Intervention for the treatment of diabetes in adults

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice

Must have a turnitin score of less than 10%.

Must be a paper on a specific intervention or new diaganostic tool on diabetes.

75% of my grade is based on the following criteria:

1. Research or Evidence-Based Article Identified. Article Focuses on a Specific Diabetic Intervention or New Diagnostic Tool. = Research or evidence-based article identified that focuses on a specific diabetic intervention or diagnostic tool in a comprehensive manner, allowing all criteria of assignment to be fully addressed.

2. Summary of Article Includes the Following Content: Discussion of Research Performed Clinical Findings, and Significance to Nursing Practice. = Content is comprehensive. Presents ideas and information beyond that presented through the course, and substantiates their validity through solid, academic research where appropriate. Research is thorough, current, and relevant, and addresses all of the issues stated in assignment criteria. Final paper exhibits the process of creative thinking and development of proposal. Applies framework of knowledge, practice and sound research. Shows careful planning and attention to how disparate elements fit together.

Intervention for the treatment of diabetes in adults

Increased prevalence of obesity among the US population is a concern as it contributes to diabetes. Diabetes is usually associated with high rates of cardiovascular diseases, retinopathy, neuropathy, peripheral vascular diseases, and nephropathy (Ryan et al., 2014). These complications can however be delayed or prevented with effective management. Regardless of this, many people are still not meeting the American Diabetes Association guidelines Various studies have been done on the interventions and diagnostic tools that can help  manage diabetes in children and adults. This paper reviews a research article, “Lifestyle Interventions for Patients With and at Risk for Type 2 Diabetes” by Elizabeth, Dryden, Vandermeer, Ha & Korownyk (2013), on one of the interventions in managing diabetes in adults.

According to Elizabeth, Dryden, Vandermeer, Ha & Korownyk (2013), type 2 diabetes is a major cause of illness and death. For instance, in the United States, diabetes was the seventh leading killer disease in 2007. Furthermore, statistics indicate that out of the deaths, more than 65% of the diabetic deaths were as a result of cardiovascular diseases. It is also the leading cause of kidney failure blindness and lower extremity amputations.

 In the article, Lifestyle Interventions for Patients with and at Risk for Type 2 Diabetes, Elizabeth, Dryden, Vandermeer, Ha & Korownyk (2013), aimed to systematically evaluate how lifestyle interventions could be adopted to help minimize progression of diabetes in high-risk patients and on progression of clinical outcomes such as cardiovascular diseases in patients with Type 2 Diabetes. The study was aimed at filing the gap left by lack of clarity on how multifaceted lifestyle interventions and abnormal glucose work in managing diabetes. Lifestyle is one of the many interventions geared towards managing type 2 diabetes.

The study followed a priori research protocol that meets the standards for carrying out a systematic review. Searches were done in MEDLINE Cochrane Central Register of Controlled Trials, CINAHL, SCOPUS, and AMBASE from 1980 to March 2010. All the searches in MEDLINE and CINAHL were updated in July 2012 and June 2013 (Elizabeth, Dryden, Vandermeer, Ha & Korownyk, 2013). The researchers further used hand-searched clinical trial registries and reference lists of relevant studies and reviews. In total, five electronic databases were used. Independent reviewers identified the randomized control trails of lifestyle interventions, which included, diet, exercises and one other component. One of the reviews extracted the information and the other verified it. This therefore ensures high level or reliability and validity because only credible information was selected.

The randomized controlled trails involved nine patients at risk of contracting diabetes. 11 other patients that had diabetes were also included. Out of this, several studies reported that indeed lifestyle interventions helped decrease the risks for diabetes from the end of the intervention to 10 years after it. Two other randomized studies that involved patients suffering from diabetes reported an improvement in terms of mortality reduction. Furthermore, one trial indicated some improvement in microbvascular outcomes after a 13 years’ follow up.

This studies, therefore indicate that, lifestyles interventions can help reduce the risks of  suffering from Type 2 Diabetes. However, it is clear that patients already diagnosed with this disease cannot reverse the situation through lifestyle interventions. Incidents of Type 2 Diabetes in high-risk patients can, therefore, be reduced through a comprehensive lifestyle intervention. There is insufficient evidence indicating reduction in all-cause mortality as well as suggesting benefits on micro-vascular and cardiovascular outcomes.

 The research is therefore very important to the clinical practice. It helps add on the already found evidence on ways that Type 2 Diabetes can be managed and prevented. Researchers and clinical practitioners can therefore use the findings of his research to better provide intervention mechanisms to patients at high risks of suffering from type 2 diabetes. If comprehensive lifestyle intervention mechanisms are well-adopted, they can help enhance preventive measures among patients at high risk of suffering from Type 2 Diabetes. Clinicians can therefore combine lifestyle interventions with other diagnostic tools and interventions to help manage Type 2 Diabetes in adults.

Even though this study had some limitation as most of the trial focused on surrogate measures such as blood pressure, weight change and lipids for which clinical relevance was unclear, it has helped indicate that indeed lifestyles can be used to fight Type 2 Diabetes  (Joy,  Little, Maruthur,  Purnell & Bridges, 2013).

In conclusion, it is apparent that the study was credible and relevant. It has provided more insights on how lifestyle interventions can help improve the health of patients at high risk of Type 2 Diabetes. The study was valid and reliable as depicted through the identification and verification of authentic information from various pieces of literature and reviews. Even as the cases of diabetes continue to increase, there seems to be light at the end of the tunnel. Clinicians have the responsibility to create awareness about lifestyle interventions to help people take appropriate preventive measures to prevent   Type 2 Diabetes. Lifestyle interventions however, are not effective amongst patients already infected with Type 2 Diabetes; it laid a foundation for further research to find out appropriate interventions and new diagnostic tools for diabetes.

References

Elizabeth, S.,  Dryden, D.,  Vandermeer, B.,  Ha, C., & Korownyk, C. (2013).  Lifestyle   Interventions for Patients With and at Risk for Type 2 Diabetes. Annals of Internal   Medicine, 159(8): 543-551

Joy, S., Little, E., Maruthur, N., Purnell, T., &Bridges, J. (2013). Patient Preferences for the         Treatment of Type 2 Diabetes: A Scoping Review. PharmacoEconomics, 39110): 877-   892.

Ryan, D et al., (2014). Optimal Management of Diabetes Among Overweight and Obese Adults. American Journal of Managed Care, 20(1): 1-7.

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