Type 2 Diabetes Mellitus (T2DM) is a chronic disease that is modifiable and preventable through diet and exercise. The incidence of T2DM is propagated by a sedentary lifestyle and excessive caloric intake. Maintenance of a desirable body weight, diet, and exercise are the mainstay therapy for T2DM (Buttaro, Trybulski, Bailey, & Sanberg-Cook, 2013). I have chosen Shannon, a 30 year old single African American female who is newly diagnosed with T2DM for my health promotion paper. Shannon is obese with a Basal Metabolic Index (BMI) of 32 and HbA1c of 9.8 %. She is otherwise healthy with no known medical problems. When I first met Shannon, she was petrified of her diagnosis and the accompanied symptoms (polyruria, polydipsia, fatigue, …show more content…
These goals are in accordance with the nutrition and recommendations of the American Diabetes Association (ADA, 2008). Practical Application Of Transtheoritical Model for T2DM The Transtheoritical model (TTM) was utilized to support this health promotion paper. TTM offers guidance for individuals at all stages of readiness for change and it involves matching intervention approaches to an individual's current stage of change. Stage of change (SOC) is the central organizing construct of TTM. As the individual makes a behavioral change, it progresses through a series of change: pre-contemplation, contemplation, preparation, action, and maintenance. Moreover, TTM integrates several other behavior change constructs such as, decisional balance, processes of change, and self-efficacy (Johnson et al., 2008). Establishing a therapeutic environment, building rapport, and communication techniques are key to the behavior change process. Shannon was in the contemplation stage when I first encountered her in the clinic. She was aware that her recent unfortunate experience was caused by her obesity. Even though T2DM has a genetic predisposition, with glycemic control, physical activity (PA), weight loss and a healthy well balanced diet can help control and prevent disease progression and its complications (Fowler, 2007). Shannon was eager and determined in taking charge of her T2DM but had ambivalence on how to manage
Sarah Miller is a 42 year that is suffering with obesity, and a long history of diabetes. She is 5’5 weighting 450 pounds. She was diagnosed with diabetes at the early age of 20. Her current insulin dose is 10 unit’s regular insulin before lunch and dinner. Mrs. Miller complains lack of motivation, mild fatigue, depression, and difficulty losing weight. She states that she has gained a massive amount of weight since being placed on 10years ago. She has struggled with weight gain since childhood. Her weight has continued to increase over the past 9 years, and she is presently at the highest weight she has ever been. She has been hospitalized for difficulty breathing She states that every time she tries to cut down on her eating, she has symptoms
Everybody knows that obesity is a big factor in developing type-2 diabetes, and that part of coping with this metabolic disorder is lifestyle change. If blood glucose does not go down, then medicines are introduced. Some type-2 diabetics even have to administer insulin in order to keep their blood glucose levels
Self-management is among the best evidence-based strategies for the management of T2DM across all populations. Self-management education, physical exercise, screening and healthy diets are crucial self-management strategies that can be useful for managing T2DM among the Hispanic men. Self-management education is particularly an important strategy for enhancing the results related to the condition among the Hispanic men. Self-management techniques can be spearheaded by the NPs who play a significant role of educating patients about T2DM. The Valencia et al (2014) study provides insight that these strategies will be instrumental
The Community Preventive Services Task Force (Task Force) recommends combined diet and physical activity promotion programs that are aimed at preventing DM for those people who are at increased risk of developing the disease (Pronk & Remington, 2015). Per ARHQ (2015) the programs will be designed to improve one’s diet and increase their level of physical activity. Trained providers will work with those at risk for at least three months in a community or clinical setting. There will be counseling, coaching, and
Type 2 Diabetes is a disease that is found in a variety of age groups around the world. This disease is growing at a rapid rate and it is impacting the health of this generation and future generations to come. Diabetes is a disease that impairs the body’s ability to produce or respond to the insulin hormone produced by the pancreas. The insulin allows for the glucose to be effectively used as energy throughout the body. Diabetes causes carbohydrates to be abnormally digested, which can raise blood glucose levels. This means that the glucose is not being taken up by the cells that need it. The cells cannot take up the excess glucose that has accumulated in the blood, so it is excreted through the urine. This can lead to problems with the kidneys, central nervous system, heart, and eyes because high blood glucose can damage the blood vessels of these organs. This diseased is managed by adopting a diet low in fat and high in fiber, increasing physical activity, losing excess weight, and not smoking. If this
Diabetes Type 2 1.Diabetes is considered a life style disease because it is not something you were born with it is something you bring upon yourself, stress, don't enough exercise, eating too much of the wrong foods, pregnancy or family history cause this particular disease. 2. Type 2 diabetes, or non-insulin-dependent diabetes, is the most common form of diabetes. It effects the respiratory system In Type 2 diabetes, either the body does not produce enough insulin or the cells neglect the insulin. Insulin is needed for the body to be able to use sugar.
