Assignment Sample on Management of Type 2 Diabetes

Introduction

This report is associated with identifying the importance of physical activity among the individual with type 2 diabetes. Later the report has identified the level of physical activities among the type 2 diabetes patients in the UK and has also investigated the ways in which people can be more encouraged for getting associated with such activities.

Part A

Critically review the evidence for the role that physical activity can play in the management of type 2 diabetes.

Type 2 diabetes is a lifelong disease that keeps the body of the patient from using insulin the way it should. People with type 2 diabetes are insulin resistant and it has been observed to be prominent among people who are older and middle-aged. It also affects teenagers and kids for which the most common reason is childhood obesity (Yates, Khunti, Troughton and Davies, 2009). Being thirsty hungry cranky Blurred vision number hands and feet are some of the common Symptoms and Signs of type 2 diabetes. The main cause for type 2 diabetes is that the pancreas in the human which makes the insulin hormone helps in turning the glucose into energy. People with type 2 diabetes, however, are able to make the insulin but the cells of the person do not use it the way they should be (Dansinger, 2020). Therefore eventually the glucose gets built up in the blood making the sugar content higher.

Although it is a lifelong disease, regular activities and Physical health management can help the patient to have a maintained and balanced health condition. 30 to 60 minutes of physical activities every day can include walking, swimming or any activity that gets the heart rate higher can be beneficial for type 2 diabetes patients. Weight lifting yoga and meditation can also help in balancing the blood sugar level (Colberg et al., 2016). The epidemiological data has always been linked to the reduction of the risk caused due to cardiovascular disease mortality and type 2 diabetes with physical activities. The risk for not getting associated with physical activities was four times higher compared to patients regularly associated with physical activities. Weight loss physical activity is considered the cornerstone for the management of type 2 diabetes. However, there are significant factors that are evident surrounding the relative importance of physical activity and Weight Loss management highlighting the initiation of the physical activity behavior change and age of the patient (Dansinger, 2020).

As per the National Health interview study it has been identified that individuals with type 2 diabetes who were reported to walk 2 hours every week had lower causes of mortality rate by 34% and CVD mortality rate by 39% lower than the individuals who are not reported to walk at all. It is due to the fact that increased physical activity improves the glycaemic control in the body of the individual for a longer duration of time. The short-term and the structured exercise and training are best when aerobic exercises are linked with clinical support and management intervention (Kirwan, Sacks, and Nieuwoudt, 2017). The data from the United Kingdom prospective diabetes study has also shown that the magnitude of reduction in the rate of type 2 diabetes is related to the endpoint and mortality of clinical assistance. It shows that the physical activity interventions improve the weight loss effectiveness of the body as well as improve the metabolic health independently.

Moderate intensity physical exercises on a regular basis are likely to be more recommended by Healthcare professionals rather than looking out for supplements and external support for weight loss and physical activity (Dansinger, 2020). There are a number of proven mechanisms that link the vigorous to moderate intensity of physical activity with the reduction of insulin resistance in the body as well as improving glucose control. Regular activities facilitate glucose circulation into the muscle cells and therefore the diffusion ability of the oxide fatty acid into the Skeleton muscle increases (Colberg et al., 2010). The metabolic activity exponentially improved as the fat mass in the body lowered down. The promotion of physical activity is considered to be a cornerstone for individuals with type 2 diabetes.

As the physical activity and Association of the people improve, the glycaemic control in the body improves which is a piece of rigorous evidence for enhancing the efficiency of pragmatic physical activity intervention. It is also suitable for setting Primary Health Care margin for individuals with type 2 diabetes. It has been found that motivating a person for associating into physical activity one to one counseling significantly drives the motivation of the individual. Several intensive theories support this logic in the community setting and health care assistance (Zoeller, 2007). The one-to-one counseling intervention can include a 30-minute counseling session of the individual in order to prevent the relapse of the sedentary behavior. By promoting, programs of physical activity and various methods can be used by healthcare professionals in order to deliver appropriate physical activity practice.

Part B

Briefly describe the levels of activity among people living with diabetes in your setting. Then drawing on you’re learning about behavior change, structured education and physical activity suggest changes in advice or policy that may enhance patient’s participation in physical activity.

