...Diabetes with Co-Morbid Depression Research and reviews from the CDC and the Robert Wood Johnson Foundation, among others, recognize that health disparities in diabetes result from complex interactions of individuals with social, political, and environmental factors (1). Therefore, interventions designed to reduce these disparities and improve health care for African-Americans and Latinos with diabetes must also intervene at multiple levels. That same research also indicates that optimal disease management for patients with diabetes should include mechanisms for screening and managing depression. An article in the International Journal of Psychiatry in Medicine reports that in a group of diabetes patients who were screened for depression, the majority (56%) of the sample screened positive for depression (PHQ-9 >10), and half (49%) did not have evidence of that diagnosis in their encounter data. The study further concluded that the prevalence of co-morbid disease in diabetics may be as high as from 30% up to 50%.(2) Patients with diabetes are twice as likely to experience depression as those without diabetes. While diabetic patients who are also depressed show an increased incidence of diabetic complications, screening for depression in diabetics is not routine.(3) Moreover, patients with diabetes who have co-morbid depression have decreased medication adherence, poorer adherence to exercise and diet, and poor glycemic control,(4) Diabetics with depression have total...
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...“Diabetes mellitus is a chronic metabolic condition characterized by insufficient production of insulin or inability to use the insulin that the body produces, resulting in problems regulating blood sugar (Danna, 2016).” Depression is a feeling of consistent of sadness and an individual loses interest in everyday life activities. “Depression and diabetes are independent risk factors for one another, and both are associated with increased risk of cognitive decline (Danna, 2016).” Still the connection between diabetes and depression is not completely understood. It is known that lower cognitive abilities usually lead to poor health outcomes. Depression has been shown to increase the risk of diabetes, this may be because self-care decreases when...
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...Prevalence of Anxiety and Depression among Outpatients with Type 2 Diabetes in the Mexican Population ´ ´ ´ ´ Carlos Tovilla-Zarate1,5*, Isela Juarez-Rojop2, Yesenia Peralta Jimenez1, Marıa Antonia Jimenez1, 1 1 1 3 ´ ´ ´ ˜ ´ Silvia Vazquez , Deysi Bermudez-Ocana , Teresa Ramon-Frıas , Alma D. Genis Mendoza , Sherezada ´ ´ ´ Pool Garcıa4, Lilia Lopez Narvaez5 ´ ´ ´ ´mica Multidisciplinaria de Comalcalco, Comalcalco, Tabasco, Me ´xico, 2 Universidad Juarez Autonoma de ´ ´ 1 Universidad Juarez Autonoma de Tabasco, Division Acade ´ ´ ´xico, 3 Servicios de Atencion Psiquia ´ ´trica, Secretarıa de Salud. Me ´xico D. F., Me ´xico, ´ Tabasco, Division Academica de Ciencias de la Salud, Villahermosa, Tabasco, Me ´xico, 5 Centro de Investigacion Genomica, Comalcalco, Tabasco, Mexico ´ ´ ´ ´ 4 Hospital General de Comalcalco, Tabasco. Secretarıa de Salud, Comalcalco, Tabasco, Me Abstract Background: Depression and anxiety are common in diabetic patients; however, in recent years the frequency of these symptoms has markedly increased worldwide. Therefore, it is necessary to establish the frequency and factors associated with depression and anxiety, since they can be responsible for premature morbidity, mortality, risk of developing comorbidities, complications, suffering of patients, as well as escalation of costs. We studied the frequency of depression and anxiety in Mexican outpatients with type 2 diabetes and identified the risk factors for depression and anxiety. Methods and Findings:...
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...practice can be utilized in the case of Mr. Banks to provide viable solutions to challenges faced as a result of depression and type 2 diabetes. The work commences with the problem identification. Then an answerable question is developed to guide the work in identifying the best evidence-based literature to address Mr. Banks’ issue. The identified scholarly material...
