Type 2 Diabetes is a continuing epidemic in the United States, particularly among African Americans. According to the American Diabetes Association (n.d.): "African Americans are 70% more likely to have diagnosed diabetes compared to Non-Hispanic Caucasians." The two most prominent health disparities implicated in Type 2 Diabetes with African Americans are: proportionally higher rates of diagnosis and disease-related complications (Byers et al, 2016). Notably, "ineffective patient-provider communication" and "disconnection" between a patient's diagnosis and their culture/lifestyle are thought to contribute to these disparities (Kirk et al, 2014). This disconnect between biological and social reality is likely due to ineffectual patient-provider …show more content…
In devising effective treatment strategies, barriers and facilitators of treatment must be determined in order for effective treatment plans to be put in place. Byers, et al (2016) determined that social support and health care support were facilitators in diabetes management while self-perception, fear, and frustration were barriers. While not every African American has all of these barriers and facilitators, thoughtful inquiries into the patient's daily living (contact with family, worries regarding diagnosis, etc.) can customize the generic health plan of lose weight, eat well, check the blood glucose. For example, if a patient's cultural upbringing values heavier body types than the American mainstream, healthcare workers must adjust the "weight loss" portion of diabetes management--either by making it palatable to the patient, or emphasizing healthy eating instead. The diabetes health plan can be adjusted so that the patient feels comfortable and is set up for success rather than being forced to fit within a narrow, outdated …show more content…
In becoming cultural competent and expanding ones worldview, new healthcare strategies can be implemented to better serve underserved populations, such as African Americans. Acknowledging the barriers to patient improvement, as well as areas that can ease the way to modifying food habits, will allow clinicians to individualize patient care, expectations, and diabetes management. Additionally, outside the clinicians office, creating a framework for diabetes support groups will lead to continuation of care and high likelihood of
In the US type 2 diabetes is a major medical problem affecting all ethnic backgrounds and needs to be addressed. The pre-diabetic and diabetic population is steadily increasing every year despite medical advancements. Unfortunately, the African American population is at a disadvantage when it comes to diabetes. Preventing medical complications related to diabetes, initiating health promotion programs, increasing healthy lifestyle behaviors will essentially lead to a decrease risk of complications secondary to diabetes and overall improve patient
The health disparities among the Blacks/African American is on the rise which is of being mostly affected by diabetes the United States and Maryland. Diabetes and cardiovascular diseases are connected which can lead to increase mortality among this population. In that matter, the Health Empowerment African Americans Diabetes Program proposal includes my creating awareness which will offer diabetes education as connected to other commodities and self-management and counseling. This will be done through outreach programs in the community in health classes and health fairs through health screening, blood glucose screening, A1C, exercise activities, body mass index (BMI), weight, monitoring of individual self-monitor log, and
The existential aspect of the group is all about recognition of the existence of African Americans with diabetes as essential human beings with the needs of any other person. The existential part combines both the three model factors under one model factor that is cultural empowerment. As much as the group has been formed or is in place to support the specific population from the community that suffers from diabetes, it also supports and creates more awareness for togetherness and the existence of one to help the other. Cultural identity and cultural empowerment are essential in creating a mutual relationship among different people and increasing the expectation of help by those who are suffering from their brothers and sisters. As such, the ones suffering feel as part and parcel of the community through the actions and the support of the African American with diabetes group. They thus feel like they exist and that other realize that they are part of the community.
2 diabetics in Nigeria (Yusuf, Obe, & Joseph, 2007). .3 Though they are not considered as a major factor. However, African immigrants that have been exposed to a different way of treating disease find it difficult to accept modern medicine. A key reason is that the patient’s culture is often seen as a problem, causing a barrier to care. In my community where I grew up, I was raised using herbs, plants, roots and other alternative methods in treatment of illnesses. However, in the States one has to see a physician to diagnose and prescribe medications, which is something African immigrants finds difficult to get used to. Personally, I have always been cautious about the side effect and cost of
The Eliminating Disparities in the Diabetes Prevention, Access, and Care Act (EDDPAC) aims to improve diabetes research, treatment, education, and prevention in minority populations, including Native Americans. This proposed piece of legislation would require the National Institutes of Health (NIH) to examine the various factors that lead to diabetes in minority populations, and would also require the Health Resources and Services Administration (HRSA) to provide grants for diabetes education classes and training programs for health providers on cultural sensitivity (Chow et al., 2012). HRSA would also fund Federally Qualified Community Health Center programs that provide diabetes services and screenings, and strengthen career-building programs to provide career opportunities within minority populations that are focused on diabetes treatment and care (Chow et al.,
Ultimately, Type 2 Diabetes is the 7th leading cause of death in the United States. Luke and Brittanys reason for this experiment is because women who are post menopause are at higher risk of obtaining Type 2 Diabetes than pre menopause. According to studies, it is proposed that estradiol and other estrogens decrease the risk of Type 2 Diabetes. In this case, these students examined if estradiol can prevent Type 2 Diabetes alone.
