Running head: DIABETES IN UNITED STATES

Diabetes in United States

Student’s Name

Institution Affiliation
DIABETES IN UNITED STATES 2

Diabetes in United States

In line with the past trends, various researches prove that diabetes growth rate in the U.S

has remarkably gone up. “Centers for Disease Control” (CDC) reported an estimation of more

than 30 million American people who were affected with disease as of 2020. Diabetes is listed as

one the top causes of death in the U.S based on the “total of 270,702 death certificates listing

diabetes as the underlying cause of death by 2017” (Harding et al., 2020). Besides adding to the

healthcare burden, the disease is severe and expensive but controllable. Individuals affected

encounter a wide range of health problems like cardiovascular diseases, which falls on the list of

top killer diseases in this country. However, with prevention and treatment attempts,

professionals believe that there is progress in lowering or undoing national trends. In general,

50% of American adults currently have diabetes or have higher chances of acquiring it. Diabetes

is also affecting specific populations compared to others. Black adults, along with Hispanic or

Asians, are 20% more possible to have diabetes than whites. About half of Asian and Hispanic

adults are not aware they have it. As a result, there is a need to adequately address the essential

health disparities existing among multiple races and ethnicities. The entire U.S population faces

a significantly higher risk for diabetes, and additional efforts are required to save the whole

community. Such should include diagnosis, treatment along with diabetes prevention on every

American, to help enhance the overall health.

Method

With regards to the “National Diabetes Statistics Report,” a seasonal announcement of

the CDC offers data on the frequency and occurrence of diabetes including pre-diabetes, threat

aspects of the obstacle, severe and prolonged complications, and deaths along with the costs. The

information they give is worth focusing on efforts to regulate diabetes or preventing it all over
DIABETES IN UNITED STATES 3

America. The “National Diabetes Statistics Report features trends in prevalence and incidence

estimates over time” (Bandosz et al., 2020). All the estimations in this paper were obtained from

different documents publicly presented by “CDC, Agency for Healthcare Research and Quality

(AHRQ), and US Census Bureau” along with documented research studies. Approximated

percentage and the overall number of individuals having diabetes and pre-diabetes got obtained

from the National Health Interview Survey (NHIS), and the US resident population evaluations.

Diagnosed diabetes condition got decided from individual-reported facts given by survey

respondents besides using clinical diagnostic codes. For certain counts, estimates were

unavailable for specific racial and ethnic subgroups because of the minor sample quantities. Age-

modified approximate was enumerated among adults aged 18years and above by the direct

strategy to the 2000 American Census standard population, utilizing “age groups 18–44, 45–64,

and 65 years or older.” All the estimations presented here is generalized and not specified to type

1 or type 2 diabetes even though 90-96% of entire diabetes scenario involves type 2 diabetes

(“National Diabetes Statistics Report”, 2020).

Outcomes (Frequency of diabetes- diagnosed and non-diagnosed)

Based on the “National Diabetes Statistics Report” (2020), the entire American

population’s raw estimate for 2018 included “34.2 million people of all ages—or 10.5% of the

US population—had diabetes. 34.1 million Adults aged 18 years or older—or 13.0% of all US

adults—had diabetes. 7.3 million Adults aged 18 years or older who met laboratory criteria for

diabetes were not aware of or did not report having diabetes (undiagnosed diabetes).” These

numbers are the representation of 2.7% of all American adults and 21.3% of all American adults

having diabetes. Al the percentages of adults having this ailment grew with age, hitting 27%

among the 65 years old and above. The below two sample image (1a and 1 b respectively) from
DIABETES IN UNITED STATES 4

the “National Diabetes Statistics Report” reveals the figures.

DIABETES IN UNITED STATES 5

From the above information, it is evident that diabetes is rising. World Health

organization also proves this by asserting that diabetes is “no longer a disease of predominantly

rich nations, the prevalence of diabetes is steadily increasing everywhere, most markedly in the

world’s middle-income countries” (Chan, 2020). Sadly, there are insufficient policies worth

creating supportive surroundings for healthy lifestyles. Accessing standard health care is a

challenge, thus showing that the prevention and cure for diabetes are un-pursued. Failure to

control diabetes indeed results in unfavorable health outcomes and the well-being of people, both

affected and the unaffected. Its complications severely affect people’s finances together with

their households and the economy of the state as well. That is, individuals who have diabetes rely

on life-saving insulin; they pay a high price to access scarce insulin supplements.