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...Mentally/emotionally: People with dm type 1 are 2 times more likely to experience depression [ (Depression symptoms, n.d.) ] Notes: According to Depression symptoms, there can be many reasons why people with DM type 1 are more susceptible to depression: May feel alone because you don’t know anyone else with DM, worry of possible side effects, may feel like you’ve lost control, DM is relentless with it’s constant changing as you grow older. (Depression symptoms, n.d.) Physically: Some people with DM type 1 might experience long term disabilities such as: diabetic retinopathy, cardiovascular disease, hypoglycemia, neuropathy, nephropathy [ (Dealing with Type 1 Diabetes in Children, 2014) ]. Sexually: In men, impotence may come and go at times. It may begin with erections that are less firm than before, and then progress to those which are shorter duration and less firm. In women, it was reported less sexual desire, less satisfaction, more avoidance of sex, difficulty with lubrication, and fewer orgasms [ (Sander Polin, 2012) ]. Notes: Sanders-Polin suggests that in addition to the symptoms of diabetes, some of the sexual dysfunctions can be due to the stress of dealing with a chronic disease and the medications taken. Financially: According to mainstream.com, a typical type 1 diabetic patient might pay at full-cost (without insurance) about $422.90 per month [ (Typical Costs fo Diabetic Patients, 2009) ]. Notes: The monthly costs include humalog and lantus...
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...What You Need To Know About Type 1 Diabetes 1 What You Need To Know About Type 1 Diabetes DeeBra Richardson ITT – Technical Institute EN 1320: Composition 1 Prof. Julia Davis December 1, 2014 What You Need To Know About Type 1 Diabetes 2 My report is on type 1 diabetes. How people get type 1 diabetes and how to deal with it. It tells about the different type of insulin people with diabetes used. It take about what complications, it can cause. It also tells about the different body parts it can affect. Talk a little about depression and how type 1 diabetes can cause depression. Also talk about the difference sing or symptoms to watch out for. So you know what to look like with getting type 1 diabetes and when you have high and low sugar. Other symptoms or sing it gives you is depression sings. This is why my topic is call “What You Need to Know about Type 1 Diabetes” What You Need To Know About Type 1 Diabetes 3 What causes type 1 Diabetes? It seems that no one is really sure what cause diabetes. They do say that a virus infect the body. When the virus infect the body the person immune system starts to produce antibodies and that fight the infection. The cells that are in charge of making the antibodies are called the T – Cells. The T- Cells also fight the virus. There is also a cell call the beta...
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...Critique Nursing Journal Article Kendra Duran Excelsior College Abstract Complications from, and economic costs associated with diabetes are on the rise. The concern is that this global health epidemic is only expected to worsen in the coming decades. One quantitative research study aims to improve patient outcomes specifically related to proper control of blood glucose level, by linking patient outcomes with health literacy and patient trust. A quantitative study consisting of a convenience sample of 102 subjects from two urban health care centers was used. Patient demographics, socioeconomic status, and diabetes related knowledge, and depression were measured. The results of this study are mixed in supporting the hypothesis that lower health literacy directly impacts glycemic control. The 2010 journal article titled, “Impact of health literacy and patient trust on glycemic control in urban USA population” from Nursing Health and Sciences, hypothesizes a direct relationship between a patient’s overall health literacy and the ability to maintain glycemic control. The study’s intent is to examine questions related to health literacy and a patient’s trust in their healthcare provider to make a connection to how well the subjects managed glycemic control. Questions related to potential depression are also relevant. Author, Josephine M. Mancuso, PhD, ANP-BC from Marquette University, has published articles in the following nursing journals: Journal Of Nursing Care...
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...Psycosocial Effects of diabetes Substantial literature documents the prevalence and course of psychiatric disorders, particularly affective and anxiety disorders, in adults with diabetes . Research findings have demonstrated that depression is more common in patients with diabetes than in the general population; at least 15% of patients have clinical depression . Findings indicate that depression is associated with worse glycemic control and health complications , as well as decreased quality of life , and is likely to be persistent . A recent meta-analysis confirms the association of depression with hyperglycemia and complications in both adult type 1 and type 2 diabetes . Evidence from prospective studies indicates that depression doubles the risk of the incidence of type 2 diabetes, independent of its association with other risk factors . In patients with preexisting diabetes, depression is an independent risk factor for coronary heart disease and seems to accelerate its presentation. Research has also shown that anxiety disorders are common in adults with diabetes and linked with poor glycemic control. Retrieved February 24, 2012 www.AmericaDiabetesAssociation/care.diabetesjournal.org Diabetes is a disease that affects the body’s ability to produce or use insulin. When the body turns the food eaten into energy, insulin is used to move this sugar into the cells. If someone produce little or no insulin, or of the body cannot use this insulin, the sugar remains...
