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The aim of this report is to explore and explain the impacts of diabetes as a chronic condition. This report will give detailed analysis and assessment on the prevalence, risk factors and social effects.it also aims at expounding on the significance the condition has at the individual level, sub-population or even population.
It will therefore significantly incline on identifying the key determinants surrounding the development and significance of diabetes. In this report, we undertake a critical assessment, interpretation and synthesizing of data used to measure the burden of this chronic disease.
This disease is the resultant financial and societal impactful that is experienced when one is diagnosed with a lifetime condition which can only be managed. The cost of maintaining the good health of a diabetic is high with diagnosis program, taking approximately$ 340 billion yearly. One must bear in mind that the number is growing. The condition is tied to stroke, hypertension, depression and other conditions hence making the cost go higher and higher. Diabetes is also associated with blindness, a renal failure which is costly in terms of indirect and direct costs.
The forgone revenue from people with health issues rising from the diabetic condition is a contributing factor. On the other hand, the amount is taken to manage and control the health of a diabetic. All these factors add up to a huge burden.
Diabetes is mostly diagnosed with the children and elderly people. This group is generally associated with low productivity if any, hence making the program a burden to taxpayers and well-wishers.
The other objective of this study is to examine critically framework recommended for use by the various multidisciplinary grouping for the control and prevention of this condition. The team compromising of nutritionists, physicians, psychologists, literature alerts and specialist, nurses. Each and every participant should be committed and focused on realizing the agenda of controlling and improving the lives of a diabetic.
Finally, the report will analyses break down and interpret the findings as found from various interdisciplinary teams. This finding will form the basis of recommendations. Where integrated system, is recommended for efficient provision of the effective diabetes management.
Diabetes is a chronic condition where the body is not able to produce or use insulin. The has affected the high number of people globally. Three major types of this disease: Type 1, diabetes mellitus or gestational diabetes ( Bommer et al 2017).This study is meant to analyses and assesses the condition in terms of prevalence, risk factors, broader social and cultural determinants and significance at population, sub-population and individual levels.
The number of people living or born with diabetes condition is rising daily. According to the research conducted by world health organization, the number of people diagnosed with diabetes is likely to rise by 175 million by the year 2030. the prevalence is more significant on the basis of sex with men likely to be higher. This is rate is relatively high in comparison with the economic growth internationally. Many countries will have to stretch their exchequer in order to create a room for such considerations (Dominguez et al 2015).
The other factor determining the prevalence is the change in lifestyle. With a high number of urban people associated with the conditions. Majority of those diagnosed with conditions attributed their conditions with fast foods and sugary products which have resulted in obesity and hence diabetes (holt et al 2014).
Age factor was another issue that popped out. Going by the data released by the UN, high diabetes prevalence is accounted to the people who are aged 65 and above. Globally the number of elderly is rising due to higher life expectancy. These age groups are not productive economically and hence they result in a strained budget (king, aubert, Herman 1998).
Several factors have been attributed to diabetes. The most common factor in type 1 diabetes is a family history and even ethnic background. The government needs to assess and analyses the people. This will help in making an informed decision on medication and sensitization programmes (Ting Cheung, wong 2016).
Another factor associated with the diabetes is the pregnancy which can lead to gestational diabetes which in turn can lead to getting type 2 diabetes. The further burden associated with this is fetal death.Age and sedentary lifestyle where the individual fails to take exercises. There is the likelihood that one contract diabetes mellitus (wild 2004).
Deaths associated with diabetes rose to 1.5 million and more death were associated with higher than optimal blood sugar. All these factors mentioned above have resulted in significant loss of lives globally from the low to middle-income countries (wild 2004).The burden extends when the complications occur as a result of diabetes. According to report by WHO published in 2016,Possible complications include leg amputation, stroke, nerve damage or even heart attack.
According to search for diabetes in youth study group report Social and cultural practices have influenced the burden of diabetes. Amongst the 450 people assessed 145(32.2 %) were found that they were from a rural society. This indicates that more people living in the urban settlement are likely to be diagnosed with the condition. Among 305 75.64% were from rich families with 24.4 % educated and on white collar jobs. This is indicated a significant and unmistakable relationship between lifestyle and the condition.
