BENCHMARK ASSIGNMENT 6
Evidence-BasedPractice Project Intervention Presentation on Diabetes
DiabetesType 2 is a chronic condition that makes a person’s blood haveoverconcentrated sugar. Previously, the disease was associated withadults above forty years. However, recent studies show that SouthAsians in their twenties, adolescents, and young children fromdifferent ethnicities are all vulnerable to the disease. Over 90%diabetes patients suffer from type 2 disease while the remainingpercentage suffers from type-1 diabetes condition. Advanced medicalresearch has revealed that diabetes is preventable. The expandingresearch on the biological foundation of the disease has enhanceddevelopment of prevention solutions for the disease. Scientists havebeen focusing on three key areas in developing a treatment solutionfor the disease. The viewpoints include preventive, communication,and screening interventions. However, the objective of this researchwould be investigating evidence-based behavioral intervention, on anadult population, for controlling diabetes type 2.
Inthe 2001 National Institute of Diabetes and Digestive and KidneyDiseases conference, the diabetes researchers outlined a new andeffective intervention strategy for reducing an individual’svulnerability to the disease through behavior modification. Thelatest research was conducted in China, Finland, and USA, and theresults indicated that maintaining a healthy weight could help incontrolling diabetes. An individual can maintain desirable bodyweight through ensuring to accomplish at least 150 minutes of intensephysical training (Levene & Donnelly, 2007). Obese persons arethree times more vulnerable to diabetes type 2 than persons withhealthy body weight are. Lifestyle intervention methods may includedietary change, increasing physical activities, and takinglow-calorie diets. Although overweight persons can use drugs to helpthem accelerate the weight loss process, only individuals with a BMIabove 30 kg/m2 should attempt the process (Fisher et al., 2002).
TheCentersfor Disease Control and Preventionorganized a Task Force on Community Preventive Services for reviewingthe outcome of promoting physical activities and taking healthydiets. Surplus weight is the most common cause of type-2 diabetes.Studies indicate that overweight persons are 20-40 times morevulnerable to the condition than another person with an averageweight is(Fisher et al., 2002).
Sedentarylifestyle among the adults is a common cause for diabetes type-2 asan individual can accumulate excess weight quickly. Health careprofessionals recommend that adults should dedicate time every dayfor physical activities. The workout enhances the ability of the bodyabsorb glucose and utilize insulin (Levene & Donnelly, 2007).Physical activity reduces stress on insulin-manufacturing cells.According to a study by the Nurses’ Health Study, a person does nothave to engage in long sessions of sweaty and hot workouts, but evenwalking quickly for thirty minutes every day is effective forreducing susceptibility to type-2 diabetes (Fisher et al., 2002).
Modifyingdiets is another effective strategy for controlling type-2 diabetes.The Conference on Behavioral Science Research in Diabetes held in1999 reported that consuming whole grains and their byproducts,instead of taking highly processed diets, reduces the risk ofsuffering from diabetes type-2. Nurses’ Health Studies II and Ifollowed up foods consumed by adults for a period of eighteen yearsand discovered that individuals taking 2-3 whole grain servingseveryday were 30% unlikely to develop type-2 diabetes thanindividuals taking processed foods (Levene & Donnelly, 2007).Health care professionals also recommend refraining from consumingvery sugary beverages. Drinks with high-sugar concentration also havehigh-glucose concentration that increases enhance vulnerability of aperson to diabetes. Instead, dieticians recommend people to takenatural juice extracts with no artificial additions such as flavorsand colors. Instead of taking the polysaturated vegetable oils, anindividual should consume healthy fats such as omega-3. Consumingmuch white and processed meats also make one vulnerable to diabetestype-2. Instead, persons vulnerable to diabetes should rather consumewhite meat such as poultry, as well as nutritious grains like nuts,beans, seeds, and tofu (Goldstein & Mueller-Wieland, 2007).
Diabetesintervention techniques may occur at individual, community ororganizational level. A lifestyle intervention in diabetes preventionprogram (DPP) intended for individuals is administered in anextremely versatile and personalized one-on-one manner. Effectiveintervention programs often reduce the average body weight by about7% (Goldstein & Mueller-Wieland, 2007). According to an AHRQ DietReport, several dietary interventions targeting individualsemphasizes on regulating fats amount in the diet, but with littlestress on the significance of weight loss, vegetables, fiber, andfruits (Fisher et al., 2002). Some programs are executed inhealthcare centers, although spouses and family inclusion and groupcounseling emphasize on self-monitoring that is also efficient inpreventing relapse.
Foran organizational intervention to be successful, it requires focusingon several intervention levels ranging from group meetings, activitypackets, involving the family with dietary-associated homework, andcafeteria food choices (Fisher et al., 2002). Successfulorganizational environments integrate techniques such as goalsetting, screenings, personalizing feedback on the food an individualconsumes, changing the type of food accessible to an individual invending machines and cafeterias, participatory approaches, and mailedself-help materials (Levene & Donnelly, 2007).
Lastly,diabetes intervention can occur at community level. The exercise canbe implemented via worksites and schools. Efficient strategies oftenused in triumphant programs include integrating family components,allowing patients freedom to manage themselves, using community-basedclasses, emphasizing on peer instructors, and changing a patient’sshopping site such as from a supermarket to a greengrocer where he orshe cannot access junk diets (Levene & Donnelly, 2007).
Insummary, behavioral modification on an adult population is anefficient intervention method for controlling diabetes type 2. Targetpatients adjust their lifestyle by changing regular diets, as well asengaging in physical exercise. Physical exercise and diet adjustmenthelps an individual in maintaining healthy body weight that reducespredisposition of an individual from diabetes.
Fisher,E.B., Walker, E.A., Bostrom, A., Fischhoff, B., Haire-Joshu, D.,&Johnson, B.S. (2002). “Behavioral Science Research in thePrevention of Diabetes Status and opportunities.” AmericanDiabetes Association. 25 (3): 599-606. doi: 10.2337
Goldstein,B.J. & Mueller-Wieland, D. (2007). Type2 Diabetes: Principles and Practice.CRC Press.
Levene,L. S., & Donnelly, R. (2007). Managementof type 2 diabetes mellitus in primary care: A practical guide.Edinburgh: Butterworth-Heinemann.