Study Document
Pages:2 (682 words)
Sources:2
Document Type:Research Proposal
Document:#17661795
Diabetes Patients
putting patients on a diet consisting of all-natural, all-organic, locally grown or locally produced foods plus exercise
insulin injections
O - reduction in body's challenge to create/absorb insulin
nnonth trials
PICOT Question:
In patients who suffer from Type 2 diabetes (P), is an intervention consisting of a traditional, organic, and all-natural diet of locally grown/produced foods plus exercise (I) more effective in addressing the body's issues in creating or absorbing insulin (O) than insulin injections (C) over a 6-month trial period (T)?
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Diet diabetes management
PubMed
ProQuest, Emerald Insight
Effective
How is diet an effective intervention in diabetes management?
Dietary Intervention diabetes
PubMed
Emerald Insight
Insulin
How is dietary intervention in diabetes treatment compared to insulin?
4
3
Managing diabetes through diet exercise
PubMed
CINAHL, ProQuest
Environment
Can organic diet and exercise help to manage diabetes in patients?
4
4
Using a combination of food and exercise to manage diabetes
Pub Med
ProQuest, Emerald Insight
Effective
How can organic diet be combined with exercise to promote effective diabetes management in patients?
4
5
Managing diabetes through changing dietary pattern and lifestyle
PubMed
CINAHL, ProQuest
Prevention
Can changes in dietary patterns and lifestyle help in prevention and control of diabetes in patients?
5
Evaluation Table
Author
Conceptual Framework
Design/
Method
Sample & Setting
Major Variables Studied
Measurement
Data Analysis
Findings
Appraisal: Worth to Practice
Ajala et al. Systematic Review 2013: 97:3 505-516
Systematic review/meta-analysis
20 RCTs, N=3073 across 3460 randomly assigned individuals
RCTs w/ intervention above 6 mos, comparing low GI Med. Diet with control diets, high-GI
Low-GI Med. Diet is effective in improving markers of cardio-risk in people w/ diabetes
Strength: Low-GI Med. Diet should be considered in diabetes management
Cunningham-Myrie et al. Associations between neighborhood 2015: 68:9 970-978
Survey
2848 respondents from 2007-08 Jamaica Health and Lifestyle Survey
Physical activity, obesity, environment (neighborhood)
Relationship between neighborhood indicators and DM and the modifiable risk factors PA and obesity
Multi-level analyses: mixed-effect logistic regression models
ICC=10.7, Significant clustering in PA levels of 20 minutes
Strength: Environment has a partial impact on PA, diabetes and obesity
Oftedal, Bru & Karlsen. Motivation for diet and exercise management 2011: 25 735-744
Cross-section study consisting a postal questionnaire/ longitudinal, prospective survey
The questionnaire was administered to 425 adults aged between 30…
References
Aguiar et al. (2014, January 15). Efficacy of Interventions that include Diet, Aerobic and Resistance Training Components for Type 2 Diabetes Prevention: A Systematic Review with Meta-Analysis. International Journal of Behavioral Nutrition and Physical Activity, 11(2), 1-10.
Ajala O., English, P., & Pinkney, J. (2013). Systemic Review and Meta-analysis of Different Dietary Approaches to the Management of Type 2 Diabetes. American Journal of Clinical Nutrition, 97(3), 505-516.
Cunningham-Myrie, C., Theall, K., Yonger, N., et al. (2015). Associations Between Neighborhood Effects and Physical Activity, Obesity, and Diabetes. The Jamaica Health and Lifestyle Survey, 2008. Journal of Clinical Epidemiology, 68(9), 970-978.
Oftedal, B., Bru, E. & Karlsen, B. (2011). Motivation for Diet and Exercise Management Among Adults with Type 2 Diabetes. Scandinavian Journal of Caring Sciences, 25, 735-744.
Study Document
Diabetes Concept Concept Map: Type 2 Diabetes Mellitus Pathology Aetilogy Pathophysiology Pathogenesis Risk Factors: Weight, Race, Inactivity, Family history, Fat distribution, Age Prevention: Execrise, Eating habits, Regular checkups Diagnosis: Glycated hemoglobin (A1C) test Random or fasting blood sugar test Oral glucose tolerance test Structural Changes: Potential brain structure changes Myocardial degradation Circulation changes Possible amputation Pancreatic changes Signs and Symptoms: Increased thrist, Frequent urination, Increased hunger, Weight loss, Fatigue, Blurred vision, Frequent infections, Sores/slow healing, Darker skin Prognosis: If untreated: Heart disease, Stroke, Kidney disease, Dialysis, Blindness, Amputation Treatment Blood sugar monitoring, Exercise, Healthy eating habits, Possible medications / insulin therapy Functional Chnages: Chnages to kidney function, Changes to pancreas
Study Document
Diabetes Type Analysis of Type 2 Diabetes Local and National Statistics Compared Incidences and Prevalence According to data seen from 1994 through 1998 at the three university-based diabetes centers in Florida, 92 were classified with Type 2 diabetes. The proportion of patients increased over the five years from 9.4% in 1994 to 20.0% in 1998. From 1994 through 1998, there was a significant overall increase in the percentage of children referred with new-onset diabetes
Study Document
Brody states that "When the average fasting level of blood sugar (glucose) rises above 100 milligrams per deciliter, diabetes is looming" (210). A rise in blood sugar level can then cause "an increasing cellular resistance to the effects of the hormone insulin... As blood sugar rises... The pancreas puts out more and more insulin (promoting further fat storage) until this gland is exhausted. Then when your fasting blood sugar
Study Document
Diabetes Type 2 is a prevalent disease with cases growing each year. Type 1 diabetes is also a concern especially regarding disease management. A useful assessment tool/technique for monitoring blood glucose levels for both type 1 and 2 is the A1C test. Otherwise known as the glycated hemoglobin test, the blood test provides the patient with information on the average blood sugar level within the past two to three months
Study Document
Type 2 diabetes (T2D) is a major chronic illness in the U.S., with 84 million adults being pre-diabetic (Centres for Disease Control and Prevention, 2017). Whereas risk factors are numerous, minority groups are at a particularly greater risk for T2D compared to the rest of the population. The high risk stems in large part from acculturation challenges – difficulties associated with adapting to the host country’s social and cultural norms
Study Document
Type 2 Diabetes
Disease phenotype and genotype
Although several major risk factors (particularly obesity/overweightness) have been identified for diabetes mellitus type 2’s (T2D) development, not much information is available on its etiology. Environmental as well as genetic elements play a central role, with disease risk probably a reflection of a multifaceted relationship between the two. Specific T2D epidemiology elements, the extensive susceptibility to it, growth in susceptibility among individuals of