In the article “Translating What Works: A New Approach to Improve Diabetes Management,” it is suggested that the most effective strategies to increase diabetes control include individual case management, health care teams, patient education and the reporting important medical information to the patients primary care physician(Phillips). An intervention aimed at being patient centered to increase the quality of care for diabetics, was implemented in Miami, where seven health care centers participated. They had a care management team that made pre-visit phone calls to diabetic patients who had an upcoming appointment. The purpose and goal of these phone calls was to increase patient knowledge and self-management goals. They also recorded important
The current epidemic of obesity is a legitimate cause for concern. It is estimated that worldwide there are 1.7 billion individuals who are overweight and that the United States has the highest percentage of overweight adults (Buchwald et al., 2004). This condition still exists despite the availability of interventions based on diet, exercise, and drug therapy. The rise in obesity has led to an increase in the prevalence of obesity-related illnesses such as Type 2 diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea (Buchwald et al., 2004) which have been associated with a decrease in overall life expectancy. The conventional therapy for Type 2 Diabetes Mellitus is weight loss (Ikramuddin et al., 2013), however, the Look AHEAD
The purpose of this study was to analyze physicians and patients with type 2 diabetes perceptions, attitudes, and behaviors in type 2 diabetes treatment. This article targeted on patients’ struggles to achieve treatment goals and how physicians’ responded to patients who are not achieving goals. For data collection, a research team conducted a face to face semi-structured interview with the nineteen physicians and thirty four patients. This study found that both physicians and patients accepted responsibility for poor outcomes. Patients described feeling defeated and depressed in response to treatment goals that were unmet. Some limitations include a relatively homogenous sample because the data was only collected around the Boston area and
Islam et al. (2013) set out to determine if a tailoring a sequence of six group education/support sessions to culture will improves the risk factors for type 2 diabetes in Koreans living in New York City. Diabetes prevention programs with ongoing education and support have been proven to be helpful in preventing diabetes, yet there Islam et al. (2013) identified a gap in the literature regarding culturally tailored programs for the Korean community. A study of Korean Americans living in Baltimore-Washington area demonstrated efficacy in a 2009 study (Kim, et. al. 2009).
Mellitus is a metabolic disorder Diabetes resulting from insulin deficiency or insulin resistance. The most common is Type 2 Diabetes Mellitus (DM). It’s characterized by decrease production of insulin, and insulin resistance; these is related to genetic-environmental interaction (Huether & McCance, 2017, p.474). The major contributor factor to insulin resistance is obesity. Treating the obesity can prevent and decrease the incidence of Type 2 (DM). Decreasing the cases of Type 2 DM means helping a great number of people to have a better life, less disabled citizens in the country, and less medical expenses. Weight loss can also prevent many other cardiovascular disorders Look AHEAD Research Group. (2011, July 01).
When it comes to diabetes, there are no pros about this health problem. Conversely, there are many cons to this health issue. Most importantly, this disease has many complications, and one major complication is heart disease (CDC, 2015). Also, individuals with diabetes are fours time more likely to die due to heart disease, and is considered the top cause of death (CDC, 2015). According to the Agency for Healthcare Research and Quality (2014), individuals of Hispanic descent have more complications and disability from diabetes, and there is high importance to reduce this among this population. However, another con, is a lack of resources for Mexican immigrants in self-management of diabetes. A study by Schneiderman et al. (2014), found that 47.9 percent of participants did not have health coverage, and 41.3 percent of participants did not know about their diabetes disease. Staggering results show that there is a need for support in various areas in the management of diabetes. As a result, my stance on this rising issue, is that diabetes can be managed with adequate resources, education and collaboration, especially in incorporating folk beliefs, that will lead to healthier lives for Mexican Immigrants (CDC, 2015; Gordon, 1994).
According to Rhee et al., “approximately 29.1 million people or 9.1% of the U.S. population currently has diabetes (2015)”. As the rise in diabetes continues so is the cost of medical care. Physical activity and proper nutrition and are the cornerstone of treatment and prevention of T2D. In addition to lifestyle modifications, controlling blood glucose, cholesterol, and blood pressure dramatically improves health outcomes (American Herat Association [AHA], 2015). Furthermore, Increasing awareness, knowledge and understanding about diabetes among patients, health care professionals, and the community is crucial. A global perspective of the epidemic of T2D is essential to understand the true dimensions of the disease burden and its consequences by making sure the vulnerable population have access to care. According to Rhee, et al., compared to non white women, African American women are more likely to be physically inactive and have a higher body mass index (2015). The study found that with a healthier diet in all ethnic and racial groups, the risk of T2D reduced. A healthy rich diet containing plenty of fruits and vegetables, weight control, exercise, and behavior modification can greatly prevent and reduce complications of T2D. The need for education and on-going support for patients with type 2 diabetes requires taking control of diabetes to improve the quality of life. The purpose of this paper is to determine the
The prevalence of diabetes Mellitus among African American are escalating on an alarming rate in the past 30 years and the rate has quadrupled. African Americans are 1.7 times more likely to be diagnosed with diabetes than the Caucasians, with individuals 20 years and older accounting to 10.8% of all individuals with diabetes (CDC, 2015). A comparison of rates of diagnosis of diabetes mellitus by ethnic and race disclosed that in 2010 by the American Diabetes Association reported that the African Americans accounted for 13.2% of 29.1 million Americans with diabetes followed by Hispanics (12.8%), Asians (9.0%), and the non-Hispanic whites having the least rate (7.6%) (ADA, 2014).
In this article, authors completed a literature review to address how culturally tailored education can improve self-care in African Americans with type 2 diabetes. The authors reviewed ten research articles that focused on effective communication for promoting healthy lifestyle changes and improved self-care. Combined the articles addressed cultural issues surrounding diet, education, disease management, life stressors, goal setting, and problem setting in the African American community. In each study the targeted population was found to have desired outcome when the education provided was culturally sensitive. In addition to culturally sensitive education, the authors also noted that willingness to change and self-motivation are also necessary