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Diabetes type II is one of the fastest growing chronic diseases in many countries and large scale prevention measures have been proposed to control the rising health menace (Codario, 2005). Diabetes mellitus is a serious complication with other associated health effects such as heart diseases, stroke, limb amputation and kidney failure. The disease has been underestimated in many places, and the associated health effects are rife.
Type II diabetes as a condition arises from a situation in which the body producing insulin, but the forming a resistance hormone control effects (Codario, 2005). Furthermore, the condition can be accelerated when the beta cells do not produce enough insulin. Insulin is one of the hormones apart from glucagon that antagonistically control the sugar levels in the body (Healthy People, 2013).
There are risk factors that lead to onset of diabetes and its progression such as overweight, high blood pressure, history of pre-diabetes and abdominal obesity. Many studies indicate that healthy eating and weight management may help delay the onset of diabetes. This paper will delve in discussing some of the adopted projects that can help in reducing diabetes among the risk groups and those that are already diabetic (Healthy People, 2013).
One way of controlling diabetes is understanding that this condition should remain an individual initiative. In this program, people at risk of the developing the diabetes will be advised on ways of reducing the leading risks (Herman, 2010). For instance, people who are overweight will need to develop physical exercise program. The physical exercise program will help in reducing the excessive weight gain and shedding off some fat (Herman, 2010).
This exercise program will entail all aspects of exercise from the light exercise to intense workouts. People who drive and already experiencing the overweight problem can either cycle to work, or if living in proximity to their work station they should walk. This will help in weight control and thus reduce the predisposing factors of obesity (In Edelman & In Mandle, 2006).
A good exercise program should be adopted to exercising the whole body muscles. Running is the simplest form of physical exercise that can be used by the people who are already at risk and diabetic. In the diabetic patients, exercises increase the metabolism of blood sugar. This consequently reduces the hyperglycemic status of the blood. Cycling, on the other hand, can achieve the desired result since it is fun, and it is a form of cardiovascular exercises (In Edelman & In Mandle, 2006).
The above named exercises can help in reducing the risk factors for the non-diabetic persons and supplementing medication for persons with the disease (Codario, 2005). The exercises are inexpensive and require small amounts of investments i.e. bicycles and sport wear shoes. The individuals can enroll for gym classes for daily exercises (Liburd, 2010). This program forms a primary care initiative as a lifestyle intervention focused on delaying the onset of Type 2 diabetes. A close follow-up of the program can help in reducing the prevalence of diabetes.
Early Detection Program
This program can help in a great deal in preventing instances of diabetes. This program is meant at providing screening, early detection and referral services for the at-risk communities. The program coupled with early diabetes screening will help in adopting the appropriate control measures such as seeking medical attention (Liburd, 2010). I would recommend testing for detecting diabetes especially for families in which one of the members has diabetes.
As a solution-based program, the initiative will help in recommending the appropriate treatment measures for the members who already have the disease. The initiative arises from the fact that most people are ignorant of their medical status (Organisation for Economic Co-operation and Development (Paris, France), 2012).
Nutrition education program
In conjunction with nutritionist and dieticians, this program seeks to sensitize the people on their eating habits. People will be advised on the best choices of their food (Liburd, 2010). Inclusion of the fruits and vegetables and reduction of heavy intake of fats and salted food will help in decelerating the associated risk factors. Individuals with diabetes will be advised on eating wholemeal grains and legumes and avoid highly refined food.
The derivation from this recommendation is that this food has a low glycemic index compared to the refined food. Once digested it releases sugar to the body in small amounts to the systemic circulation (Liburd, 2010). The program will target both the persons with the disease and those at risk. Fast food sold in the street corners have the high content of fat and salt. Furthermore, they do not contain soluble fiber that helps in control of blood sugar levels (Herman, 2010).
Local Awareness Diabetes Campaigns
The campaigns are meant at sensitizing the community on the issue of diabetes. The community will be advised on the risk factors associated with the disease. Training program will be taking at the community centers within the local towns. Families will gather in these public halls and be taught on the issue of diabetes (Herman, 2010).
Adoption of the program arises from the realization that information is the only way that people can help manage many issues in life. People will be advised on the local programs and services offered in the health centers on the management of diabetes mellitus type II. The above programs will help in controlling the issue of diabetes mellitus for the persons with the disease and those at risk (Healthy People, 2013)
Codario, R. A. (2005). Type 2 diabetes, pre-diabetes, and the metabolic syndrome: The primary care guide to diagnosis and management. Totowa, N.J: Humana Press.
Healthy People (2013, 29). Healthy People 2020 - Improving the Health of Americans. Retrieved April 28, 2014,
Herman, W. H. (2010). The evidence base for diabetes care. Chichester, West Sussex: Wiley-Blackwell.
