Diabetes is considered one of the biggest health challenge as at 2020. Social and economic factors that influence the prevalence of diabetes are critical areas of focus in determining solutions to the health challenge. In particular, the main approaches to mitigating diabetes prevalence includes devising mechanism to castigate diabetes at childhood stage, provide accessibility to health services and healthy living across the country for all as well as empowering communities to establish their competitive health framework that would translate into low prevalence of diseases in future and a resultant healthy community. The framework also defines nine main indicators that are essential in examining and supplying numerous strategic inputs to the realization of the three targets mentioned above. In particular, the consideration made in the Healthy Minnesota 2020 blueprint is based on the establishment that would ensure healthy people by creating an enabling environment to mainstream health aspects of a community as well as motivating healthy choices of the community (Minnesota Department of Health 2012).
The prevalence of diabetes and diabetes type 2 in particular and other associated complications is on the rise in US. Individuals with diabetes have increased in recent times accounting for about 10.5 people with successful diagnosis. Besides, an extra 5.5 million individuals are also said to have the disease though they have not yet been diagnosed. The rising trend has however been associated with particular races and ethnic groups. In the past decade, diabetes has been ranked seven of the most fatal disease in U. most of the deaths associated with diabetes are products of cardiovascular diseases of diabetic nature.
The disease severity is also associated with particular ethnic groups and races where new incidences of diabetes and risks associations are immense. The contraction of diabetes among women is often associated with increased risks of coronary disease among diabetic women. Premenopausal non-diabetic women also at lower risks of contracting cardiovascular diseases compared to their male counterparts but the presence of diabetes increases the risks of contracting coronary heart diseases. In US, diabetes is the biggest contributors to non-traumatic amputations with a prevalence rate of about 57,000 per annum. Besides, blindness among old people (approximately 20,000 per annum) and end-stage renal infections (about 28,000 per annum) are also very high.
Many factors contribute to the high prevalence of the latter chronic infections such as behavioral issues such as poor lifestyle including heavy intake of fat and reduced physical engagements. Similarly, changes in the population structures including aging also raise potential risks of the population. Enhanced surveillance systems for diabetes prevalence and considerably weak interventions also change community, individual and organizational behaviors. Besides, other related aspects also leverage the current and future problems associated with diabetes such as genetics, community norms and cultures, all of which influences both community and individual lifestyles and social-economic status of people. Besides, other unexpected accomplishments in the scientific fields, the traits prevalent in the health care sector as well as the patients literacy levels have a significant influence on the burden of diabetes.
References:Burke, J.; Williams, K.; Gaskill, S.; et al. Rapid rise in the incidence of type 2 diabetes from1987 to 1996: Results from the San Antonio Heart Study. Archives of Internal Medicine159:1450-1457, 1999.
Centers for Disease Control and Prevention (CDC). National Diabetes Fact Sheet: National Estimates and General Information on Diabetes in the United States. Atlanta, GA: U.S. Department of Health and Human Services (HHS), CDC, 1999.
Center for Disease Control and Prevention (CDC). Diabetes Surveillance, 1997. Atlanta, GA:HHS, 1997
Center for Disease Control and Prevention (CDC). Trends in the prevalence and incidence ofself-reported diabetes mellitus United States, 19801994. Morbidity and Mortality Weekly Report 46:1014-1018, 1997.
Clark, C. How should we respond to the worldwide diabetes epidemic? Diabetes Care 21:475-476, 1998.
Flegal, K.; Ezzati, T.; Harris, M.; et al. Prevalence of diabetes in Mexican Americans, Cubans and Puerto Ricans from the Hispanic Health and Nutrition Examination Survey, 19821984. Diabetes Care 14:628-638, 1991.
King, H.; Aubert, R.; and Herman, H. Global burden of diabetes, 19952025: Prevalence, numerical estimates and projections. Diabetes Care 21:1414-1431, 1997.
Vinicor, F. Is diabetes a public health disorder? Diabetes Care 17(S1):22-27, 1994.
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