Evidence-Based PICOT Question

Reducing HAIC and Achieving Blood Sugar Control in Obese Diabetic Adult Patients through Structural Exercise Regimes and Diabetic Education

[Name of the Writer]

[Name of the Institution]

Reducing HAIC and Achieving Blood Sugar Control in Obese Diabetic Adult Patients through Structural Exercise Regimes and Diabetic Education

Introduction

The investigation of the problem of diabetes has enabled the researchers to monitor glucose and regulate glucoregualtory problems. Such type of information will contribute to the more structured programs. Recent data shows that the role of movement is significant in preventing diabetes. However, there are certain areas which need to be addressed in the decision pathway for PICOT questions. After choosing the problem, it is essential to outline the population, intervention, comparison, outcome of the research and the timeframe to complete the work. These aspects comprises of various tools that contribute to the research process.

Discussion

The prevalence of diabetes has become a widespread problem across the globe. More than twenty-five millions of people are affected by the disease. Various approaches are applied to address the issues in reducing the HAIC and achievement of blood sugar control. Similarly, diabetic education and basic exercises are considered adequate and professional practices.

Population:

Individuals with type 2 diabetes will be the population that need to be aware of diabetes and how they can reduce their HAIC. The present population consists of more than one million individuals in the United States. Thirty millions of adults with diabetes were diagnosed, and 7.2 million were undiagnosed. Further, the percentage for the older adults remain at 25 percent which is estimated as twelve million seniors. Even the people who are below than 18 years faced prediabetes, and it is the leading cause of death in the United States. More than three lac deaths are estimated through the certificates listing diabetes as an underlying cause of the end. The annual incidence of diagnosed diabetes in youth is estimated at twenty thousand (Buck, 2014). Even the cost of death has risen to four billion US dollars and ninety billion are expected for reducing the productivity.

Intervention

There are multiple resources and initiatives taken by the professionals and the medical community to reduce the effects of type 2 diabetes on blood sugar and HAIC. Non-profit organizations and the state agencies have undertaken various measures, but the ailment is expanding every day. In this regard, physical activity is the key element that supports the management and prevention of a type of diabetes. It will establish the fitness and well-being of an individual to improve the blood glucose control. Training is realized as a progressive tool to regulate lipids, blood pressure, quality of life, mortality and cardiovascular events. The structured intervention combined for modest Los in weight it will enhance the functions of insulin.

Structured exercise can resist the expansion of diabetes, and aerobic training will support the accomplishment of benefits. The recommendations of varying activities enable the patient to remain safe for practices of controlling gestational diabetes mellitus, prevention and the associated blood glucose treatment (Buck, 2014). Exercise and education are an effective training program which are emerged as a useful therapeutic regimen for the intervention of type 2 diabetes. Various communities across the world are using effective training and clinical work in addressing the ailment.

Comparison:

The underlined contextual work for the type 2 diabetes will compare the usual care of glucose monitoring with the insulin dose adjustment (Nwachuku, 2016). The contemporary information unfolds the way for formats, types and potential range of young people that are attacked by an ailment. Exercise, as mentioned, is part of lifestyle modification which is also known as first-line therapy for patients. Even the Greek physicians describe the powerful effects of mental and psychological improvement in glycemic control. The bone mineral density, muscular strength, lipid profile, blood pressure, and insulin sensitivity are common factors which cannot be overcome through the medications. There is fear of hypoglycemia which is the major challenge and barrier for the people to intervene with insulin. The physical sensation of the regular exertion is similar to sweating and fatigue.

Although a clinical decrease in blood glucose is primary concerns for medical professionals the use of structured exercise can address these concerns effectively — potential interactions between anti-hyperglycemic medication and training to prevent the issue of diabetes. The education will be the vital factor that provides the consideration and awareness to individuals for engaging in the practice. It is the cornerstone of managing people with diabetes and incorporate day to day knowledge of medication, monitoring, and nutrition. Knowledge of the medicine will contribute towards the increasing awareness of which type of drugs should use by the patient.

An outcome of the Research:

The result of the research will incorporate the Diabetic education that will inform the patient with knowledge of distinguishing the severe adverse symptoms and feeling of fatigue or breathlessness (Nwachuku, 2016). Training will not discourage patient instead it will involve in physical activity and regulated exercise. Both aspects of controlling diabetes and heart failures integrate central and peripheral adaptations for patients who are usually transformed through clinical anti-remodeling effects. People will also expert in the identification of disease and to enact change effectively. The outcome will contribute to clinical quality measures that will meet the expectations of societal values (Pamungkas et al., 2017). The situation for surgical and pharmacological interventions is not a single entity instead of other benefits can be controlled through education and organized exercise. Information for the patients along with practitioners will be incorporated through short sessions of low-intensity activity.

A timeframe for the Research:

The nature and type of research will provide the timetable for completing the work on reducing HAIC and achieving blood sugar control in obese diabetic adult patients through structural exercise regimes and diabetic education. It is expected that the more than a year will be spent as leading journals and scholarly articles take time to complete their research. Observation and exercise practices along with the risk of hyperglycemia are the features that require ample time to work on. There is evidence that insulin resistance and prevention efforts focus on the people with prediabetes. Both may come too late to make a huge difference and average time for the completion of research will not be more than a decade. The application of diabetes strategies like the structured exercises and educating the patient will take considerable time.

The second important aspect is the fasting glucose which rises rapidly and occurred before the diagnosis. Glucose level also increased, and after eating in a standard setting, it began to expand quickly (Cleek, 2016). Five years times is essential for the sensitivity of insulin and measurement is estimated that pancreas tried to compensate for increases in blood glucose by producing more insulin. Regulation of structured exercises is essential to limit the time frame. Education of diabetics will be critical aspect that needs to address in a limited period.

Conclusion

Concluding the discussion, diabetic education and necessary exercise are the leading factors that contribute to the prevention and achieving blood sugar control in people with type 2 diabetes. The decision pathway and PICOT are the guidelines for this research to be completed in due course of time. The PICOT question under consideration will be part of the DNP project, and it will evolve according to the expansion of the program.

References

Buck, K. D. (2014). Instituting a Behavioral Wellness Program and Updating a Clinical Pathway for Economically Disadvantaged Overweight and Obese Adults in a Community Health Center: A Clinical Scholarship Project.

Nwachuku, A. N. (2016). Type 2 Diabetes Prevention and Management in a Primary Care Clinic Setting.

Pamungkas, R., Chamroonsawasdi, K., & Vatanasomboon, P. (2017). A systematic review: family support integrated with diabetes self-management among uncontrolled type II diabetes mellitus patients. Behavioral Sciences, 7(3), 62.

Cleek, J. B. (2016). Surgical treatment of the obese individual. In Obesity (pp. 118-129). CRC Press.