Essay on Diabetes for Students and Children

500+ words essay on diabetes.

Diabetes is a very common disease in the world. But people may never realize, how did they get diabetes and what will happen to them and what will they go through. It may not be your problem but you have to show respect and care for the one who has diabetes. It can help them and also benefited you to know more about it and have a better understanding of it. Diabetes is a metabolic disorder which is identified by the high blood sugar level. Increased blood glucose level damages the vital organs as well as other organs of the human’s body causing other potential health ailments.

essay on diabetes

Types of Diabetes

Diabetes  Mellitus can be described in two types:

Description of two types of Diabetes Mellitus are as follows

1) Type 1 Diabetes Mellitus is classified by a deficiency of insulin in the blood. The deficiency is caused by the loss of insulin-producing beta cells in the pancreas. This type of diabetes is found more commonly in children. An abnormally high or low blood sugar level is a characteristic of this type of Diabetes.

Most patients of type 1 diabetes require regular administration of insulin. Type 1 diabetes is also hereditary from your parents. You are most likely to have type 1 diabetes if any of your parents had it. Frequent urination, thirst, weight loss, and constant hunger are common symptoms of this.

2) Type 2 Diabetes Mellitus is characterized by the inefficiency of body tissues to effectively respond to insulin because of this it may be combined by insulin deficiency. Type 2 diabetes mellitus is the most common type of diabetes in people.

People with type 2 diabetes mellitus take medicines to improve the body’s responsiveness to insulin or to reduce the glucose produced by the liver. This type of diabetes mellitus is generally attributed to lifestyle factors like – obesity, low physical activity, irregular and unhealthy diet, excess consumption of sugar in the form of sweets, drinks, etc.

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Causes of Diabetes

By the process of digestion, food that we eat is broken down into useful compounds. One of these compounds is glucose, usually referred to as blood sugar. The blood performs the job of carrying glucose to the cells of the body. But mere carrying the glucose to the cells by blood isn’t enough for the cells to absorb glucose.

This is the job of the Insulin hormone. Pancreas supply insulin in the human body. Insulin acts as a bridge for glucose to transit from blood to the body cells. The problem arises when the pancreas fails to produce enough insulin or the body cells for some reason do not receive the glucose. Both the cases result in the excess of glucose in the blood, which is referred to as Diabetes or Diabetes Mellitus.

Symptoms of Diabetes

Most common symptoms of diabetes are fatigue, irritation, stress, tiredness, frequent urination and headache including loss of strength and stamina, weight loss, increase in appetite, etc.

Levels of Diabetes

There are two types of blood sugar levels – fasting blood sugar level and postprandial blood sugar level. The fasting sugar level is the sugar level that we measure after fasting for at least eight hours generally after an overnight fast. Blood sugar level below 100 mg/dL before eating food is considered normal. Postprandial glucose level or PP level is the sugar level which we measure after two hours of eating.

The PP blood sugar level should be below 140 mg/dL, two hours after the meals. Though the maximum limit in both the cases is defined, the permissible levels may vary among individuals. The range of the sugar level varies with people. Different people have different sugar level such as some people may have normal fasting sugar level of 60 mg/dL while some may have a normal value of 90 mg/dL.

Effects of Diabetes

Diabetes causes severe health consequences and it also affects vital body organs. Excessive glucose in blood damages kidneys, blood vessels, skin resulting in various cardiovascular and skin diseases and other ailments. Diabetes damages the kidneys, resulting in the accumulation of impurities in the body.

It also damages the heart’s blood vessels increasing the possibility of a heart attack. Apart from damaging vital organs, diabetes may also cause various skin infections and the infection in other parts of the body. The prime cause of all type of infections is the decreased immunity of body cells due to their inability to absorb glucose.

Diabetes is a serious life-threatening disease and must be constantly monitored and effectively subdued with proper medication and by adapting to a healthy lifestyle. By following a healthy lifestyle, regular checkups, and proper medication we can observe a healthy and long life.

