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Finally, it may be possible to achieve additional reduction in the risk of type 2 diabetes or its complications by influencing various behavioral risk factors, such as specific dietary choices, which have not been tested in large randomized controlled trials. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014.Knowler WC, Fowler SE, Hamman RF, et al; Diabetes Prevention Program Research Group. Atlanta, GA: US Department of Health and Human Services; 2014.Module 1 Have you ever tried to introduce diabetes to a newly diagnosed patient and found yourself at a loss?
Ten-year followup of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Available from: https://gov/diabetes/pdfs/data/2014Emerging Risk Factors Collaboration, Seshasai SR, Kaptoge S, Thompson A, Di Angelantonio E, Gao P, et al. Danaei G, Finucane MM, Lu Y, Singh GM, Cowan MJ, Paciorek CJ, et al.
Diabetes mellitus, fasting glucose, and risk of cause-specific death. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants.
The National Diabetes Prevention Program has now been established to implement the lifestyle intervention nationwide.
Another emerging issue is the effect on public health of new laboratory based criteria, such as introducing the use of A1c for diagnosis of type 2 diabetes or for recognizing high risk for type 2 diabetes.
Reduce the disease burden of diabetes mellitus (DM) and improve the quality of life for all persons who have, or are at risk for, DM.
DM occurs when the body cannot produce enough insulin or cannot respond appropriately to insulin.Studies confirm positive behavioral and economic outcomes of outpatient diabetes education programs on self-care (Brown, 1990).Patients with diabetes who have received diabetes education have better A1C glycosylated hemoglobin levels, fewer emergency department (ED) visits, and better overall health compared to those with diabetes who never received education. With over 29.1 million Americans—9.3% of the United States population—diagnosed with diabetes and another 86 million with prediabetes, there are a lot of people needing diabetes education (ADA, 2014).Most people with diabetes hear about the disease initially from a healthcare professional, and yet many people with diabetes leave more confused after being given the startling diagnosis because of the heavy use of medical jargon and the complicated information.Being able to simplify diabetes education and meet the learning needs of your patient can make the difference between patients who leave feeling empowered to take control of their diabetes or feeling overwhelmed, depressed, and inclined toward noncompliance.Lifestyle change has been proven effective in preventing or delaying the onset of type 2 diabetes in high-risk individuals.Based on this, new public health approaches are emerging that may deserve monitoring at the national level.For example, the Diabetes Prevention Program research trial demonstrated that lifestyle intervention had its greatest impact in older adults and was effective in all racial and ethnic groups.Translational studies of this work have also shown that delivery of the lifestyle intervention in group settings at the community level are also effective at reducing type 2 diabetes risk.These changes may impact the number of individuals with undiagnosed diabetes and facilitate the introduction of type 2 diabetes prevention at a public health level.Several studies have suggested that process indicators such as foot exams, eye exams, and measurement of A1c may not be sensitive enough to capture all aspects of quality of care that ultimately result in reduced morbidity.