Type 2 diabetes is a condition in which a person becomes resistant to insulin, meaning the person is able to produce enough insulin, but his cells don't respond well to Esso. Type 2 diabetes is different from type 1 and much more common. Type 2 usually appears later in life and is more common in some ethnic groups including African Americans and Hispanics. “It is estimated that approximately 592 million cases worldwide will suffer from type 2 diabetes by 2035.” There are many risk factors that favor the development of type 2 diabetes such as ethnicity, obesity, smoking and stress. Treatment for type 2 diabetics can make life more manageable and help improve symptoms. By following the direct precautions and treatment plans provided by a doctor, a person with type 2 diabetes can improve their overall quality of life along with their diabetic status. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Briana Hernandez, 25, has just been diagnosed with type 2 diabetes. She is a single Hispanic woman who smokes heavily, is overweight and lives in a rural area of ​​Connecticut. Compared to her Caucasian counterpart, being Hispanic increased her odds of developing the disease. Being single also affected his chances of developing type 2 diabetes as he received no social support. Briana is overweight, which is the number one risk factor contributing to her disease. In Gucciard, Matthew, Demelo, and Bondy's (2011) original survey of people with diabetes, diabetic smokers demonstrated poorer self-care behavior than nonsmokers. Poor self-care habits could include eating poorly and living a sedentary lifestyle. This could be another contributing factor to why Briana developed the disease. Another high-risk factor contributing to Briana's diabetes is her living situation. Living in rural areas can make many aspects of daily life more difficult. Access to healthy food and transportation is much more limited to the public and can, therefore, be more difficult to access. Topics that will be further discussed include diabetes risk factors, health problems that diabetes can lead to, ways to help improve your diabetes health, and treatment adherence. While having type 2 diabetes doesn't seem too serious, it can lead to some very serious health problems including cancer, amputation, cardiovascular disease, or even mortality. Briana is at particular risk for cancer because she is overweight and has diabetes. Gard, Maurer, Reed, and Selagamsett (2013) discuss diabetes as one of the risk factors for many types of cancer. One common thing in developing diabetes is that someone who suffers from obesity is also more likely to develop cancer or diabetes than someone with a healthy BMI. Obesity is a risk factor for the development of diabetes and cancer. Lewis, Lujan, Tonson, Wiseman, and Dicario (2019) discuss how people who suffer from type 2 diabetes, due to being overweight and sedentary, have an intolerance to exercise. People with exercise intolerance are more likely to develop cardiovascular disease. To keep Briana's health on track and reduce the risk of her condition worsening, her doctor will need to implement a treatment plan. The first step would be for Briana to meet with her doctor about her condition to talk about what she can do to manage and improve her symptoms. Throughout the treatment plan, Briana shouldtake your diabetes medications. The second step in this treatment plan would be to implement social support. Social support affects a person's health and well-being. It can make huge improvements in Briana's adherence to her treatment plan. Briana should try to seek support not only from her family, but also from her friends and colleagues. Since Briana is single, she may not have a very populated social circle, so she should try to build closer relationships with colleagues and friends. Briana's main priority would be to lose weight as obesity can lead to so many other health problems. During meetings with her doctor, Briana will receive advice and suggestions to guide her towards the Mediterranean diet. Esposito et al. (2015) conducted a study showing that following a Mediterranean diet can help reduce the onset of type 2 diabetes for people at risk and can help manage type 2 diabetes for someone who has already been diagnosed. When managing type 2 diabetes, it is important to maintain your glucose level. “Lifestyle interventions, including dietary changes, have a vital role in preventing the progression of impaired fasting glucose (IFG) or impaired glucose tolerance (IGT)” (Esposito et al., 2015, p. 2). Even if Briana follows the Mediterranean diet, it will be constructive for her to integrate more physical activity, it could be something as simple as taking a walk for 10 minutes or taking the stairs instead of the elevator. Briana should gradually try to quit smoking or reduce her use if possible. As previously mentioned, quitting smoking could help improve one's self-care behaviors as smokers typically demonstrate poor self-care. Gucciardi and colleagues (2011) conducted a cross-sectional study that examined the behaviors and