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...Psycosocial Effects of diabetes Substantial literature documents the prevalence and course of psychiatric disorders, particularly affective and anxiety disorders, in adults with diabetes . Research findings have demonstrated that depression is more common in patients with diabetes than in the general population; at least 15% of patients have clinical depression . Findings indicate that depression is associated with worse glycemic control and health complications , as well as decreased quality of life , and is likely to be persistent . A recent meta-analysis confirms the association of depression with hyperglycemia and complications in both adult type 1 and type 2 diabetes . Evidence from prospective studies indicates that depression doubles the risk of the incidence of type 2 diabetes, independent of its association with other risk factors . In patients with preexisting diabetes, depression is an independent risk factor for coronary heart disease and seems to accelerate its presentation. Research has also shown that anxiety disorders are common in adults with diabetes and linked with poor glycemic control. Retrieved February 24, 2012 www.AmericaDiabetesAssociation/care.diabetesjournal.org Diabetes is a disease that affects the body’s ability to produce or use insulin. When the body turns the food eaten into energy, insulin is used to move this sugar into the cells. If someone produce little or no insulin, or of the body cannot use this insulin, the sugar remains...
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... I have chosen diabetes as a subject of interest; partly because this condition has more recently become prevalent in my own extended family, and partly because I‘m interested to explore the impact that hypnosis may have upon what is now classified as a worldwide epidemic The problem in people with diabetes is that either they don’t produce enough insulin, or the insulin they do produce doesn’t work properly, or their cells don’t respond properly to insulin. The net result is that glucose isn’t cleared from their bloodstream. Their blood glucose levels are then too high and the body tries to clear them away by various compensatory methods, such as increased urination. Insulin helps to reduce the glucose levels produced by the breakdown of carbohydrates in food. As more studies have been conducted, medical professionals now understand that diabetes brings with it the hidden risk of depression. In fact, diabetes can increase the odds of a person developing depression by 50% With depression comes a distancing of relationships, difficulty in the workplace or in school, and an overall sense of doom and defeat. Considering that 35% of all diabetics have significant depression and 11% have major depression, it is easy to understand why hypnosis can be so beneficial. Nearly all the family members I consulted with to ascertain their own experiences of diabetes confirmed that they too have experienced diabetes-related bouts of depression For many doctors, the first...
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...the research reported by Mancuso (2010) that examined the health literacy and patient trust as predictors of glycemic control. This study also examined others factors like demographics, socioeconomic status, diabetes knowledge, self care activities and depression as related to glycemic control. Th epurpose of this critique is to determine the quality of the research on the basis of the information provided in the report, as well as the potential usefulness for nursing practice or improvement in nursing knowledge (Mancuso, 2010). The author recommended implementing evidence–based interventions to improve diabetes outcome, avoid public health crisis from diabetes mortality and morbidity, and economic cost with the population growth, obesity on rise and aging. Problem Statement The problem statement was as stated in the article.Mancuson provided statistical information from Centers for Disease control showing in 2006,diabetes was the seventh leading cause of death in USA.Diabetes has no cure and can lead to serious complications which include heart, kidney, nervous system, and dental diseases, stroke, blindness, hypertension, amputation, sexual dysfunction, depression and susceptibility to other illness (Mancuson,2010).The author also used statistics from American Diabetes Association to support the study. The primary goal of therapy is to achieve glycosylated hemoglobin (HbA1c) level as close as less than 7 and secondary goal ,for fasting blood glucose to be between 90 and...