The socioeconomic setting can be highly associated with the disease. People who are low or middle-income earners will depend on donation for medications, nutrition, and advice. Therefore, the higher the population of the people with diabetes from low/middle classes the higher the burden to the economy(Dominguez et al 2015)..
The study shows higher prevalence to those who are more educated. The higher prevalence is also recorded in urban areas than in rural areas (wild 2014).
The rise in the burden of diabetes can also be felt heavily on the general population with much of the tax going to the medication, sensitization and other programs. This has been experienced due to escalating health care costs in a bid to control, prevent and manage diabetes (Dominguez et al 2015)..
The rise in number of people with the disease. The rise in this number has resulted to compromise to the quality of the service provided to the patients. The study showed that the in a country like the USA the estimated cost was $245. It also revealed that the more loses resulting from indirect costs; inability to work and disability due to blindness or leg amputation. Time lost from work or premature death (holt et al 2014).
Diabetes can result in fatal complications which can change the life of the individual permanently. The disease if not detected as early as possible can lead to kidney failure, sexual dysfunction. Diabetes can lead to extreme operations such as amputation. This will likely to affect the individual personality i.e. the self-esteem, the productivity and the life of an individual at all dimension. This is a burden to the individual (wild et al 2014).
It is likely to affect all people who are dependent on the person whether for financial or even social impactfulness.therefore the study takes us to understand and analyze the need for the integrated system that will allow the patient get the best.it tries to assess how those participants will help in lowering the burden of disease (wild et al 2014)..
The study is inclined to understand how we can resolve the issue through the contribution of different people in a model that includes the experts in various disciplines. All this will be collaborated towards achieving the integrated model that is meant to improve the diabetes management (holt et al 2014)..
The number of people diagnosed with diabetes globally is increasing at an alarming rate over the years. Therefore it has necessitated the intensive study of a multidisciplinary team on control, prevention and management of diabetes condition.it has been argued by several stakeholders and even organization such as UN, that collaborative and interlocking of different stakeholders will result into adhesiveness and synergy needed for effective management of diabetics .it is therefore seen necessary to establish a model that will enable more accurate and better results(holt et al 2014)..
The approach is meant to lower the rates of death that happens due to unpredictable circumstances. The model will try to curb the late diagnosis. In most instances, the system inability to initiate metabolic control, initiate the good diet plan while ensuring execution is achieved. The researchers, on the other hand, will keep the expansion of knowledge in different expertise areas while maintaining the good flow of the growing information (king aubert,herman 1998). For the researchers to be able to do so they need to install the literature alerts. The literature alerts help to bring the new information or revised findings. Those literature alerts include Quosa, Xtractor, or even pub-crawler all this helps in linking the latest finding on certain topics to the researcher (Ting cheung wong 2016).
Physicians on the hand are vital in contributing to the management of diabetes especially when assessing type 2 diabetes. The physician will be required to assess and regularly analyses the patient condition. The physician will also evaluate the use of glucose test strips as well as assess the compliance of the patient with different patients (Ting cheung wong 2016).. Physicians will be required to also assess the glycemic and the factors related to it. This will help in overcoming barriers and advocating for effective procedures that will see that treatment and care are achieved (Dominguez et al 2005).
Psychologists are part of the team that is needed for the object to be realized i.e. reduction of the burden of diabetes.in diabetes management, several psychological factors need to be analyzed for the comfortability of the patient to be realized.one of them is monitoring the blood glucose level. The blood glucose should be optimal. Another factor is stress management; stress factors to a patient should be identified and dealt with. Psychologists’ services are also needed for weight management and also a psychological treatment for sexual dysfunctions(Ting cheung wong 2016)..
The other key discipline in the control, prevention, and management of diabetes is nutrition. A nutritionist will be required to maintain the optimal levels of insulin in a patient of diabetes mellitus. Individualized nutrition and dietary program and therapy are essential for the good living. This therapy has a positive contribution to the interdisciplinary approach of the management of diabetes. The program consists of diet, exercises, monitoring and of blood glucose and medication approach. Nutritionist needs to be very keen on the patient diet while bearing in mind their glucose level and the energy need (guarigata et al 2014).
The other participant that ought to be included in this team is exercise physiologist whose contribution to helping in fitness is very vital for a diabetic. Ophthalmologists who deal with eye health; this is because diabetes is highly linked with an eye problem. And to those who are expecting or weaning the contribution of a specialist for advice on maternal-child care. The other team player should be a neurologist who will deal with elderly people(Ting cheung wong 2016)..