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Home — Essay Samples — Nursing & Health — Other Diseases & Conditions — Diabetes

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Essays About Diabetes

The burden of diabetes, the dangers of diabetes and the proper management of the disease, made-to-order essay as fast as you need it.

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Diabetes: Type 1 and Type 2

Overview of diabetes mellitus, research on diabetes and its effects on people, a research on the management of type 2 diabetes mellitus, let us write you an essay from scratch.

  • 450+ experts on 30 subjects ready to help
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Types, Causes and Treatment of Diabetes

Diabetes mellitus: definition, types, effects and causes, results of diabetes mellitus type 2 progressing, the types of diabetes, get a personalized essay in under 3 hours.

Expert-written essays crafted with your exact needs in mind

The Type 1 and Type 2 Diabetes

Overview of diabetes mellitus: symptoms, types and treatment, what is gestational diabetes, critically analyse the effect of physical activity on type 2 diabetes, home remedies for diabetes, a study on diabetes, the risks of amputation, and life after amputation, the need for special diabetes program in america, insulin therapy in type 2 diabetes mellitus, medications for blood glucose and pressure control during diabetes, diabetes in children: definition of diabetes burnout and how peer pressure contributes to diabetes, recommendations to delay the onset of diabetes and control of diabetes, the np influence and diabetes, the types of diabetes mellitus, review of the consequences of diabetes mellitus, current methods of treating diabetic foot ulcer, the role and responsibilities of a registered nurse when treating diabetic patients, methods of improvement in the awareness & treatment of insulin abuse, diabetes: how to eat healthy and maintain good levels, behavioral interventions to improve glycemic control in african americans with t2dm, diabetes mellitus: analysis of the types, strategies and treatments.

Diabetes mellitus, commonly known as diabetes, is a group of metabolic disorders characterized by a high blood sugar level (hyperglycemia) over a prolonged period of time.

Symptoms often include frequent urination, increased thirst and increased appetite.

There are three main types of diabetes mellitus: Type 1 diabetes, Type 2 diabetes, and Gestational diabetes.

Family history, obesity, lack of exercise, genetics, air pollution, etc.

More than 37 million people in the United States have diabetes, and 1 in 5 of them don’t know they have it. Diabetes is the 7th leading cause of death in the United States. In the last 20 years, the number of adults diagnosed with diabetes has more than doubled as the American population has aged and become more overweight or obese.

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how to write an essay on type 2 diabetes

How to Write Type 2 Diabetes Essay

Writing a type 2 diabetes essay requires one to master a few steps including how to introduce the paper, integrate evidence in the body, and present the conclusion.

How do you write a type 2 diabetes essay? 

Follow the steps below to complete the best essay for your project on diabetes mellitus.

Step 1: Draft a captivating title

Instructors usually give students essay topics.

However, others can decide to let students pick their own topics about the subject. When you have this freedom, do not ruin it. Make the opportunity count.

How do you do that?

Write a title that communicates something to the reader.

Bad title:  Type 2 Diabetes

Good title:  Exploring the relationship between type II diabetes and risk for cardiovascular disease

The second title makes the reader establish an expectation: is there a link between diabetes and cardiovascular disease or not?

Step 2: Read your essay prompt at least twice

There is nothing as irritating as reading an off-topic essay. Your teacher will award you a zero for disregarding essay prompts.

If the paper is about type II diabetes, it is important to stick to that and focus on nothing else.

However, type 2 diabetes is a broad topic that may need to be broken down further.

For instance, your essay could focus on specific areas such as:

  • Causes of diabetes
  • Effects on individuals and healthcare systems.
  • Treatment and management

Based on your essay prompt, the paper should be narrowed down enough to communicate a very specific idea.

Step 3: Keep the introduction less than 150 words long

Remember that if your type 2 diabetes introduction is too long, it will most likely ruin the focus of your paper.

The narrower your topic is, the more likely you are to write a short, concise introduction.

Anything longer than 150 words in the introduction could also highlight too many points and confuse the reader about the thesis of your essay.

Assuming your topic for the diabetes essay is “The impact of lifestyle change on reducing type 2 diabetes,” the introduction should focus on describing lifestyle behaviors and some changes people can undertake.