In an attempt to address this health catastrophe, over the years U.S leaders, along with

various global leaders, have devoted to lowering a load of diabetes regarding the prioritized non-

communicable diseases. According to WHO, the issue of diabetes is one of the “2030 Agenda

for Sustainable Development” that all member states, without the exception of America, are

determined to lower by one third; attain the global health coverage besides providing necessary

medication to all by 2030. Such shows that there is a massive work at hand. It starts with being

aware of diabetes and its effects to improve one’s awareness of the trends in this calamity’s

frequency, and what actions responsible legal bodies are considering controlling diabetes. From

the data presented in here, it is evident that there is need for a powerful reaction not only from

various sectors of government but also from civil society including individuals suffering from

the sickness itself, without leaving aside food and medicine producers along with the medical

technology. Addressing his issues requires togetherness and pubic investment in every

intervention that is affordable and dependable on quality available science is needed.

 DIABETES IN UNITED STATES 6

Teaching Plan

Tutor’s Name: Date:

Lesson : Health and Well-Being Duration: 4 hours

Topic : Diabetes in United States Level : (beginner level)

Aims Of The Lesson:

 Creating and increasing public awareness (Youths, Adults including the young- both affected

and the non-affected ones) about the diabetes growth rate in the U.S.

 Managing patients’ care and empowering them to handle their conditions. That is teaching and

guiding every patient to understand his or her diabetes and the way it impacts their individual

lives.

 Working with diabetic and non-diabetic patients to establish (and meet) behavior change

objectives worth improving the health.

Program Objectives:

By the end of this training program, all trainees will be equipped with “self-management skills” like

Eating healthy, having physical exercise and seeking medical attention as a way of reducing the

frequency of diabetes and its severe effects on the body. Also the training will;

 Make it easier for healthcare experts to come up with age-specific educational aims for their

patients.

 Ensuring patients and the public as a whole have vital knowledge, skills along with confidence

to effectively control their diabetes.

 Supporting those who are concerned with helping diabetic patients who are on diagnosis phase

or the transitioning from paediatric to adult services.

Non-assumed Prior Knowledge: Every trainee is assumed to have little or no knowledge regarding the
 DIABETES IN UNITED STATES 7

lesson aims and objectives covered in every session.

Resources: The main tools to be utilized include; “ whiteboard pens, handouts, worksheets, lesson plan

proformas per individual, PowerPoint presentations, copies of PowerPoint as handouts; computer along

with projector and issuing of assignments. Live streaming will be available for those who will be unable

to maintain physical presence but can access the online training platform.

Differentiation (Addressing Learners’ Needs)

Planned groups various learning strategies – Visual – PowerPoint presentations and handouts; Audio

listening and interacting in groups inform of discussion on the targeted questions.

Fundamental Skills To Be Addressed

Self-management “basic survival skill”. These entails eating healthy, observing physical exercises,

taking medicines as prescribed by the concerned practitioner (especially those with diabetes), and

managing emotional health.

Information Technology

Resources and the lesson plan to be accessed through internet links that will be provided.

Time Content and Trainer Learner Activity Resources

DIABETES IN UNITED STATES 8

Activity

10:00  Register  Explaining to  PowerPoint and

 Summarize the one another the handouts
goals –group into aims and
pairs; keep track of objectives and  Assignment
pair activity provide handouts

10:40 examples based

 Inform learners on on the topic
the aims of the  Trainer’s lesson
session  Watching, plan handout as
listening, example.
 Assign groups of 4 working in
a task to reflect on groups as
11:00 the learned lesson directed by the
trainer
 Trainer’s Input
along with question
11:30  Answering
and answers on how
questions asked
to plan training
 Assign groups- go
 Ask question
through the whole
for further
session plan and
clarification on
evaluate strengths
are not
and weaknesses,
properly
including areas
understood
demanding
adjustment for the

12:00 training, besides

monitoring the
work
DIABETES IN UNITED STATES 9

 Obtaining feedback
from the groups
 Working individual
or with the groups
based on particular
areas. Planning one
hour lesson for the
intended area of
focus by using the
12:40
pro- forma- monitor
and support work.

