Type 2 diabetes

The changes in the Lifestyle structures over the decade have brought forward a lot of changes in the health structure of the society as well. These changes are the driving force that has contributed to the deteriorating health profiles of all age groups and have also led to emergence of many of the major health concerns of the current age. Which time being the most expensive commodity, men and women of all age groups running for something or the other without sliver of a second to stop and catch their breath let alone caring for their health and wellbeing. That is the reason why children and adolescence are also being victimized for many a complicated health disorders that were initially restricted to the adult age groups. One of the health concerns that are prevalently targeting children and adolescence along with adult age groups is considered to be type 2 diabetes (Copeland et al., 2013).

Type 2 diabetes has managed to encompass all the age groups within its grasp in a matter of a couple of decades. The number of adolescence in children suffering with type 2 diabetes is increasing frighteningly all over the globe. Management and early prevention of type 2 disease therefore has become one of the major Public Health concerns in the eyes of World Health authorities. This assignment will focus on the rationale behind deeming type 2 diabetes as a major public health concern taking Singaporean society as an example population.

As mentioned above Type 2 diabetes is considered to be one of the most major health concerns that have captivated the attention of health authorities across the globe. Type 2 diabetes in simple terms is non insulin dependent diabetes, a lifelong metabolic disorder that brings about symptoms like high blood sugar, high cholesterol, insulin resistance and lack of insulin. The common symptoms of type 2 diabetes include increased urination, fatigue, obesity, increased thirst and random sores. Aside from the symptoms the major triggers are primary factors leading to accumulation of type 2 diabetes is obesity and lack of Healthy lifestyle. One contributing factor to the predominant occurrence of type 2 diabetes in younger age groups is the lack of physical activity in their daily schedule. The children and adolescents are really a lifetime of to play and run around with the busy and hectic schedules they are burdened with. Along with that the lack of healthy eating habits and information to fried greasy junk food is another reason leading the youth of our society to the dark abyss of health problems like diabetes and obesity (Dabelea et al., 2014).

Justification for prioritization

For the purpose of this assignment the health priority chosen is type 2 diabetes affecting adolescents in the large in Singapore population. However there are many a health disorders that deserves a place in the prioritisation. Some of his health concerns can be hypertension count Anny heart disease is renal disorders respiratory disorders and even depression. The purpose behind the choice of type 2 diabetes is crucial, and the reasons are self explanatory. It has to be understood that in the last decade the rate of children and adolescent, young population in general were not affected by this disease as much as compared to the last few years.  And the condition is worsening ever since (Dey & Attele, 2011).

Coming back to the population chosen for this assignment, in the Asian countries the number of younger people being targeted by type 2 diabetes are much higher in comparison with the rest of the world. The Last of the statistical analysis showed that Singapore in particular had more percentage of young Diabetics when compared to the rest of the counter parts. The major reason behind the prioritisation is much more deep rooted,  in a survey done in the last 5 years 20% of the Diabetics in the Asian countries were found to be younger than 40 years of age, in case of Singapore however the percentage is 10% higher. With 30% of Diabetics in the Singaporean population being young, the prevention and management of type 2 diabetes before it can emerge is undoubtedly one of the major health priorities for the Healthcare industries in Singapore. Study suggests that a grand total of 498190 individuals in Singapore are suffering with the menace of type 2 diabetes. 3 out of the 10 habits among them are dealing with this particular disease since they were a kid Imperatore et al., 2012).

The Healthcare authorities all over the world have raised an eye at Di frighteningly increasing rates of adolescents and youngsters victimized with the aftermath of living with type 2 diabetes. Many studies have suggested at the major reason behind this increasing race is the lack of awareness education and preventative screening in the society that could have helped the unfortunate victims of this disease combat the emergence of the disease. This absolute lack of preventative programs and campaigns are the biggest reason that has contributed to this alarming condition. There is immediate need for prioritising prevention and management of type 2 diabetes in the younger patience close all other national Health care priorities. The above mentioned reasons suffice and justify the choice of type 2 diabetes as the public health priority in Singapore on a national level (Imperatore et al., 2012).

Positioning of the priority in frameworks of well-being

Developing Framework consists of a few core values define and structure the fundamentals of quality and optimal Health Care. In this Framework patient centred care and absolute safety and privacy of the patients are considered to be the most important element. The principles for framework of well being encompass 4 core principles within which health priorities can be integrated. The Healthcare priority chosen for this assignment is the prevention management of type 2 diabetes in the younger population. This Priority can easily fit in the holistic health principle of Singaporean framework of well being. Within this priority positioning three points that will be covered include total well being of the subject patients, inclusion of all subject patients and delivery of quality and optimal care for the subject patients (Inzucchi et al., 2012).

It has to be considered the diabetes is only a predecessor of other much complicated health disorders like coronary heart diseases, renal diseases and other complications related with high blood glucose levels. And the triggers of this particular disease are a telltale sign of abnormal body weight and hyperuramea. It has to be considered that this particular disease can easily be evaded with a rigorous regime a physical activity and Healthier lifestyle. Prioritising prevention management of diabetes thus can easily manage to decrease the rates of youngsters dealing with type 2 diabetes to a much lower percentage (Ogden et al., 2010).