disease management of smokers compared to nonsmokers in patients with type 2 diabetes. They found results by asking participants to respond to questionnaires about their smoking behaviors. self-management. What they found was that smokers with type 2 diabetes were less effective at managing their diabetes. They demonstrated poor eating habits, not paying attention to insulin levels, and neglecting to use the resources they were provided. It is important that Briana adheres to all elements of the plan because if she does not, Briana's health could deteriorate and result in something much more serious. Adhering to the plan can prove difficult as all required treatment occurs daily and is rigorous. One factor that Briana has no control over that may make treatment compliance difficult is that she lives in a rural area. Jones and colleagues (2014) discuss the issues of dealing with living in a rural area. Some problems include the fact that there is less fresh food in rural areas and the cost of healthy food is higher than that of unhealthy food. It is also difficult to have access to public transport to get where you need to be, for example for a visit to the doctor. As mentioned above, there are parts of Briana's treatment plan that need to be worked on, such as weight loss. Ways that could help Briana lose weight would be to keep a nutrition diary and an exercise diary. This will help Briana track what she eats and help her doctor see how well she is adhering to her treatment plan. Linmans, Van Rossem, Knottnerus, and Spigt (2015) conducted a study in which they examined lifestyle intervention for patients with type 2 diabetes. They examined two health programs, called Health Care Center a (HCCa) and Health Care Center b (HCCb), whichimplemented lifestyle interventions. HCCa focused on nutritional journals, physical activity diaries and a multidisciplinary approach. While HCCb focused exclusively on multidisciplinary approach, such as referral to a dietician or treatment advice. What Linmans and colleagues (2015) found was that HCC patients reported that having a nutrition diary and physical activity diary was helpful in their treatment process and helped patients feel more in control. Wearing a pedometer to track Briana's physical activity is another way to help her stick to weight loss. Hu et al. (2015) argued that people with type 2 diabetes are more likely to engage in increased physical activity if they wear a pedometer, rather than simply being physically active without any tracking capabilities. Hu et al. (2015) conducted a study that examined people who shared the same demographic as Briana. They carried out interventions with Hispanic families who had at least one family member diagnosed with type 2 diabetes. One thing they found in this study during the intervention is that, in people with type 2 diabetes, physical activity increases when they wear a pedometer. While this study presumably has a lot to do with family support, it shows that wearing a pedometer can help you lose weight. Although a pedometer can help, Lewis and colleagues (2019) found that obesity and inactivity in people with type 2 diabetes make it difficult to exercise due to exercise intolerance. They did a study with a rat model of type 2 diabetes. They tested to see if type 2 diabetes alone would make someone intolerant to exercise or if obesity and inactivity were the main contributing factors. They tracked the rat's activity and found that being obese and living a sedentary lifestyle causes exercise intolerance, not just type 2 diabetes. This further justifies the use of an adherence pedometer to motivate patients as it is sometimes difficult for them to exercise. However, if this plan doesn't work for Briana, a backup plan needs to be put in place as losing weight is critical to her treatment. Briana is obese and has type 2 diabetes, which means physical activity will be difficult to keep up with. If wearing a pedometer and keeping an activity diary shows no improvement in your weight loss journey, you should consider bariatric surgery. Bariatric surgery may be better in the long term as “many individuals are able to maintain normal blood sugar levels with little or no medication after surgery and long-term mortality is reduced” (Lewis et al., 2019 , p.112). There are multiple sources of literature that continue to support bariatric surgery for the treatment of type 2 diabetes. Buchwald et al. (2009) carried out a meta-analysis of the English literature. The literature shows much evidence of how bariatric surgery can improve type 2 diabetes. It has been largely successful in improving patients as it reduces complications of the disease and significantly improves glycemic control. Bariatric surgery is a difficult decision for many people to consider, but it could greatly improve their quality of life. Summers et al. (2014) examined the studies of five general practitioners to find non-morbidly obese type 2 diabetic participants in their study. They examined their thoughts on what they think about bariatric surgery. Summers and, 15, 277–286.