In Edelman, C., & In Mandle, C. L. (2006). Health promotion throughout the life span.
Liburd, L. C. (2010). Diabetes and health disparities: Community-based approaches for racial and ethnic populations. New York: Springer Pub. Co.
Organisation for Economic Co-operation and Development (Paris, France) (2012). Health at a glance: Europe 2012. Paris: OECD Publishing.
Diabetes remains a chronic condition the world is facing and furthermore, challenging due to the complexity as a result of multifactorial factors that influence its onset and progression. Inappropriate weight gain among adults has been the most critical factor that leads to diabetes mellitus type II (Fox & Hanas, 2008). Diabetes mellitus type II has no cure, but it is possible to manage the condition.
People with type II diabetes mellitus has a condition known as insulin resistance. The patient is unable to utilize insulin and the consequences are increased blood sugar levels (Fox & Hanas, 2008). It is important to note that insulin as a hormone plays a critical role in the control of blood sugar level. Despite the multifactorial complexity of diabetes mellitus, one causative factor remains critical.
The rising cases of obesity have been on the blame list for the development and onset of diabetes mellitus. Weight gain and cases of obesity often happens at a young adulthood and progress in the later stages of life. A large number of American Population fall short of the secure food with health benefits. Most people succumb to fast food sold in the street corners which is way too unhealthy for them (Fox & Hanas, 2008). The low nutritional value of this food such as high fat content and salt predisposes them to the increase cases of weight gain hence obesity.
The paper tries to link cases of obesity and the rising prevalence of diabetes in people aged 20 years and older. In this context, the main objective for the research is to prevent inappropriate weight gain among adults aged 20 years and above.
The healthy promotion goal, therefore, will entail developing the appropriate criteria based on the best practices in preventing the trend in the increase in weight among adults. The research will link obesity to the onset of diabetes mellitus and as one of the factors and thus, develop appropriate strategic management plan. The research goal is developmental, and intervention based. The strategies are as follows:
Develop initiatives in self weight management- This is from the realization that the weight management should remain a personal initiative.
Develop a dietary recommendation for weight management- Encourage good eating habits among adult and an overall reduction in high caloric intake.
Develop and Physical Activity and exercise based weight management goal- encourage people to indulge in physical activities ranging from light exercises and heavy workouts
Encourage a combination of the above three strategies in the overall weight management goal and initiatives
Define the social and physical environments that lead to weight gain and develop a solution-based approach in management of weight. Environmental factor relates to peer influence and advertising pressures especially on the food commodities.
Come up with a family-focused weight management program-this is from the realization that the weight gains has the high prevalence in some families and use this approach in intervention.
This research study is of great importance to my career as a Family Nurse Practitioner since it offers an opportunity to understand the role of obesity to the rising cases of diabetes as a chronic disease. The study will also assist in coming up with a weight management and prevention strategies as mentioned above.
The goal towards Healthy People comes from the basic realization that diseases like diabetes are on the increase and the money used in treating such diseases consumes large stake of the government coffers. The data for this research will be from the internet sources especially publications in PubMed and other National databases. Other sources will entail conducting quantitative approaches such as interviews from people who have been successful in weight management. Qualitative analysis of literary material will help in collecting necessary information on the interventions with the main criteria being Basal Metabolic Index. Intervention based strategy offers a new way of dealing with diseases for both health and economic gains.
Fox, C., & Hanas, R. (2008). Type 2 diabetes in adults of all ages: How to become an expert on your own diabetes. London: Class.
Diabetes is a common disease in the 21st century; however, every individual needs unique care. It is important for diabetes patients, and their families to learn about the latest medical approaches and therapies to the disease. A healthy lifestyle choice is one of the treatments for diabetes that those suffering from the disease should consider. In addition to healthy lifestyle choices, they are other effective treatments that can be used to treat diabetes. A diabetes patient needs to have good communication with a team of physicians to identify the best methods of treating the condition. This leaves the patient in control of the disease and can respond to changing needs in the treatment. Changing treatment helps the patient control the disease and have higher chances of recovering faster and healthier to the disease.
This essay deals with the various methods of treating diabetes and helping patients recover fully from the effects of the disease.
Before tackling the methods of treating diabetes, it is important for you to understand the various treatments for the disease. Diabetes is categorized into two types; type one diabetes and type two diabetes. Individuals suffering from diabetes have hyperglycemia, also referred to as high blood sugar or high blood glucose (Kahn 14). Diabetes is a disease concerned with the metabolism of the body; how the body uses the digested food for energy. The digestive system breaks down the food consumed into starch and carbohydrates. Glucose, a form of sugar is another product of the digestive process in the body. Cells in the body with the help of insulin absorb glucose, and it is used as a source of energy for the body. Glucose is also used by cells for their metabolic activities. For you to have diabetes the body either produces low levels of insulin or is unable to use insulin or both.