Step 4: Write the thesis

Using our example above, your essay should have a clear thesis. It is the foundation from which all your arguments emerge.

Lifestyle/behavior change is effective in managing type 2 diabetes because it helps to achieve healthy body weight and facilitates insulin regulation to achieve optimal blood glucose control.

Once you have a clear thesis such as the one above, you will have a clear direction to take and avoid wandering to unnecessary areas.

Step 5: Brainstorm 3-4 points for the argument

Usually, the body of an essay contains a couple of paragraphs. Depending on the length of your diabetes essay, you might have to include fewer or more points.

A 2-page type 2 diabetes essay might need only 3 key points to discuss.

Meanwhile, if the essay is longer than 1,500 words, the number of paragraphs could be more.

Step 6: Use proper formatting in the body

Type II diabetes is a widely studied subject. Therefore, you should expect to find a lot of literature online and in books.

Citation is important in all academic writing.

Whether it is MLA, APA, Harvard, Chicago, or any other referencing style, always ensure you follow the citation guidelines.

A poorly referenced paper is almost similar to a plagiarized paper, but you do not want to send a plagiarized essay to your professor.

Use online citation tools or read resources about your preferred citation style from your university library. 

Other than in-text citations, the body of your essay could have sub-titles. 

  • Use proper formatting for different levels of sub-headings.
  • Seek help from an expert if you’re unable to format the body paragraphs correctly.

Step 7: Writing the conclusion

To write your type 2 diabetes essay conclusion, restate your thesis from the introduction without doing it verbatim (word for word). Proceed to summarize what you have discussed in the body paragraphs.

The last part, which is also the most interesting is to include at least one personal perspective. This could be in the form of recommending future research, discouraging the use of a particular intervention for diabetes, offering a new technique that could improve management of the disease, and much more.

Remember to avoid adding any new ideas in the conclusion.

Do not include citations in the conclusion for your type 2 diabetes essay.

Step 8: Add your references

Many students still forget to include a list of references at the end of their essays. Ensure that you list all the references cited in your body paragraphs at the end of your type 2 diabetes essay.

To do this, move to a new page after writing your conclusion and paste your sources there.

See your university guidelines on how to format your reference lists.

Diabetes Essay Topics

Students studying medicine, nursing, pharmacy, and other related courses will find these topics helpful for their diabetes essays or research papers.

  • Strategies to improve diabetes awareness among school children.
  • Does improving diet lead to better insulin regulation?
  • What is the prevalence of diabetes among Native Americans?
  • The contribution of the fast-food industry to the occurrence of type 2 diabetes.
  • Impacts on type 2 diabetes on the healthcare system.
  • The relationship between obesity and onset of type 2 diabetes. 
  • Significance of early screening on the management of type 2 diabetes.
  • Is there a link between diabetes and dementia in adults?
  • The effectiveness of insulin therapy for physically disabled elderly.
  • Wound care management in patients with diabetes mellitus. 

Depending on your level of study, your diabetes topic will vary in complexity and word count.

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Essay on Diabetes

Students are often asked to write an essay on Diabetes in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

Let’s take a look…

100 Words Essay on Diabetes

What is diabetes.

Diabetes is a chronic disease where the body can’t control blood sugar levels. This happens because the body either doesn’t make enough insulin or can’t use it properly.

Types of Diabetes

There are two main types: Type 1 and Type 2. Type 1 is when the body doesn’t produce insulin. Type 2 is when the body doesn’t use insulin well.

Managing Diabetes

Diabetes can be managed through a healthy diet, regular exercise, and medication. Regular check-ups are also important to monitor blood sugar levels.

The Impact of Diabetes

If not managed, diabetes can lead to serious health problems like heart disease, kidney disease, and vision loss.

250 Words Essay on Diabetes

Introduction.

Diabetes, a chronic metabolic disorder, is characterized by an increased level of glucose in the blood. It arises due to the body’s inability to produce or effectively utilize insulin, a hormone responsible for glucose regulation.