Diabetes reduces the quality of life which people live with the condition and is at the present situation of major health concern for the public. Collecting the information from Diabetes UK the national report from the data can be synthesized from which it can be identified that 7% of the population in the UK have been diagnosed with type 2 diabetes. There are around 1 million people who are yet undiagnosed and 40,000 children due to being overweight have diabetes. This population includes 3000 children who are diagnosed with diabetes every year (Gibson, 2019). In the UK 49 % of the population with Type 1 Diabetes were offered physical activity counseling and structured education however only 7.6 % of the population attended the forces and education. Similarly from the corresponding figure for type 2 diabetes, it was identified that 90% of the people with diabetes attended only 10.4% for the structured education or counseling for physical activity.

From the reports, it is also evident that the medication infrastructure, equipment availability, and self-management for diabetes is lacking severely in the UK for which 28% of the population with diabetes have reported facing issues on the same. The eighth annual health check which is provided by the national government it has been found that 57% of the people with Type 1 Diabetes and 42% of the people with type 2 diabetes have never received any of the eighth annual health check (Gibson, 2019). In the long run, the psychological well-being of the people has been found to be affected among 40% of the people and one-third of this population belonged to the earning age group. Among the elderly people issues and complications of microvascular disease were diagnosed and most of them are affected with type 2 diabetes (Whicher, O’Neill, and Holt, 2020). Among the women, it was also found that myocardial infarction also caused through type 2 diabetes.

Reportedly the National Health Service of the UK spends 10 billion-pound every year for providing appropriate Healthcare services and assistance to individuals with diabetes. 80% of this investment is spent for treating future complications and it is almost equivalent to the 10% of the entire budget for Healthcare infrastructure. As type 2 diabetes in the United Kingdom plays a significant burden on the wider society, motivating people to be associated with physical activity can play an essential role to mitigate the long-term implications. More people in the UK are rated at risk of a type 2 disease. If this procedure and the Association of the government does not change for a long period of time it is predicted that by 2030 people with diabetes in the United Kingdom will reach up to a population of 5.5 million (Hamasaki, 2016).

Campaigning to encourage everyone to get associated with physical activity and counseling can be a significant step. Apart from that, encouraging others to have sufficient availability for support and advice can also help the government and healthcare professionals to get a grip over the deteriorating condition. The rate of market research about individuals with diabetes and new ways for treatment technological development for finding a cure is also essential parts to estimate the statistics and future implications. As the researches have been consistently focusing on lifestyle intervention it is evident that the inclusion of a physical activity appropriate diet and sustained weight loss is effective for reducing the risk for type 2 diseases to up to 50%. The level of physical activity compared to the percentage of people with type 2 diabetes in the United Kingdom is low. Only 34 % of the patients with type 2 diabetes or who are diagnosed with any form of diabetes are taking any form of physical activity randomly between two weeks (WHO, 2021).

However, a large portion of this percentage and the patients who were actively associated with physical activities were younger. It has also been found that the level of inactivity in the UK was not associated with the treatment of modality for the type 2 diabetes individual. This bar has not improved since 1990. The most popular activities which were identified among the active patients were gardening and walking. However, the extent of the level to which these activities are done was identified to be ineffective in raising the breathing and heart rate (MRC, 2015). Hence the exertions scale for self-perception was validated and estimated with increased intensity of physical activity. Most of the patients who were still active achieved a change in the breathing and heart rate considering the suboptimal intensity of physical activities and lowering the body mass index.

The level of inactivity has been commonly observed among the elderly population in the UK. The level of inactivity among the older patient was then mostly associated with the feeling of tiredness lack of self-efficacy and the distraction from motivation and good programs over television or radio. Collaboratively all these factors resulted in different issues over an extended period of time. However, among younger patients with type 2 diabetes, the most common issue was a lack of time or Poor weather to be e involved in the activity (Diabetes UK, 2021). The fear of diabetes getting worse and feeling depressed about the same were also important concerns that were noticed among the younger group.

The ability to actively participate in exercises is directly associated with a lack of confidence. The major barrier in performing the exercises has been consistently found in the previous studies that patients enable overcoming the difficulties when realistic goals are set for them. When they are able to find helping hands they actively undertake the exercises and tremendous change in the behavior pattern is identified. Therefore it can be said that increasing the exercise consultation and encouraging the people to enable and perform exercises can be a significant way to motivate both elderly as well as young people to get involved in some form of physical activity (Gibson, 2019).

