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Summary WK4Assgn. extension .docx PUBH 6245 Diabetes Mellitus: A Public Health Emergency PUBH 6245: Applied Research in Public Health Walden University Section I Diabetes is, unfortunately, a common disease as a result of high blood glucose or blood sugar.€6,99
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Summary WK4Assgn. extension .docx PUBH 6245 Diabetes Mellitus: A Public Health Emergency PUBH 6245: Applied Research in Public Health Walden University Section I Diabetes is, unfortunately, a common disease as a result of high blood glucose or blood sugar.
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WK4Assgn. extension .docx PUBH 6245 Diabetes Mellitus: A Public Health Emergency PUBH 6245: Applied Research in Public Health Walden University Section I Diabetes is, unfortunately, a common disease as a result of high blood glucose or blood sugar. Diabetes mellitus (DM) is considered a publ...
wk4assgn extension docx pubh 6245 diabetes mellitus a public health emergency pubh 6245 applied research in public health walden university section i diabetes is
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PUBH 6245
Diabetes Mellitus: A Public Health Emergency
PUBH 6245: Applied Research in Public Health
Walden University
Section I
Diabetes is, unfortunately, a common disease as a result of high blood glucose or blood
sugar. Diabetes mellitus (DM) is considered a public health crisis (World Health
Organization,
2017). At current, the global estimate indicates that DM affects 415 million people with a
predicted increase to 642 million by 2040 (Al-Lawati, 2017). To further detail the complexity of
DM an additional 193 million people with diabetes are undiagnosed as DM can have an
asymptomatic presentation (Al-Lawati, 2017). Current research cannot specify why DM is
common in certain populations and not others. However, there are risk factors that contribute to
type 2 diabetes-like weight or obesity, family history, inactivity, and fat distribution (Diabetes
Prevention Program, 2002). The best theory that correlates the latter factors is that an increase in
adipose or fat tissue causes cells to become resistant to insulin (Mayo, 2020). As such, to prevent
the risk of increased fat distribution one must engage in a low caloric diet and high physical
activity. In other words, the less active you are, the higher the risk of developing type 2 diabetes.
As such, DM is a public health crisis that encompasses complexities including obesity.
The health problem particular to diabetes is the African American community. Diabetes
complications tend to be more common in African Americans and more severe among people
whose diabetes is poorly controlled with inadequate access to health (Healthy People, 2020).
Public health preventative care practices are essential to better health outcomes for African-
Americans with diabetes. The factors mentioned above like weight or obesity, family history,
, inactivity, and fat distribution have a higher incidence in African-Americans (Centers for
Disease Control and Prevention, 2019). As such, there are striking disparities for African-
Americans regarding diabetes-like an increase of blindness and kidney disease as a result of
diabetic complications (Centers for Disease Control and Prevention, 2019). It is a public health
concern
to address the racial disparities in health care that affect African Americans with diabetes.
The research question that is being asked is why is the prevalence of diabetes higher in
African Americans.
Section II
Clements, J. M., West, B. T., Yaker, Z., Lauinger, B., McCullers, D., Haubert, J., ... & Everett,
G. J. (2020). Disparities in diabetes-related multiple chronic conditions and mortality: the
influence of race. Diabetes research and clinical practice, 159, 107984.
The purpose of this study is to confirm the disparities in diabetes mortality rates based on race,
determine if race predicts combinations of diabetes and determine the relationship between race
and mortality. This study is a retrospective cohort study of 443,932 Medicare beneficiaries in
the state of Michigan. A multinomial logistic regression to determine predictor of race
influences mortality in Medicare beneficiaries with type 2 diabetes. It was found that African-
Americans have an increased risk of mortality compared to whites. The study concluded that
compared to whites African-Americans have an increased odds of an increased risk of mortality
due to complications like chronic kidney disease, congestive heart failure, and other diabetic
complications.
Cunningham, A. T., Crittendon, D. R., White, N., Mills, G. D., Diaz, V., & LaNoue, M. D.
(2018). The effect of diabetes self-management education on HbA1c and quality of life in
African-Americans: a systematic review and meta-analysis. BMC health services
research, 18(1), 1-13.
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