The main hindrance to the realization of this study is the resources unavailability in terms of enough personnel or even the financial resources to help realize this goal
The other problem is this; reluctance of the patient to cooperate with the team due to his/her preferences or may be shying off this is according to the global report on diabetes published in 2016.
The multidisciplinary approach is an effective method and a proven model that can be used in diabetes management. The contribution of each and every disciplinary is needed to be able to achieve the optimum glycemic control. This is because the management will involve such techniques as insulin therapy, SMBG, psychosocial and behavioral sciences as well as nutrition. The management requires a detailed and well-choreographed system that is geared toward attaining individualized goals. This calls for a team of skilled professionals for diversity in required roles and contributions.it can never be achieved solely due to the complexities (wild et al 2015).
This integrated system of caring for diabetes patient has been used widely in a variety of disorders. However, this concept has not been applied in diabetes management. However, in the recent past, this model has been endorsed in America. The system has worked in the prevention and management of other conditions (Ting cheung wong 2016)..
First, the literature alerts will help in cutting the costs of research. While smaintaining the relevance of the programs. Hence the efficiency of the strategy implemented. This means a reduction in the burden of disease ( Dominguez et al 2005).
The second contributor to the integrated system of diabetes management is the physicians. The study has pointed out his relevance in the administration and management of diabetes condition in all patients. The physician can be well used to lower the burden at individual, subpopulation or the general population. The physician will also be swift to identify the risk factors and advice accordingly. He is supposed to be advising on how the social and cultural factors can be controlled to avoid the rise in prevalence due to those impacts (guarigata et al 2014)..
The fourth participant whose services are needed is a psychologist. This study has shown that almost 1/3 of the death associated with diabetes recorded are attributed to psychological issues with 20% of them ending up to psychiatrically complications.6.08% diabetics have ended up being depressed (ting cheung,wong 2016).
Nutritionist, we cannot discuss the diabetes condition and fail to include the dietary and nutritional programme.this is because the nutrition is the most vital of the programs to be initiated. The problems come in maintaining the course. The dietary and nutrition part form the basis of good living to a diabetic with 70% of those interviewed said that they always find themselves trapped in the old habits, for example, of taking sugary content. This group will need an active nutritionist and through him, the good living will be achieved. This will help to lower the burden of diabetes (wild et al 2014).
Another vital part in the management and prevention of diabetes; physical exercises this is because the lifestyle condition needs a regular exercises programmes. Therefore the physiologist becomes a necessity. Physiologists will lower the burden associated with complications such as obesity which is increasing the prevalence. Physiologist will as well lower the risk factors(guarigata et al 2014)..
The burden of diabetes, that comes with the age factor will need the contribution of the gerontologists.to lower the complications that may come with elderly people. Therefore it is important to try as much as possible to do a regular assessment that will help curb the problems associated with their age(guarigata et al 2014). Noting the risk factors coming up to ensure that it’s dealt with as early as possible . Gerontologist will solve the burdens associated at the individual level (holt et al 2014).
Eye problem and blindness are significantly associated with diabetes. Therefore it becomes necessary to have ophthalmologists who understand more on eye health. This will solve the burden of diabetes that comes with developing blindness. The problem affects the individual performance hence lowering his contribution towards the society around. Hence solving this early enough will help to bring down the negative impacts that could have resulted in the population, sub-population and at the individual level (guarigata et al 2014)..
· The integrated system, where we come up, with the diabetes management team that involves the specialist in the different area. Such specialists include nutritionists, ophthalmologist, gerontologist, physicians, and nurses.
· Strengthen the research and development programs. This includes a financial support or even incorporating literature alerts to keep abreast with what is up to date. Literature alerts such as Xtractors or QUOSA help to link the researchers with the latest findings.
· To lower the burden of complications I recommend that we need to conduct a regular analysis and assessment of the subpopulation that will help to extract information on the possible risk factors within those who are in that population
· I also recommend, In order to raise a red flag before the complications sets in there is a need to conduct analysis on everyone in a given country. This is in a bid to control the prevalence and curb the impact to the population.
· I also recommend that the diabetes management team should have a regular sitting that will allow the exchange of information and agree on what to change and what to deliberate
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