HEALTH CARE PART A BACKGROUND OF THE PROBLEM Diabetes in the recent ages has emerged more of a social problem rather a scientific one. America is a hub where diabetes has emerged as an epidemic, since 1980 where this disease has almost doubled and is rising at a very rapid pace…
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The disease is more prevalent in specific categories namely American Indians, African-Americans and Latinos (Hu & Wallace, 2006). For the past 2,000 years, diabetes has been regarded as one of the most fatal diseases. Many eminent physicians such as Aretaeus explored the ill effects of the disease revealing that diabetes leads to drain of essential body fluids and liquefaction of body flesh through urine. Unfortunately, the physicians couldn’t develop effective treatment for the same. Moving ahead in century’s various recommendations were suggested for diabetes’s cure such as oil of roses, broken red coral etc but all in vain. Then in later 17th century, Dr. Thomas Willis monitored blood sugar level through urine which till 20th century and later remain unchanged and successful method to identify the presence of Diabetes (Sattley, 2008). However in the year 1935, Roger Hinsworth explored the two types of diabetes, one called as "insulin sensitive" or Type I and the other named "insulin insensitive" or Type II. In USA specifically, a marginal amount of people percentage acquires Type 1 disease which arises genetically. Type 2 on the other hand is generally referred to as adult-onset diabetes which is rapidly infusing not only in adults but also among children as well (The Economist, 2007). The cause of rapid rise of Diabetes specifically in regard to America is the rise in obesity levels. Gradually, down the years much new experimentation were carried on in 1995, Metformin which is an oral medication for Type II diabetic patients was finally discovered and approved by FDA for use in US, after which many more successful medications were floated. Even after numerous researches and drug inventions, the problems still remains chronic and increasing at a higher rate than ever before. Educational, psychological, physical, external, psychosocial etc are few of the personal barriers that have constrained the prevention and cure of the menace (Simmons, 2001). Surprising but facts clearly state that USA stands seventh in the list where it is regarded to be one of the worst hit diabetic nation responsible for thousands of death every year due to the widely spreading disease (Online US diabetes magazine, 2007). As of the current status in America, almost 16,600 health care practitioners are certified diabetes educator and the population suffering from the illness is approximately over 24 million people (Brenson, 2010). This clearly reveals that on every 1500 diabetic patients, one CDE is appointed. This is more than just disappointing and situation itself unveils the extent of fissure that exists between the disease and its management. PART B HEALTH PROBLEM AND ITS EVALUATION After analyzing the past statistics of the American people in the last twenty years, it has been found that diabetes has steadily risen to almost 8 percent of the entire population (Wilson, 2010). In few parts of America in specific, almost double the increase in the diabetic patients has been witnessed. Future estimates were forecasted in the year 2004 by the ‘the Centers for Disease Control and Prevention’, according to which out of every seven people, one would be suffering from diabetes, especially in the regions like Alabama and Mississippi (Wilson, 2010). In a research conducted by Venkat Narayan, Edward Gregg, it was found that almost 135 million people in the world were suffering from this lethal disease in the year 1995 and this count is now expected to multiply by approximately 300
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