Phase V .Apa Seven

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Phase 4-Results

Diabetes Type 1 in Adolescents and Children

Anilemys Paneca

Florida National University

Nursing Research

Professor Dr. Barry E. Graham, DNP, MSN-Ed, RN

July 17, 2021

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Introduction

We can curb and reduce the spread of Diabetes Type 1 in children and adolescents.

Diabetes Type 1 also known as juvenile (insulin-dependent diabetes) is a chronic disorder that

triggers the pancreases to generate little insulin that what the body needs. Insulin is hormone that

permits glucose to have access in the body responsible for producing energy. Multiple studies have

ascertained that children and adolescents who have diabetes type 1displays after some week’s

symptoms such as polyphagia, polyuria, polydipsia, ketonemia, and ketonuria which is usually

triggered due to low renal glucose in the body. American Diabetes Association published a

position statement concerning the subject. The paper will be based on hypothesis analysis on to

examine diabetes type I in the mentioned group, strategies to address the issue, the role of nurses in

taking care of the patient. Why is there an increase in type 1 diabetes?

Diabetes Type 1 in Children and Adolescents

Diabetes type 1 among children and adolescents have become more prevalent as the years

go by and that is why it is crucial to address the problem. The recent study done by Dabe- lea et al.

(2014), reported that from a sample of 3335, 6872, 5003 participants came out positive for diabetes

type 1 health condition. The same study observed that the prevalence related closely with age,

race/ethnic factors including sex. Another study conducted by Abbasi et al. (2017), also showcased

that for many decades, there has been an increase of children and adolescents with type 1 diabetes

of approximately 22% among the mentioned population in the United States.

The prevalence was reported in both male and female children and adolescents in all races

that is the whites, blacks, Asians and Hispanics aged above five years old. The findings came as

unexpected since from the historically diabetes type 1 was associated with white children and

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young people, however, the findings reported by showed that there was a prevalence burden to

other minority groups.

It therefore reveals that an increase in type 1 diabetes patients over the years displays an

increase in disorder incidence, reduced in mortality or both the cases. When we talk about the

mortality, it means that diabetes generally among the youths is low and an increase in type 1

diabetes incidence explains it all for across the nations, its prevalence in the contemporary society

have been observed and in all the races. Also considerable longitudinal researches have observed

that people at risk for getting type 1 diabetes have displayed that the health condition is a

continuum that develops unintermittedly at distinct yet predictable rates via different stages prior

the onset of signs and symptoms.

The topic is significant to nursing practice for it will clearly highlight the role nurses play

in facilitating the needed care and how they manage barriers related to type 1 diabetes. According

to the International Diabetes Federation in 2017, children and adolescents are victims of type 1

diabetes and by 2050, the number will rise to 430 million (Patterson et al., 2019). The nurses can

utilize such relevant information and conduct both qualitative and quantitative research. It will

permit the nurses and other medical professionals to examine and evaluate complex questions in all

aspects of clinical setting with the integration of different findings.

What strategies can the nurses utilize to address the health problem?

The nurses can address the health problem by developing a patient-centered

communication that focuses on the patient’s needs, preferences. Also a plan that evaluates the

literacy of the patients since our focus was on children and adolescents and talk about the cultural

barriers and factors that might hinder effective care to the mentioned population. Secondly, the

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nurses and other relevant personnel can ensure that treatment procedures and done within the

shortest time possible basing on evidence-based principles that are linked to patient’s preferences,

comorbidities including prognoses.

It is crucial for the clinical professionals to comprehend that care given to type 1 diabetes

children and adolescents with relevant elements of chronic care blueprint to ensure meaningful

interactions between a prepared proactive practice nurses and an informed activated patient.

Moreover, healthcare systems should embrace team-based care while involving the community in

the entire practice for it will enhance patient’s quick recovery and meeting clinical objectives of

quality care. When the treatment is patient centered integrated with evidence-based practice can

bring significant change to the healthcare practices (Saydah et al., 2017). Creating awareness to the

public on the prevalence of diabetes type 1 among children and adolescents will make them engage

in healthy practices and also undergo screening to help treat victims as early as possible.

The roles and activities of the nurses in caring for the type 1 diabetes in children and

adolescents in managing the disease.

The nurses engage in advocacy for patients with diabetes type 1 to ensure the patients get

relevant support. The support can be inform of policy implementation which will advocate for

quality care with cost-effectiveness for he mentioned population. The support should also include

easy access for medical intervention and drugs especially the insulin for the patients at all times

(Sanyoura et a., 2018). Multiple studies have affirmed that there has been enhancement in the

quantity of patients with diabetes who get treated with statins and getting the recommended A1C,

hypertension, including LDL cholesterol in the past decade.

