Diabetesin United States
Diabetesis a disorder that originates from the manner in which the bodyutilizes glucose, which is a sugar that serves as fuel to the body.An individual may either have type I or II diabetes. In type Icondition, the body fails to make insulin, which is a hormone thatfacilitates the uptake of glucose by the cells in the body (Forbes,2015). However, in the case of type II diabetes, the body fails touse insulin well. In the United States, type II diabetes is morecommon compared to the type I diabetes. It is considered asignificant disorder because it can result in kidney, heart, eye, andnerve diseases in case the disorder progresses over time. Accordingto CDC, diabetes condition affects about 29 million individuals inthe United States, which is approximately 9% of the population (CDC,2014). Also, the disorder is considered the seventh leading cause offatalities in the nation. In the United States, the highestprevalence of type II diabetes exists in certain groups ofpopulations such as racial and ethnic minority groupings, adults 60and older, and individuals having low socioeconomic status, as wellas rural populations. In this report, I will discuss diabetes in theUnited States, vulnerable populations for the disorder, nursingleadership approaches to diabetic health, as well as scholarlyevidence on different issues concerning the disorder.
VulnerablePopulation for Diabetes
Accordingto World Health Organization, vulnerability describes the degree overwhich an individual, population, or an organization is incapacitatedto anticipate, resist, cope with, and recover from the effects of adisaster. In the United States, there is a group that is consideredto be vulnerable to diabetes. The vulnerable population includesracial and ethnic minority groupings, adults who are 60 years andolder, and individuals having low socioeconomic status, as well asrural populations. The minority groups entail African Americans,Latino Americans, American Indians, and other Pacific Islanders.
NursingLeadership Approaches to Diabetic Health
Ateam approach to diabetes management can help individuals to copeeffectively with a broad array of complications, which may arise fromdiabetes. People having diabetes can decrease their risk for eye andkidney diseases, as well as stroke and heart disease through variousinitiatives such as avoiding tobacco use, engaging in physicalactivities regularly, taking medicines according to prescriptions,and following a personalized physical activity among others. Amultidisciplinary team approach is considered significant to successin diabetes management and complications avoidance (Williams, 2011).A team approach can mitigate the risk of developing chronic diseasecomplications, facilitate diabetes management, and assist ineducating about ways of reducing risk factors for diabetes.Nontraditional approaches to health can help in expanding access toteam care and, in case they are utilized effectively, they can assistin developing team care practices. Such approaches may include sharedmedical appointments, group education, and telehealth (Williams,2011). An opportunity to partner with primary care providers inshared group appointments can be an important aspect in themanagement of diabetes. When using the team care approach, it isfeasible to mitigate the health risks that are associated withdiabetes through intervention, assessment, and surveillance. Besides,through the approach, it is possible to identify problems earlyenough, which helps in initiating timely treatment.
Leadersin the nursing field should be visionary and equipped with strategiesfor directing their teams to the goals of the future. The bestleadership style that can offer effective intervention in theprovision of diabetic health is transformational leadership. Thisform of leadership is the best because it can be in a position toprovide compassion to patients and ensure successful delegation(Vaccariello & Arathuzik, 2011).
Thereare various action plans that have been put forward in the UnitedStates in an attempt to fight diabetes. One of the action plans isthrough public awareness of Safe at School initiative (Becker &Gardner, 2012). This has been accomplished through differentchannels, including posts on Safe at School in diabetes blog and Safeat School Twitter Chat. Another action plan that has been initiatedby the American Diabetes Association is reaching out to the healthcare community. Furthermore, there has been advocacies meant to buildawareness on individuals who are considered to be at high risk forinstance, launching screens to individuals based on their BMI.
Preventionof diabetes, in the United States, has been supported by laws thatpromote access to healthy environments for kids and adults in thecommunity, school, and workplace settings. Besides, there areincreased funding for physical education, which has been passed asportion of the reauthorization of the Elementary and SecondaryEducation Act. In addition, the American Diabetes Association hasoffered recommendations for healthy eating, which include limitingadded sugar in foods to less than 10% of calories consumed, as wellas controlling saturated fats and sodium (American DiabetesAssociation, 2016).
Health Promotion Approach
Inthe United States, there are health promotions targeted at enhancingdiabetes care. One such promotion is through encouraging individualsto test for diabetes. People who are undiagnosed are highlyencouraged to know their status by going for testing in variouscommunity-based centers and health facilities. The testing is carriedout at no charge. Besides, Americans are also provided with freebehavior counseling interventions, especially to individuals who areconsidered pre-diabetic and diabetic. Furthermore, millions ofchildren are provided with an access to coverage, including thosehaving diabetes, in an attempt to fight the disorder.
Budget and Cost Effectiveness
Infighting the disorder, there is a budget set aside to cater for thediabetes prevention. Thus, the budget usually goes to the NationalDiabetes Prevention Program. This budget has been increased and hasreached $20 million (American Diabetes Association, 2016). Inensuring that the resources are used effectively, there areregulations that guide the utilization of the funds.
Resourcesare allocated to different initiatives that focus on fightingdiabetes in the United States. One of the areas, which receive funds,is diabetes research. In this field, the National Institute ofHealth’s National Institute of Diabetes is allocated resources bythe Congress (American Diabetes Association, 2016). Also, CDC unitthat deals with diabetes receives funding. Furthermore, there areSpecial Diabetes Programs allocations, which help in the preventionof diabetes to the vulnerable groups.
Fromthe discussion, it can be argued that diabetes in the United Statesis a real menace. This is because it affects about 29 millionindividuals in the United States, which is approximately 9% of thepopulation. Also, the disorder is considered the seventh leadingcause of fatalities in the nation. The disorder mostly affects thevulnerable groups such as racial and ethnic minority groupings,adults 60 and older, and individuals having low socioeconomic status,as well as rural populations.
AmericanDiabetes Association (2016). AdvocacyAccomplishments-2015 highlights.Retrieved fromhttp://www.diabetes.org/advocacy/advocacy-priorities/advocacy-accomplishments.html
Becker,D. M., & Gardner, L. B. (2012). Preventionin Clinical Practice.Boston, MA: Springer US.
CDC(2014). Morethan 29 Million Americans have Diabetes 1 in 4 doesn’t know.Retrieved from https://www.cdc.gov/features/diabetesfactsheet/
Forbes(2015). Halfof Adults in the U.S. Have Diabetes or Pre-Diabetes, Study Finds.Retrieved fromhttp://www.forbes.com/sites/robertglatter/2015/09/08/50-percent-of-adults-in-u-s-have-diabetes-or-pre-diabetes-study-finds/#57ec105d16f4
Vaccariello,L., & Arathuzik, G. (2011). Flatbelly diet! diabetes: Lose weight, target belly fat, and lower bloodsugar with this tested plan from the editors of Prevention.Emmaus, Pa.: Rodale.
Williams,J. (2011). Good Leadership can Improve Diabetes Care for Older Peoplewith Diabetes. Supplementto Journal of Diabetes Nursing,Vol. 15 (2).