• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

How common is diabetes?

Extracts from this document...


Introduction I will be focusing on Type 2 diabetes as it is a major public health issue in the UK. I will briefly mention Type 1 diabetes and diabetes in children. The reason why I will be focusing on Type 2 diabetes is because more people are affected by it compared with Type 1 diabetes. Since 1996 the number diagnosed with the condition has increased with 4 million. Most of these cases are Type 2 diabetes. The number is set to continue to rise as our population is ageing and more people are becoming obese. There also remains up to a million people who have diabetes but aren't yet aware of it. Diabetes is a condition in which the amount of glucose in the blood is too high because the body cannot use it properly. Glucose comes from the digestion of starchy foods such as potatoes, from sugar and other sweet foods and from the liver which produces glucose. Insulin is a hormone produced by the pancreas that helps the glucose to enter the cells. Diabetes put people at higher risk of heart disease, stroke, blindness, kidney disease and amputations. Those with diabetes are five times more likely to suffer heart failure. The main symptoms of diabetes are increased thirst, extreme tiredness, weight loss, genital itching, regular thrush and blurred vision. The NHS spends around five per cent of its budget on diabetes and its effects. This means that up to �3.5 billion a year is spent on the treatment. ...read more.


Ideally, the program selected should have a team of educators (physician, dietician, nurse, social worker, exercise specialist, etc) who are well-versed in education of children. Standards to look for are paediatric centres with Certified Diabetes Educators on staff and whose programs have met the National Standards for Diabetes Self-Management Education as identified by the American Diabetes Association. Education should include but should not be limited to: self-monitoring of blood glucose, medications and their use, exercise and meal planning. Exercise speeds up calorie expenditure promoting weight loss. It also increases insulin sensitivity at the cellular level. Currently, there are five classes of oral medications approved by the FDA for treatment of type 2 diabetes. It is important to note that few safety and effectiveness studies have been conducted in the paediatric population The most effective way to quickly normalise blood sugar levels is with the use of insulin. Insulin therapy should be started in children with severely elevated blood sugar levels or children with intense thirst and frequent urination. There are a wide variety of insulin regimens that can be used. Once blood sugars are under control, Glucophage can be added while decreasing insulin dosage. It is important to monitor for ketones during this time to rule out type 1 diabetes in a honeymoon period. Primary prevention should involve a public health approach that involves school and community-based programs, directed at improving overall nutrition and physical activity. The population of children with type 2 diabetes is growing perhaps to epidemic proportions. ...read more.


The Government is currently looking at public health initiatives which will include measures to combat obesity and therefore help to prevent diabetes. The recent NHS improvement plan also draws attention to the health and cost benefits of effective Chronic disease management (CDM). The Department of Health has put an increasing focus on CDM stating it as "significant and exciting challenge for the NHS". The UK has developed frameworks which outlines the standards for diabetes care. Primary care trusts are establishing diabetes networks and putting eye screening and diabetes registers in place. Local targets need to be set in order for frameworks to be achieved and the lives of diabetes to be improved. All the diabetes frameworks in the UK emphasise the principle of integrating service delivery to provide systematic care, including a focus on prevention and self management. If implemented effectively the frameworks need to improve people's lives and provide significant cost savings in the long-term as early identification and better treatment decreases the incidence of complications. Diabetes will continue to be a major health challenge in the future and publication of the frameworks is certainly a step in the right direction to meet the challenge. To provide high quality diabetes care across the UK, it is essential that their implementation is as effective as possible. Sources 1. Neil Moonie. Heinemann AS Health and Social Care for Edexcel. 2. Mark Walsh, Paul Stephesn, Richard Chaleoner. Collins AS Health and Social Care. 3. www.bbc.co.uk 4. www.diabetes.org.uk (Graphs) PUBLIC HEALTH UNIT 6 RACHEL LAMPRECHT ?? ?? ?? ?? Rachel Lamprecht Health and Social Care Unit 6 Mr. J Clark 1 ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Clinical Medicine section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Clinical Medicine essays

  1. The roles of social, economic and biological factors in the prevention and control of ...

    * The incidence of tuberculosis of the lungs, the white plague that formerly affected millions of people, declined from the 1950s until 1984; sanatoriums were closed and routine screening was abandoned in the United States. Then, between 1984 and 1992, the incidence increased by 20%, chiefly because of immigration from


    10%, set by the National Health Service Cancer Screening Programmes, is yet to be met by many units in the United Kingdom. A persistence rate of abnormal cytologic results between 15% and 39% is not infrequently quoted. Failure rates between 5% and 22% 1 year after treatment with the Semm

  1. The Position of Ethnic Minorities into Nursing and Midwifery NHS Workforce: Using a Systematic ...

    Thirdly, a personal interest to use the allocated dissertation times to broaden my experiences and knowledge of a research methodology previously unknown to me and finally a topic that is of high priority to the National Health Services (Royal College of Nursing, 2005).

  2. patient centered care

    A person has unique characteristics encompassed by mind, body, soul and spirit, from conception to death and thereafter". Another approach to a broad definition is taken by Joyce (1968) he states that a person should be defined as a " being with capabilities or potentialities to know, love, desire, and

  1. How effective are the M.S adverts?

    Even when she feels good and tries to be normal for just one day it backfires and has serious repercussions. We also wonder how a sufferer manages to hold down a job, each day there may be something different wrong with them which makes us wonder how their employers can rely on them.

  2. Lower back pain in pregnancy. This study is therefore designed to determine the prevalence ...

    during Pregnancy Observed N Expected N Residual x� P-value Abnormal weight gain Yes 134 133.7 .3 0.001 0.976 No 425 425.3 -.3 Figure 4: Weight Gain Observed in Respondents during Pregnancy Seventy-seven (8.7%) respondents had previously been on Birth Control Pills (BCP).

  1. sexual health

    of staff nodded their head as if understanding what Mary was trying to say, then saying directly to me that she hadn't understood a word that Mary had said. I felt that had she explained to Mary that she couldn't understand her and had taken the time for Mary to

  2. Mental Health

    Prior research, included within the introduction to the paper, provides a large body of information showing the extent to which mental disorder is believed to be a problem within US adolescents. It recommends, 'About 20% of US children...have at least one...mental...disorder'(Chen et al; 2005: 2).

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work