The World Health Organization defines diabetes as a, “chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces” (2015). These disturbances in this balance between glucose and insulin can be found in various forms including type one diabetes, type two diabetes, and gestational diabetes. Those diagnosed with type one diabetes can be found predominantly in children to younger adults as the result of an autoimmune reaction to the beta cells of the pancreas which prevent the production of insulin. Whereas type two diabetes is diagnosed in the middle age to older adult as a result of acquired insulin resistance due to high glucose intake, physical inactivity,
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The American Diabetes Association supports the fact that there is a genetic predisposition and an environmental trigger for all diabetes that contributes to one’s risk (2014). Factors pertaining to age, race, gender and family history are life aspects that can not be changed but still can play an increased role in the risk assessment for diabetes. American Indians have the highest percentage of diabetes diagnosis followed by non-Hispanic Blacks, Hispanics, than Caucasians (CDC, 2014). The opposite exist in the population of type one diabetics in which Caucasians have the greatest percentage (American Diabetes Association, 2014). The diagnosis of type one diabetes most often occurs between ages 4-6 and then again from 10-14 (Levitsky & Misra, 2014). Whereas, those with type two are typically diagnosed during middle to late adulthood as the prolonged high levels of glucose have begun to desensitize the endogenous …show more content…
The arena of primary care is a vital component for combating this issue utilizing the most up to date recommendations. To achieve this, the American Diabetes Association endorses the use of the Chronic Care Model to encompass a whole picture approach helping to reduce non-adherence or uncontrolled diabetes (American Diabetes Association, 2016). The Chronic Care Model addresses factors that affect both functional and clinical outcomes including six key categories: health system, self-management support, decision support, delivery system design, clinical information systems, and community resources and policies (CDC, 2013). The process of removing barriers, providing skill classes, empowering patients, and evaluating health literacy emcompasses the functional asspect promoting maximum support for the patient. On the other hand, within a clinical setting, initiating policies to track patient’s status on appointments and labs, synthesising a list of available resources, producing protocols to smoothly implement new evidence based practices into one’s care, and monitoring and coordinating care with involved specialist allows for the same level of care across the board preventing fall outs (Stellefson, Dipnarine, & Stopka, 2016). A systematic review revealed that all aspects of the model had to be implemented to achieve improved outcomes.
The American Diabetes Association supports the fact that there is a genetic predisposition and an environmental trigger for all diabetes that contributes to one’s risk (2014). Factors pertaining to age, race, gender and family history are life aspects that can not be changed but still can play an increased role in the risk assessment for diabetes. American Indians have the highest percentage of diabetes diagnosis followed by non-Hispanic Blacks, Hispanics, than Caucasians (CDC, 2014). The opposite exist in the population of type one diabetics in which Caucasians have the greatest percentage (American Diabetes Association, 2014). The diagnosis of type one diabetes most often occurs between ages 4-6 and then again from 10-14 (Levitsky & Misra, 2014). Whereas, those with type two are typically diagnosed during middle to late adulthood as the prolonged high levels of glucose have begun to desensitize the endogenous …show more content…
The arena of primary care is a vital component for combating this issue utilizing the most up to date recommendations. To achieve this, the American Diabetes Association endorses the use of the Chronic Care Model to encompass a whole picture approach helping to reduce non-adherence or uncontrolled diabetes (American Diabetes Association, 2016). The Chronic Care Model addresses factors that affect both functional and clinical outcomes including six key categories: health system, self-management support, decision support, delivery system design, clinical information systems, and community resources and policies (CDC, 2013). The process of removing barriers, providing skill classes, empowering patients, and evaluating health literacy emcompasses the functional asspect promoting maximum support for the patient. On the other hand, within a clinical setting, initiating policies to track patient’s status on appointments and labs, synthesising a list of available resources, producing protocols to smoothly implement new evidence based practices into one’s care, and monitoring and coordinating care with involved specialist allows for the same level of care across the board preventing fall outs (Stellefson, Dipnarine, & Stopka, 2016). A systematic review revealed that all aspects of the model had to be implemented to achieve improved outcomes.