By undertaking regular exercises the feeling of tiredness can also be marginalized. It is psychologically and indirectly associated with the inactive demonstration of the people for getting associated with divergent options. Poor weather has also been found as a major reason among the younger population to have reduced activity levels in the UK. This can be encouraged by providing them with affordable facilities for exercise and physical activities indoor. Apart from that, education support from society friends can also act as an additional feature for making the individual get associated with increased levels of activities and physical work.

Conclusion

The discussion above underpins the importance of getting associated with physical activities among type 2 diabetes patients. By making them understand the importance of physical activity can prove to be a long-term advantage for the government as well as the entire population in tailoring the exercise regimens which can best act investigating issues of financial cost for supporting medical supplies and assistance. At different levels, people can be encouraged to actively participate and intensify their level of physical exercise. It needs appropriate consideration and availability at the community level for getting mutual encouragement and promoting physical activity in addition to medical infrastructure education physiotherapist psychologist.

References

Colberg, S., Sigal, R., Fernhall, B., Regensteiner, J., Blissmer, B., Rubin, R., Chasan-Taber, L., Albright, A. and Braun, B., 2010. Exercise and Type 2 Diabetes: The American College of Sports Medicine and the American Diabetes Association: a joint position statement. Diabetes Care, [online] 33(12), pp.e147-e167. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992225/> [Accessed 14 August 2021].

Colberg, S., Sigal, R., Yardley, J., Riddell, M., Dunstan, D., Dempsey, P., Horton, E., Castorino, K., and Tate, D., 2016. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care, [online] 39(11), pp.2065-2079. Available at: <https://care.diabetesjournals.org/content/39/11/2065> [Accessed 14 August 2021].

Dansinger, M., 2020. Type 2 Diabetes. [online] WebMD. Available at: <https://www.webmd.com/diabetes/type-2-diabetes> [Accessed 14 August 2021].

Diabetes UK, 2021. Diabetes statistics. [online] Diabetes UK. Available at: <https://www.diabetes.org.uk/professionals/position-statements-reports/statistics?gclid=CjwKCAjw092IBhAwEiwAxR1lRsQ0vNu2tsd_UMR62Bd7ZZTFfXSHxj3vgJpxP_7kc1q5FzEXxIh14RoCFrsQAvD_BwE> [Accessed 14 August 2021].

Gibson, N., 2019. Physical activity and diabetes. [online] Diabetes.org.uk. Available at: <https://www.diabetes.org.uk/resources-s3/2020-01/Insert-Fact-File-winter-19.pdf> [Accessed 14 August 2021].

Hamasaki, H., 2016. Daily physical activity and type 2 diabetes: A review. World Journal of Diabetes, [online] 7(12), p.243. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914832/> [Accessed 14 August 2021].

Kirwan, J., Sacks, J. and Nieuwoudt, S., 2017. The essential role of exercise in the management of type 2 diabetes. Cleveland Clinic Journal of Medicine, [online] 84(7 suppl 1), pp.S15-S21. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846677/> [Accessed 14 August 2021].

MRC, 2015. DIABETES: FACTS AND STATS. [online] Mrc.ukri.org. Available at: <https://mrc.ukri.org/documents/pdf/diabetes-uk-facts-and-stats-june-2015/> [Accessed 14 August 2021].

Whicher, C., O’Neill, S. and Holt, R., 2020. Diabetes in the UK: 2019. Diabetic Medicine, [online] 37(2), pp.242-247. Available at: <https://onlinelibrary.wiley.com/doi/10.1111/dme.14225> [Accessed 14 August 2021].

WHO, 2021. Diabetes. [online] Who.int. Available at: <https://www.who.int/news-room/fact-sheets/detail/diabetes> [Accessed 14 August 2021].

Yate, T., Khunti, K., Troughton, J., and Davies, M., 2009. The role of physical activity in the management of type 2 diabetes mellitus. Postgraduate Medical Journal, [online] 85(1001), pp.129-133. Available at: <https://pmj.bmj.com/content/85/1001/129> [Accessed 14 August 2021].

Zoeller, R., 2007. Physical Activity: The Role of Physical Activity and Fitness in the Prevention and Management of Type 2 Diabetes Mellitus. American Journal of Lifestyle Medicine, [online] 1(5), p.25. Available at: <https://journals.sagepub.com/doi/10.1177/1559827607304696> [Accessed 14 August 2021].

 

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