The study discusses the social cognitive theory and relates to it by sending monthly information to the churches that highlights a health behavior change strategy consistent with this theory (Kyryliuk, Baruth, & Wilcox, 2015). The social cognitive theory is defined as “a three-way, dynamic, reciprocal model in which personal factors, environmental influences, and behavior continually interact” (Glanz, Burke, & Rimer, 2015, p. 244). Another way the study incorporates this theory is by evaluating the participants personal factors, such as self-efficacy, environmental factors, such as perceived stress, and behavior, including nutrition and physical activity. It discusses a person’s confidence in their ability to make changes despite encountering obstacles or challenges, which is a variable that is assessed and examined throughout the study (Glanz, Burke, & Rimer, 2015).
JB was terrified during the interview because she also had a history of gestation diabetes with her last son and was not eating as nutritionous as she wanted to and did not exercise regularly despite having available resources. This author can understand her fear for developing diabetes as the literature indicates that it is the sixth leading cause of death and is cited as a global epidemic (Castro et al. 2008). The author also understand her risk for developing type 2 diabetes, like many of her maternal relatives, because it is closely linked to obesity and sedentary lifestyle which are factors the patient has at this time (Shulze & Hu 2005). This author will not just solely focus on her risk factors but on promoting her prevention of diabetes and well being in the future through the development of a
Today, millions of new people become affected by type 2 diabetes every year. Diabetes ranks seventh among the leading causes of death in the United States and is causes more deaths than breast cancer and AIDS combined. Most people don't know how deadly this disease is. Weight loss is a primary goal towards preventing the disease. Therefore, almost every day companies introduce new medicines, pills, and diet plans that promise weight loss. These techniques are not always effective and they can be extremely expensive. However, there is an inexpensive old stand-by called “exercise” that has been proven over and over to reduce and control weight. Exercise is the most offered suggestion by doctors to prevent adult onset diabetes. People have to
Mediterranean diet, a low-carbohydrate, high protein diet, a vegan diet and a vegetarian diet all of which to have shown to improve metabolic conditions. The degree of the improvement varies from patient to patient therefore, it is necessary to evaluate each patient based on their only needs and individual metabolic demands. It is recommended that patients with pre-diabetes be made aware of beneficial nutrition intervention. Knowing what diet is best for the patient can significantly help with the risks of developing diabetes type 2. Medical nutrition therapy plays a role at three levels, primary prevention, secondary and tertiary prevention. For the purpose of this paper primary prevention is observed to help aim in delaying or arresting the development of diabetes. Different types of diet have been shown to be associated with improvement in metabolic condition. Modest weight loss has been shown to improve insulin resistance so either a low carbohydrate, low-fat calorie-resistance, or Mediterranean diet may be effective in the short term (Khazrai et al.,
“A major concern at this time is the rapid climb in incidence of Type 2 diabetes, with prevalence now estimated at about 9% (18 million) of the population greater than 20 years of age.” Obesity and Type 2 diabetes are commonly associated (Gould & Dyer, 2011). In addition to the two types of diabetes, there are signs and symptoms that are easily detected and some that develop after diagnosis.
The ultimate goal of the intervention is to improve patient outcome. The newly diagnosed patient with T2DM will live a quality life without the complications associated with diabetes. There should be a step-by-step approach by setting smaller goals at a time. To accomplish this goal, there should be continuous education for caregivers. Refresher courses would be available for primary caregivers and family members as well. The benefit of the continuous education is to ensure patient received the newest improved programs to guide them to control their serum glucose levels.
Obesity and Type 2 diabetes are inextricably linked. In many cases obesity contributes to Type 2 diabetes. Not only this but both conditions lead to other health problems, both render high costs to the individual and the health care cost both are increasing dramatically in the United States. According to the National Diabetes Statistics Report, 2014 stated that Stated that obesity now affects over one in five adults in the United States. 29.1 living with diabetes and 21.0 million people are diagnosed with diabetes in the United States. Also, data estimate there are further 8.1 million people who have the condition but don’t know.
Obesity is generally common in DS and as a result T2D may develop (de Winter, Bastiaanse, Hilgenkamp, Evenhuis & Echteld, 2011). The prevalence rate of Diabetes Mellitus diagnosed before age 20 in DS people had increased significantly over the past year due to diet and sedentary lifestyle (Australian Institute and Health and Welfare, 2013). The predisposing factors of a person with DS and MID to develop T2D are the same as in the general population. These factors include familial traits, age (45 and above) obesity and sedentary lifestyle (Taggart, Coates & Truesdale-Kennedy, 2012). Normally, the body uses insulin to breakdown the sugar and carbohydrates into glucose to use it for energy. With T2D, the body does not produce enough insulin in order to convert the glucose into energy or the body increases insulin resistance to the normal effects of insulin (Diabetes Australia, 2015). Based on the research literature, self-management of the symptoms through education regarding their diet and exercise given by Health Care Provider (HCP) can lead to better health outcomes if the person is compliant. However, the presence of T2D is complicated and more demanding for a person with DS and MID. There are many health problems associated with daily management regime including food preparation particularly diabetic diet, being physically active, monitoring and interpreting blood glucose level (BGL) and lastly
Type 2 diabetes mellitus (T2DM) is one of the most common chronic diseases with significant morbidity and mortality, which has become a global-wide health challenge (Shaw, Sicree, & Zimmet, 2010). Management for type 2 diabetes is complicated and it is more cost effective when started at an early stage. The main goal is to reduce hyperglycemia (Alberti, Zimmet, & Shaw, 2007).