Health priorities prioritization of any particular health concern can easily be defined in simple terms the intrusion of a particular area into a big scheme of prevention and management of the disease selected. This prioritisation or intrusion generally depends on the population profile and Public Health structure of the area selected.  Now it has to be considered that the inclusion of any particular area under the scheme of prevention and management of a particular national public health scenario nature proper set of rational justifications. The area selected for public health prioritisation of the particular disease is the Singapore, and there a  number of justifications for doing so (Ogden et al., 2010).

First and foremost the major reason behind the prioritization is the fact that Singapore attests to 498190 of diabetics, out of which 30% are youngsters and adolescents. Along with that Singapore being the country with the highest number of diabetics and with the youngest of residents suffering with this particular disease in all of Asia, the only competition of Singapore in adolescents with diabetes is Australia. However, the existence of preventative programs or general screening in the societal units like schools and colleges or community clinics is meek in case of Singapore. Without the young generation gaining access to any screening for early signs of this disease, and proper education about the onset and aftermath of these diseases are the major reasons behind inclusion of Singapore under the prioritization scheme for type two diabetes (Taylor, 2013).

Inclusion within the selected health priority

Health promotional activities can be one of the major interventions in declining the chances of more and younger individuals being sucked into the dark abyss of diabetes and the aftermath it brings. There are many promotional and preventative strategies that can be included in this particular scenario like physical exercise, healthier diet plans, group therapies, counselling and yoga sessions. Now the successful implementation of these particular strategies will only be fruitful with the correct implementation prowess. Utilization of health promotional strategies can be made easier with the usage of promotional models. One such model that can be used is the Ottawa charter model that has five core principles (Potvin & Jones 2011).

The first element integrated to this scenario will be building a public policy, for example educating all the youngsters at high risk of diabetes about the onset triggers and how to manage them. The next step is the creation of supportive environments for the sufferers with prevention counselling and group therapies for the youngsters to overcome the aftermath. The third and fourth elements are considered with community action and enhancement of personal skills in this particular scenario, to support the young diabetics deal with the diseases and retain the most of the normal lifestyle. And lastly, reorienting the health care services according to the needs and requirement of the subjacent population to facilitate early prevention of this disease, for instance generating awareness (Potvin & Jones 2011).

Conclusion:

Hence on a concluding note it can be said that type 2 diabetes is considered tobe one of the major public health concerns of this decade and with now the younger age groups included in the susceptible subjects the conditions are worsening further, however steps can be taken to prioritize the susceptible population to facilitate preventative and promotional strategies to ensure active efforts to decline the mounting rates.

References:

American Diabetes Association. (2014). Standards of medical care in diabetes—2014. Diabetes care, 37(Supplement 1), S14-S80.

Chen, L., Magliano, D. J., & Zimmet, P. Z. (2012). The worldwide epidemiology of type 2 diabetes mellitus—present and future perspectives. Nature Reviews Endocrinology, 8(4), 228-236.

Copeland, K. C., Silverstein, J., Moore, K. R., Prazar, G. E., Raymer, T., Shiffman, R. N., … & Flinn, S. K. (2013). Management of newly diagnosed type 2 diabetes mellitus (T2DM) in children and adolescents. Pediatrics, 131(2), 364-382.

Copeland, K. C., Zeitler, P., Geffner, M., Guandalini, C., Higgins, J., Hirst, K., … & Pyle, L. (2011). Characteristics of adolescents and youth with recent-onset type 2 diabetes: the TODAY cohort at baseline. The Journal of Clinical Endocrinology & Metabolism, 96(1), 159-167.

Dabelea, D., Mayer-Davis, E. J., Saydah, S., Imperatore, G., Linder, B., Divers, J., … & Liese, A. D. (2014). Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. Jama, 311(17), 1778-1786.

Dey, L., & Attele, A. S. (2011). Type 2 diabetes. Tradit Chinese Med, 231(1), 1-16.

Donath, M.Y. and Shoelson, S.E., 2011. Type 2 diabetes as an inflammatory disease. Nature Reviews Immunology, 11(2), pp.98-107.

Imperatore, G., Boyle, J. P., Thompson, T. J., Case, D., Dabelea, D., Hamman, R. F., … & Rodriguez, B. L. (2012). Projections of type 1 and type 2 diabetes burden in the US population aged< 20 years through 2050. Diabetes care, 35(12), 2515-2520.

Inzucchi, S.E., Bergenstal, R.M., Buse, J.B., Diamant, M., Ferrannini, E., Nauck, M., Peters, A.L., Tsapas, A., Wender, R. and Matthews, D.R., 2012. Management of hyperglycemia in type 2 diabetes: a patient-centered approach. Diabetes care, 35(6), pp.1364-1379.

Ogden, C., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). About childhood obesity. JAMA, 303(3), 242-249.

Potvin, L., & Jones, C. M. (2011). Twenty-five years after the Ottawa Charter: the critical role of health promotion for public health. Canadian Journal of Public Health/Revue Canadienne de Sante’e Publique, 244-248.

Taylor, R. (2013). Type 2 Diabetes. Diabetes care, 36(4), 1047-1055.