare Part B beneficiaries are entitled to 10 hours of diabetes self-care education for an entire year, upon referral from physicians, physician assistants, nurse practitioners, and nurse practitioners. Thereafter, training hours increase by two hours each subsequent year. Despite its cost-effectiveness and health benefits, in the United States, only about 5% of Medicare beneficiaries diagnosed with diabetes have signed up for DSME/S. (Diabetes Self-Management Education and Support Toolkit (DSMES), 2018). Since Medicare authorized outpatient coverage for DSME/S, numerous randomized trials have been conducted to evaluate the effectiveness of DSME/S on health outcomes among type 2 diabetics. It turns out that DSME/S has been given an undeniable glycemic control. 61.9% of the 118 surgeries reported notable changes in glycated hemoglobin, or A1C. The mean total drop in A1C was 0.74, and the mean absolute drop in A1C was 0.57. An even greater reduction, equal to 83.9%, was recorded in patients with consistently high glycemic hemoglobin values, above 9, in the A1C scale (Chrvala, 2016). Another study shows that each 1% decrease in A1C could reduce the risk of death by 21%, myocardial infarction by 14%, and microvascular complications by 37% (Stratton, 2000). In addition to this, DSME/S was also associated with a lower decline in A1C. readmission rate within 30 days of analysis of 2,069 patients. Those who received diabetes education had a readmission rate of 11% compared to 16% for those who did not participate in the training. The study suggested that diabetes education indirectly influenced patients' overall health by promoting adherence to medications and therapeutic diet, as well as keeping up with improved self-care skills and behaviors (Healy, 2013). Reduced readmissions have resulted in lower hospitalization expenditures and cost patterns among diabetics (Duncan, 2011). Native Diabetes Wellness Program Alaska Natives and Indigenous Americans have a greater predisposition to contract diabetes than any other racial group in the United States. Additionally, Native Americans are at twice the risk of diabetes than whites. Diabetes has been identified as the cause of kidney failure in approximately 2 out of 3 Native Americans. This has made Native Americans the race most likely to experience kidney failure due to diabetes more than any other race in the United States. Additionally, in 1996 Native Americans were 5 times more at risk of kidney failure than any other race. However, this risk has decreased dramatically due to the implementation of the Indian Health Service, an intervention of the Native Diabetes Wellness Program. (Vital Signs, 2017). The Native Diabetes Wellness Program uses a population-based approach to study long-term health outcomes and health care disparities among Native Americans. They also evaluate poverty, availability of nutritious food, jobs and places conducive to exercise. Additionally, the program focuses on the entire Native American community and bridges the gap between people and local resources, such as healthy food, housing, mental health care and transportation. Furthermore, the program involves a team approachcoordinated which consists of diabetes education, follow-up and awareness to connect people with volunteers, pharmacists, health educators, behavioral doctors and nutritionists. Additionally, this program incorporates diabetic nephropathy prevention into regular diabetes care which helps patients control blood pressure and glucose level. They also provide regular medications and appointments for kidney lab tests. (Vital Signs, 2017). As a measure to combat the diabetes epidemic in the Native American community, Congress established the Special Diabetes Program (SDPI) grant program in 1997. This grant program allocates $150 million per year to reach Native Americans. community. The Tribal Leaders Diabetes Committee has been established and is entrusted with the annual fund, which will be donated to the Indian Health Service to coordinate all treatment and prevention interventions (Special diabetes program for Indians, nd). Additionally, the federal government funded the development of the Chronic Kidney Disease or CKD Surveillance System to track prevalence, incidence, and risk factors restricted to any particular race, including Native Americans (Vital Signs, 2017). From 1996 to 2013, Diabetic Nephropathy reduced by 54% among Native Americans thanks to Indian Health Service efforts. In 5 years, renal drug use among Native Americans increased from 42% to 74%. Mean arterial pressure was kept under control among hypertensive patients (133/176 mmHg). Blood sugar control increased 10% and kidney tests among those 65 and older were 50% higher than in the Medicare-covered diabetes population. Then, in 2013, Native Americans ranked third on the list of races with kidney failure due to diabetes compared to first place in 1996 (Vital Signs, 2017). National Diabetes Prevention Program It has been estimated that, currently, the pre-diabetic population has almost reached 86 million in the United States and within another 5 years to come, 15-30% of the mentioned population will have type 2 diabetes With this in mind, Congress directed the CDC to form the National Diabetes Prevention Program, or NDPP, a quasi-government effort to provide cost-effective, evidence-based interventions across the nation to combat type 2 diabetes. It aims to bring together community organizations, religious bodies, private insurance agencies, employers, healthcare providers and government sectors, to achieve optimal impact on reducing type 2 diabetes. This effort has been supported by research that has demonstrated that structured lifestyle transformations can reduce the risk of developing type 2 diabetes by half (National Program for Diabetes Prevention, 2018). Diverse community members join together in this national initiative to raise awareness about prediabetes, disseminate information about the NDPP, motivate participation in lifestyle transformation programs, and promote the NDPP as one of the inclusive health benefits covered by insurers. As a result, a strong workforce could be created to successfully manage the lifestyle transformation program nationwide, while ensuring world-class standardized reporting on progress. Furthermore, participation in interventions could be maximized by increasing reporting (National Diabetes Prevention Program, 2018). One of the key features of the NDPP is the CDC-recognized diabetes prevention lifestyle change program, designed to meet patients' needs on an intrapersonal level,