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...nurse to interpret the knowledge gained in regards to the studied populations. Furthermore, the credibility and relevance of the study is equally important in the decision to trust its application in current best practice issues. This study states trust and depression are issues that cause difficulties with glycemic control. The purpose of this paper is to critique the quantitative study and offer a critical synopsis of the research presented. PICO (Patient, Intervention, Comparison, and Outcomes) is a type of model used to aid in framing questions for the research study. It helps to define questions that will support the specific population being studied and aids the reviewers in finding relevant information and evidence within the literature (Board of Trustees of the University of Illinois [UIC], 2012). The population studied was uninsured patients with diabetes. In considering the intervention and comparison, the goal of the study was to link health literacy and patient trust factors as predictors of glycemic control. Other factors that were considered were: socioeconomic status, diabetic knowledge, self-care activities, and depression (Mancuso, 2010). The outcome of the study suggests that trust and depression in the patient population was a factor in glycemic control; however, patient’s ability to understand their health, their...
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...because of new technology and the way food is being made is so harmful that it is causing many people to become unhealthy to the point that some are dying from food such as fast foods. Fast food is the term given to food that can be prepared and served very quickly and any meal with low preparation time can be considered to be fast food (Jennifer, 2003). Fast food consumption has grown dramatically in recent years. The fast food restaurant has permeated every part of our country so much that, in some areas, it seems as though every small city one of the fast food restaurants will be there. Thesis Statement There are many effects of fast foods among youths such as fast foods can cause obesity, can lead to many diseases, and can cause depression. Development of the first main point One of the effects of fast foods is obesity. A condition in which the body has dangerous quantity of body fat is called obesity. The people who weight more than 20% than their usual weights are classified as obese persons (Alte, Schiff, 1998). Alte and Schiff (1998) also stated that a condition when the body has a lot of fat is called obesity. The persons who are obesity weight from 10% to 19% than their usual weight. So, the people who love to eat fast foods will easily gain their weight and will become obesity. There are many effects when being obesity. When being obese, a lot of physical problems occur. Obesity is connected with some of the heart disease risk circumstances, containing high blood...
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...previous award. Date …17/5/2015……. Managing the Needs of Patients with Diabetes Mellitus LO1 Type 2 diabetes is a serious chronic condition affecting the body’s ability to regulate blood glucose levels. According to Diabetes UK (2012), there were 2.9 million people in the UK diagnosed with diabetes in 2012, and this is estimated to increase to 5 million by 2025. Up to 90% of people with diabetes are thought to be type 2. According to Diabetes UK (2006), many are unaware they have the condition and it can lead to long-term complications including eye problems, kidney disease, foot ulcers and cardiovascular disease. Gregg et al (2005), states advances in preventative medicine have seen an effective reduction in the burden of risk from hypertension and hyperlipidaemia but the incidence of diabetes has continued to rise, driving cardiovascular rates. There has been much done in recent years to identify people who are at high risk of developing diabetes. This assignment will discuss the link between diabetes, obesity and cardiovascular disease. It will also identify lifestyle and behaviour changes involving the multi-disciplinary team and structured patient education of diabetics. The case study for this assignment is Mrs Smith, newly diagnosed with type 2 diabetes and a family history of heart disease and diabetes. She leads a sedentary lifestyle, is overweight and has a poor diet (see appendix). The Health...
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...REFLECTION INTRODUCTION The essence of this essay is to reflect on my 'lived' personal experience as a newly diagnosed patient with type II Diabetes. The author's assignment was to pretend to have been diagnosed with type 2 diabetes. As part of this exercise, the author was to maintain a record of exercise, food, and a regular blood sugar monitoring regime on daily basis. This reflection seeks to highlight the impact, experience and changes that occurred in the author's 'lived lifestyle of a patient with type II diabetes' and will include reference to current literature, research, theories and best practice. The author would explain the changes that occurred in her life and how experiencing type two diabetes has helped her to understand the challenges patients undergo in relation to their daily routine of monitoring their blood sugar levels. The author will explain how her 'lived experience' would help her understand and provide the necessary support for people with diabetes in the future. BACKGROUND INFORMATION I am a female non-smoker of African descent. I am married with two children aged 13 and 21. My thirteen-year old daughter currently lives with me in New Zealand. I am of an average height of about 163cm and weigh 80kg which signifies an unhealthy BMI of 30.1 (Health Information for New Zealanders, (n.d.) BMI Calculator section) I am currently out of job and often depressed as a result of my inactivity. I have a normal blood pressure of 136/78 and my pulse rate...
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