Methods of data collection

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Qualitative data collection is used to collect data that help define and describe diabetes type

1. I would use questionnaires, interviews and observation methods to collect data of both patients

and nurses about Diabetes type. For example I can use focus groups to collect data. A focus group

is a group interview of people who share common interests. I would guide the respondents (nurses

or patients) on what I want to know about diabetes type 1. Through focus groups I will have clear

understanding of diabetes type 1.

Quantitative data collection. This method will give me insights in terms of numbers that

will help me measure the number of people who have been affected by diabetes type 1. I would

conduct probability sampling, surveys, interviews and document reviews.

Participants

The sources I trust during data collection are nurses, patients and general public (people who are

not affected by diabetes type 1).

Necessary tools

The management of diabetes of Type 1 helps the blood sugar level below through nurses,

instruments such as insulin, syringes, and pens. Other technologies include blood glucose meter

insulin pumps, glucose tablets, and ketone streaks, enabling healthcare providers to measure the

blood level in the patient's blood and manage it properly.

Results

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There is prevalence of diabetes type 1 in our society. Three people in ten people have

already contracted diabetes type 1. This is according to the research we have done basing our facts

on the information we obtained from patients and nurses. I completely agree with the tests and

experiments we did to measure the level of diabetes type 1. Because of the outcomes we can see

that our hypothesis is a two tailed hypothesis.

Discussion

Despite the fact that type 1 diabetes can be diagnosed at any age, it is one of the most frequent

chronic diseases in children.4 Peaks in presentation occur between the ages of 5 and 7, and at or

near puberty (Atkinson, Eisenbarth, & Michels, 2014). Unlike most autoimmune diseases, which

disproportionately affect women, type 1 diabetes affects boys and men. The prevalence of type 1

diabetes varies depending on the season and month of birth. In the autumn and winter, more cases

are diagnosed, and being born in the spring is linked to a higher risk of type 1 diabetes.

There are annual increases in type 1 diabetes incidence of 23 percent, 25 percent, and 32 percent

have been observed, respectively. The incidence of type 1 diabetes has fluctuated in several

nations. If current rates of incidence continue to rise, global incidence could double in the next ten

years. Incidence increases have not been evenly distributed across all age categories; in Europe, the

most significant increases have been observed among children under the age of five. The processes

driving these enigmas in geographical incidence and rising type 1 diabetes incidence rates are

unknown, however they have been generally attributed to environmental factors. Such high rates of

rising incidence cannot be attributed only to genetic alterations or the birth of more children from

moms with type 1 diabetes. As a requirement for acquiring type 1 diabetes, genetic predisposition

appears to be less of a factor currently than it was previously.

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Research Limitations

Sample size. The size of the sample is determined by the nature of the research problem. Statistical

tests will not be able to uncover significant associations within a data set if the sample size is too

small.

There are inadequate previous studies in this field. A literature review is an important aspect of any

research project since it aids in determining the scope of previous work in the field which helps in

giving of directions.

Scope of discussion. . I don’t have much experience when it comes to research hence my

discussion scope and depth will be compromised compared to experienced individuals.

Implementation of efficient data collection methods. It can be really confusing when choosing a

data collection technique and if I choose a flawed technique my results will be affected because

they are not accurate.

References

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Patterson, C. C., Karuranga, S., Salpea, P., Saeedi, P., Dahlquist, G., Soltesz, G., & Ogle, G.

D. (2019). Worldwide estimates of incidence, prevalence and mortality of type 1 diabetes

in children and adolescents: Results from the International Diabetes Federation Diabetes

Atlas. Diabetes research and clinical practice, 157, 107842.

Abbasi, A., Juszczyk, D., van Jaarsveld, C. H., & Gulliford, M. C. (2017). Body mass index

and incident type 1 and type 2 diabetes in children and young adults: a retrospective cohort

study. Journal of the Endocrine Society, 1(5), 524-537.

Atkinson, M., Eisenbarth, G., & Michels, A. (2014). Type 1 diabetes. HHS Public Access, 1-25.

Dabelea, D., Mayer-Davis, E. J., Saydah, S., Imperatore, G., Linder, B., Divers, J., ...

&Hamman, R. F. (2014). Prevalence of type 1 and type 2 diabetes among children and

adolescents from 2001 to 2009. Jama, 311(17), 1778-1786.