 Feedback – any
questions/issues
14.00
 Summarizing and
reviewing
objectives of the
lesson.

 Going through
assignment and
clarifying date to be
submitted

 Recapping the
finished lesson and
asking learners
some of the things
they have learnt
Evaluation
DIABETES IN UNITED STATES 10

Certainly, diabetes can affect everybody from more than one hundred million Americans

already affected or at a risk of being one to the various individuals who care for them. With that,

educating the public on this calamity pays off. Various researchers proved that individuals who

have acquired diabetes education have the tendency of using basic care and preventives services

besides taking medications as directed. Controlling the blood glucose, blood pressures along with

cholesterol levels becomes easy. Furthermore, it lowers the health costs. Harding, et al (2020)

also stands by the fact that “Diabetes self-management training is a benefit covered by Medicare

and most health plans when provided by a diabetes care and education specialist within an

accredited/recognized program.”

Having as much knowledge as one can on diabetes is essential for personal health.

Diabetes is not the same as other chronic illnesses worth managing through medication only. The

education offers a general awareness of strategies that can various aspects of individual lifestyle

and successfully manage the disease. Most patients fail to realize the severity of this disease.

Others feel no need of additional education because of the insulin they take to make them feel

better; however, waiting for symptoms to reoccur is risky as far as one’s health is concerned.

Learning appropriate tools to manage the disease translates into reduced health complications

besides having a better life. “Educational materials emphasize that self-management of diabetes

is the best way to keep one step ahead of the disease” (Cruz‐Cobo & Santi‐Cano, 2020).

Part ii) Visual Handout to the Targeted Population

DIABETES IN UNITED STATES 11

Living well with or without Diabetes

Objectives I. Upon completing the training, trainees will be aware of the effects of
diabetes on the overall well-being
II. Acquire knowledge on how to manage prolonged diabetes
complications besides learning the steps prescribed for handling sick
days.
III. Understanding the necessity of being equipped to manage emergencies
when they arise.
IV. Understanding the emotional phases a person goes through while
encountering diabetes
V. Understanding strategies to use to destroy unhealthy habits and develop
positive ones.
VI. Identifying ways that family members can support people with diabetes
develop healthy lifestyle adjustments.
VII. Learning food safety points to prevent foodborne diseases and ways of
recognizing symptoms besides managing a sickness should one occur.

ƒƒ

Tools (resources  “Living Well with Diabetes” PowerPoint presentations with notes

required to present

the training

incorporates trainee

handout)

“American Diabetes Association • National Diabetes Education Program •

References Diabetes Life Lines – The University of Georgia Cooperative Extension • U.
S. Food and Drug Administration • U. S. Department of Agriculture, Food
Safety and Inspection Service • Diabetes Prevention and Control Program “

References
DIABETES IN UNITED STATES 12

Bandosz, P., Ahmadi-Abhari, S., Guzman-Castillo, M., Pearson-Stuttard, J., Collins, B.,

Whittaker, H., ... & O’Flaherty, M. (2020). Potential impact of diabetes prevention on

mortality and future burden of dementia and disability: a modelling

study. Diabetologia, 63(1), 104-115.

Chan, D. Margret (2020). GLOBAL REPORT ON DIABETES. Retrieved 27 February 2020,

from

https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf;jsessio

nid=5A6866D993EA1BCCBCDDE3D0455FBEC0?sequence=1

Cruz‐Cobo, C., & Santi‐Cano, M. J. (2020). Efficacy of Diabetes Education in Adults With

Diabetes Mellitus Type 2 in Primary Care: A Systematic Review. Journal of Nursing

Scholarship.

Harding, J. L., Benoit, S. R., Gregg, E. W., Pavkov, M. E., & Perreault, L. (2020). Trends in

Rates of Infections Requiring Hospitalization Among Adults With Versus Without

Diabetes in the US, 2000–2015. Diabetes Care, 43(1), 106-116.

National Diabetes Statistics Report 2020 Estimates of Diabetes and Its Burden in the United

States. (2020). Retrieved 27 February 2020, from

https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf