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Nu5077 Diabetes Management : Diabetes Assessment Answers

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Question

I want to do a diabetes education in a community in Tulsa, Oklahoma. the description of the community and the population must be included.

Answer

Introduction:

Diabetes is the disorder that mainly describes the metabolic diseases where affected individuals are seen to have high blood pressure. The main reason for this occurrence may be because of the lessened amount of insulin production or may be due to the cells of the body not responding to insulin (Bukish et al., 2018).

This disorder is a chronic condition that needs to be managed effectively by the affected individuals to prevent any negative outcomes on their health.  A huge number of complications can take place when blood glucose level is not managed effectively. Eye complications like glaucoma, cataracts, diabetic retinopathy and many others can take place. Different types of foot complications can also occur like that of neuropathy, ulcers and is some severe situations gangrene my take place that might require the foot to be amputated. Other types of complications that may also arise are the skin complications (Kim & Lee, 2016). People who suffer from diabetes become more susceptible towards skin infections as well as other skin disorder. Heart problems that may also affect the diabetic individuals are the ischemic heart disorders when the blood supply to the heart muscles is diminished. Hypertension is also found to be common on people with diabetes. This aspect can in turn increase the risk of the kidney disorders in the patients along with the eye problems, heart attack and even stroke.

Mental health disorders can also occur. Researchers are of the opinion that uncontrolled diabetes increases the risk of suffering from depression, anxiety and many other mental health disorders. Moreover, they also remain exposed to different types of hearing issues. Higher prevalence of gum disorder is also present among the diabetes patients. They also suffer from gastro-paresis as the muscles of the stomach may stop working in the appropriate manner. Ketoacidosis is also highly common. This situation is mainly a combination of ketosis and acidosis that is actually an accumulation of ketone bodies and acidity in the blood. Neuropathy is another form of complication where different type severe damage takes place leading to various forms of physiological disorders (Twigg et al., 2017). Nephropathy can result from uncontrolled blood pressure causing kidney disorders. Studies also suggest that when blood glucose levels are not controlled along with uncontrolled cholesterol levels and blood pressure, the risks of stroke increase by many folds. Different types of other complications that also arise are the erectile dysfunction, becoming more susceptible to infections and healing of the wounds becoming more difficult.

Due to the above-mentioned complications that affect the quality of living of the people, affected individuals need to be very careful and manage their symptoms effectively. The population who is selected to study the prevalence rate and to educate them to manage the disorder properly is the affected and vulnerable people of Tulsa, Oklahoma. Studies are of the opinion that diabetes is one of the Oklahoma’s most severe health epidemics. This region has the seventh highest type-2 diabetes rate in the nation. Between the year 1995 and 2010, the rate of the diabetes affected patients increased by 226%. This region has a diabetes rate of about 11% and the state has the fourth highest death rate from Diabetes in the United States. In the year 2011, about $185 million was spent on the diabetes related hospital admissions in the region (Dunkley et al., 2014).

Different reports are of the opinion that Oklahomans are increasingly feeling the negative outcomes of diabetes. Many individuals in the nation are not even aware that they are suffering from diabetes. In Oklahoma, approximately 451,888 are affected by the disorder. About 14.3% of the adult populations are having diabetes. Moreover, 1,036,000 people in the region of Oklahoma accounting for about 36.9% of the adult population are suffering from pre-diabetes.

Therefore, it is very important for the healthcare professionals working in the region to educate the people about the different risk factors that result in development of diabetes. It is important for the population to be aware about the initiatives that they need to take prevent the development of the disorder and undertake effective screening (Dambhla et al., 2017). Besides preventative measures, curative measures like maintaining proper diet and lifestyles are important and these aspects need to be educated to patients through an attractive flyer.

Diabetes Prevention Flyer

Important “ABC” elements to keep themselves safe:


  • A is A1C – A1C is a blood test where individuals will be able to get an idea about the average blood pressure that is resent over the three months
  • B is blood pressure – high blood pressure may put diabetes patients at increased risk for stroke, heart attack, and kidney disorder; therefore blood pressure needs to be maintained
  • C is cholesterol – this is a waxy substance and is present in heart; high value of cholesterol in diabetes patients expose them to high risks of strokes, heart attacks and other serious problems.

Targets that should be maintained by diabetic patients are

  • A1C levels should be low than 7%
  • Blood pressure should be below 140/90 or lower
  • LDL cholesterol should be below 100 (LDL is a form of cholesterol which is referred to as the “bad cholesterol”.

Importance of maintaining the ABC:

  • People with diabetes remain at increased risk of being affected by stroke, heart attack, kidney disorder and others in comparison to those who do not have diabetes
  • The risk increases by 2 to 3 folds and therefore keeping the three parameters below the concerning level is important

Different complications of diabetes:

  • Eye disorders
  • Amputation and gangrene of different arts like toe, fingers, limbs and many other parts
  • Kidney disorder
  • Nerve damage
  • Mental disorders like depression and anxiety
  • Issues in wound healing

Ways of controlling the ABC parameters

  • Medicines –
  • taking of medications as prescribed without missing doses for blood sugar
  • checking the blood sugar level everyday
  • taking medication for high blood pressure and blood cholesterol
  • taking insulin therapy as prescribed
  • changes in lifestyles 
Making healthy food choices 
  • Fruits, vegetables, whole grains, and low-fat dairy products.
  • Limiting the amount of meat and fatty foods
Being active most of the time 
  • Walking
  • Gardening
  • Doing something active for about 30 minutes or more on most of the days                       
Stop smoking as it increases the chance of heart attack
Losing weight as being overweight increases the risk of many health problems
Avoiding alcohol as it can increase blood sugar and blood pressure.

References:

Bukhsh, A., Khan, T. M., Lee, S., Lee, L. H., FASc, C., Gan, K., & Goh, B. H. (2018). Efficacy of pharmacist based diabetes educational interventions on clinical outcomes of adults with type 2 diabetes mellitus: A network meta-analysis. Frontiers in pharmacology, 9, 339.

Dambha?Miller, H., Cooper, A. J., Kinmonth, A. L., & Griffin, S. J. (2017). Effect on cardiovascular disease risk factors of interventions to alter consultations between practitioners and patients with type 2 diabetes: A systematic review and meta?analysis of trials in primary care. Health Expectations, 20(6), 1218-1227.

Dunkley, A. J., Bodicoat, D. H., Greaves, C. J., Russell, C., Yates, T., Davies, M. J., & Khunti, K. (2014). Diabetes prevention in the real world: effectiveness of pragmatic lifestyle interventions for the prevention of type 2 diabetes and of the impact of adherence to guideline recommendations: a systematic review and meta-analysis. Diabetes care, 37(4), 922-933.

Kim, S. H., & Lee, A. (2016). Health?literacy?sensitive diabetes self?management interventions: a systematic review and meta?analysis. Worldviews on Evidence?Based Nursing, 13(4), 324-333.

Twigg, G., Motsko, J., Thomas, J., & David, T. (2017). Pharmacist-Managed Diabetes Center Interventions Ensure Quality and Safety in Elderly Patients. The Consultant Pharmacist®, 32(5), 299-310.


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