There exist public health problems that affects different populations around the world for example, the issue of Malaria which majorly affects children under the age of five and diseases such as high blood pressure and kidney failure are common among older adults. Diabetes, which occurs as a result of insulin failing to control the blood sugar level, is one of the public health issues that affects a greater population in America (Rowley, et al., 2017). Despite diabetes being a problem in the country, evaluating it and constructing a PICOT statement adhering to the effects that nursing science, health determinants, and epidemiologic, genetic and genomic has on management of the disease, solutions to reduce the great numbers can be found.
To start, diabetes is a worldwide problem and in the U.S, over 10.5% of the population which translates to 35 million have diabetes. It is alarming that over 100 million people in the U.S might be diabetic since not everyone tests for diabetes (Rowley, et al., 2017). The people who are majorly affected by diabetes are those aged 45 to 65 years (Rowley, et al., 2017). The obese and overweight are also at a high risk of diabetes. Health concerns of diabetic people include the risk of getting eye damage, getting cardio vascular disease, skin disease and Alzheimer’. The above health concerns are serious and that is why there is the need to solve the problem of diabetes.
Further, nursing science also has an impact on diabetes. Nurses have the role to educate patients on possible preventive measures of diabetes, proper diet and what to do to control their blood sugar levels. Also, diabetes is said to be a genetic disease thus if one has history of diabetes in the family, one should be cautious and take the right foods to avoid getting diabetes (Rowley, et al., 2017). After getting the genetic data on people with family history of diabetes, the medical practitioners can use this information to determine the amount of resources to use in campaigning against diabetes and the preventive measure. Genomic information can be used in clinical practice to plan for resources to be used in managing patients with diabetes and those who are likely to get the disease.
Just like any other diseases, diabetes has a solution. First, to solve the issue of diabetes, it is important to advise people of proper diet. Diabetes is a lifestyle disease. Consuming fast foods and other highly processed foods have been found to cause overweight and obesity. The obese are at a high risk of getting diabetes especially diabetes mellitus (Ford, Narayan, & Mehta, 2016). Also, to help reduce cases of diabetes, people should be informed on the importance of physical activity. Those who are inactive physically are at a higher risk of contracting diabetes. Stress has been linked to affect glucose levels where when one is highly stressed, the level of blood sugar raises. People should be made aware of this fact.
Further to prevent diabetes, water should be a primary beverage and people should avoid carbonated drinks. Those who are overweight and obese should try and lose weight to reduce the risk of getting diabetes. A low carb diet also aids in managing blood sugar levels and preventing diabetes (Ford, Narayan, & Mehta, 2016). People should maintain a high fibre diet.
The population in this case refers to patients who suffer from diabetes and those who are at a risk of getting the disease. Those who are having diabetes are around 10.5% of the total American population while 100 million people are at the risk of getting the disease (Rowley, et al., 2017). Among the children, those who are obese and overweight presents high risks of diabetes (Wise, 2018). The disease is common among those aged 45 to 50 years.
Interventions to improve the state of diabetes in the country can be directed to patients, health care providers and families living with patients who have diabetes. Patient level intervention includes patients following directions from physicians, taking the right medicines, eating well and doing regular exercises to help control diabetes (Ford, Narayan, & Mehta, 2016). Nurses need to educate the people about diabetes.
There is a high need to expand the knowledge of diabetes health concerns to the people to help prevent the disease. Looking at the cases of obesity and overweight, these are problems the country is trying to control. The health sector should control obesity and overweight in children since they are underlying causes of diabetes (Wise, 2018). Comparing diabetes to other lifestyle diseases such as high blood pressure, the two are related. Having diabetes increases the risk of heart disease.
When proper education, health care and intervention is involved, the outcome will be reduced cases of diabetes and those who are already diabetic will be able to control their blood sugar levels. For instance, when the patients eat proper diet, chances of increase in glucose levels will be low.
Treatment of diabetes is a long-term process which takes years once one is diagnosed. Management of the possible causes to prevent getting diabetes can take a year or more. For example, patients with diabetes will always regulate their sugar levels while those who are not yet diabetic can control their diet forever to avoid getting the disease (Rowley, et al., 2017). Those who are overweight can get to a weight program for a year to get to normal weight (Wise, 2018).
Conclusively, diabetes is a manageable condition where if patients follow directions from physicians, they can live long. Further, groups such as the nurses and other medical practitioners should understand the impact of genomics and diet on the prevalence of diabetes then let the public aware of the facts on the disease.
Ford, N. D., Narayan, K. V., & Mehta, N. K. (2016). Diabetes among US-and foreign-born blacks in the USA. Ethnicity & health, 21(1), 71-84.
Rowley, W. R., Bezold, C., Arikan, Y., Byrne, E., & Krohe, S. (2017). Diabetes 2030: insights from yesterday, today, and future trends. Population health management, 20(1), 6-12.
Wise, J. (2018). NHS diabetes prevention programme helps weight loss, analysis shows.