The pancreas is the organ responsible for producing insulin and is located behind the stomach. In the pancreas, there are organs referred to as islets, which have the beta cells that produce insulin. If the body fails to produce enough insulin levels or utilize the insulin in the body, this causes the accumulation of glucose in the body. The buildup of glucose in the body causes you to develop diabetes. High glucose levels in the body are dangerous to the body since it causes damages to the blood vessels and nerves. These results in complication in the heart, kidneys, and might cause you blindness, stroke, and in severe cases amputations. Diabetes can also cause you other complications like reduction in mobility with aging, pregnancy problems, and increased chances of contracting other diseases. Scientific research also proves that environmental factors and genes can cause you to contract diabetes.
There is medication that has been used to treat diabetes and has proven that it has the power to reduce the effects the disease. The medication is used to lower your blood glucose levels, and there are a few methods used to execute this treatment. However, the medication cannot completely cure diabetes, and you might have to take the medication for the rest of your life. For patients of Type 2 diabetes, your medication may need the inclusion of insulin Gerstein & RB. 69). The medical treatment of diabetes, however, differs among patients, will depend on your situation, and needs as an individual. Therefore, it is vital to consult a physician to agree on the medication that fits you. It is important to take your medication when prescribed only, to increase the chances of the medication working. The medication also has to be specific when you are supposed to take it in relation to diet.
Insulin injections are another method used to treat diabetes patients. You should inject the insulin under the skin, using very small needles. You should inject the insulin into a vein or muscle because on the insulin is injected under the skin, it absorbed by blood vessel and taken into the bloodstream. There are three main areas where you should inject insulin, the thighs, buttocks and stomachs. These three areas have a wide skin area, and you should use different sites every time you inject yourself insulin. Injecting one region constantly can cause a buildup of lumps under the skin. Therefore, it is vital to shift the injection sites to avoid the buildup of lumps under the skin. The result of a buildup under the skin causes erratic absorption of insulin, which affects the control of levels of blood sugar.
The needles used for injecting insulin should be disposed of carefully to avoid the risk of infection or injury to you or other individuals. The destruction of the islets of the pancreas, which produce insulin, causes Type 1 diabetes. One-third of all Type 1 diabetes patients every year will experience a ‘severe hypo,’ which requires them to receive an islet transplant. Anyone who takes insulin is at the risk of experiencing a severe hypo, however, those who have had the disease for over fifteen years. For such individuals, an islet transplant is a life-changing surgery. However, there is a group of people is not eligible for an islet transplant, and they are; individuals who weigh over eighty-five kilograms, those who need a lot of insulin and those with poor kidney function. However, islet transplants increase the chances severe infections and risks of certain cancers. Before an islet transplant, it is important to do test so that the body does not reject the islet transplant. Islet transplant should not be viewed as a way of curing diabetes since it is not.
Lifestyle choices are another method that are effective in reducing the effect of diabetes and controlling the disease. You should be aware of your nutrition as a diabetes patient, in terms of; what you eat, when you eat and what quantity to eat (Powers 58). You should see a physician to help in developing a healthy diet plan that fits your lifestyle. You should also consider physical activities as a method of reducing the complications associated with diabetes. Physical exercises have proved in controlling diabetes, and it is an effective way of controlling sugar levels in the blood for Type II diabetes. Physical exercises also lower your weight, making you fit; this lowers the risks of contracting complications. Thirty minutes of physical exercises is very effective in reducing chances your chances of getting complications like high blood pressure and heart related diseases.
In conclusion, diabetes like all other diseases is treatable. However, it is yet to be discovered a cure for the disease. The treatment for diabetes is different among individuals due to the level of the disease and personal needs. The patient should take their medication seriously to increase the chances of the medication working. You should take medication only when prescribed, and avoid situations of missing medication (Kahn 79). As a diabetes patient, you should constantly visit your physician to receive directions on whether to stick to the prescribed medication or have a change in the prescription. In addition to medication, you should consider good nutrition and physical exercises. This helps in the efficiency of the medication and reduce other complications like heart related conditions and high blood pressure.
Kahn, Ada P. Diabetes: Causes, Prevention & Treatment. New Delhi: Orient Paperbacks, 1988. Print. Gerstein, Hertzel C, and R B. Haynes. Evidence-based Diabetes Care. Hamilton, Ont: BC Decker, 2001. Print.
Powers, Margaret A. Handbook of Diabetes Medical Nutrition Therapy. Gaithersburg, Md: Aspen Publishers, 1996. Print.
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