Etiology of Diabetes

Diabetes is classified into two major types: Type 1 and Type 2. Type 1 diabetes, an autoimmune disorder, is a result of the body’s immune system attacking insulin-producing cells in the pancreas. On the other hand, Type 2 diabetes, the more prevalent form, is primarily associated with insulin resistance and often linked to obesity and sedentary lifestyle.

Impact and Management

Diabetes can lead to severe complications like heart disease, kidney failure, and blindness if left unmanaged. Management involves lifestyle modifications, including a healthy diet, regular physical activity, and medication or insulin therapy as needed.

Prevention and Future Research

Prevention strategies for Type 2 diabetes involve promoting healthier lifestyles and early detection. For Type 1 diabetes, research is still ongoing to understand its triggers. Advances in technology and medicine, such as artificial pancreas systems and islet cell transplantation, show promise for future diabetes management.

Diabetes, a global health crisis, requires comprehensive understanding and management strategies. With ongoing research and advancements, the future holds potential for improved diabetes care and prevention.

500 Words Essay on Diabetes

Introduction to diabetes.

There are primarily two types of diabetes: Type 1 and Type 2. Type 1 diabetes is an autoimmune condition where the body’s immune system attacks the insulin-producing cells in the pancreas. This type is less common and usually develops early in life. Type 2 diabetes, on the other hand, is more prevalent and typically develops in adulthood. It occurs when the body becomes resistant to insulin or doesn’t produce enough to maintain a normal glucose level.

Risk Factors and Symptoms

Several factors increase the risk of developing diabetes, including genetics, obesity, lack of physical activity, and poor diet. Additionally, certain ethnic groups are at a higher risk.

Management and Treatment

While there is currently no cure for diabetes, it can be effectively managed with a combination of lifestyle changes and medication. Regular exercise, a balanced diet, and maintaining a healthy weight are crucial for managing both types of diabetes.

For Type 1 diabetes, insulin injections or use of an insulin pump are necessary. Type 2 diabetes can often be managed with lifestyle changes and oral medication, but insulin may be required as the disease progresses.

Complications and Prevention

Prevention strategies for Type 2 diabetes include regular physical activity, a healthy diet, maintaining a normal body weight, and avoiding tobacco use. Early detection through regular health screenings is also critical, as early treatment can prevent or delay the onset of complications.

Diabetes is a significant global health concern that requires concerted efforts for effective management and prevention. Understanding the disease, its risk factors, and the importance of early detection can go a long way in reducing the impact of this chronic condition. Through lifestyle changes and medical intervention, individuals with diabetes can lead healthy and fulfilling lives.

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how to write an essay on type 2 diabetes

From Research to Reflection: A Step-by-Step Guide to Writing an Essay on Diabetes

how to write an essay on type 2 diabetes

Diabetes is a chronic disease that affects millions of people worldwide. It is characterized by high blood glucose levels, which can lead to various complications if left untreated. One of the most significant complications of diabetes is its impact on cardiovascular health.

The link between diabetes and cardiovascular disease is well-established. People with diabetes are two to four times more likely to develop cardiovascular disease than those without the disease.

The reasons for this are complex, but they include that diabetes can damage blood vessels and nerves throughout the body, including those that supply the heart and brain. This can lead to a range of cardiovascular problems, such as heart attacks, strokes, and peripheral artery disease .

We can guarantee you that most people are not even aware of this much information on diabetes. This is why writing an essay on diabetes makes sense.

What’s more, while writing an essay on diabetes, you make yourself aware of this disease and work towards reflecting on it.

Influence Of Diabetes On The Society

Diabetes can have a significant impact on society in a number of ways.

Here are some examples:

  • Healthcare costs: Diabetes is a chronic disease that requires ongoing medical care, including regular check-ups, medications, and in some cases, hospitalization. The cost of treating diabetes can be substantial, both for individuals and for society as a whole. In 2017, the total cost of diabetes in the US was estimated to be $327 billion, including direct medical costs and lost productivity.
  • Public health: Diabetes is a major public health issue , with an estimated 463 million adults worldwide living with the disease. Diabetes can lead to various health complications, including heart disease, stroke, kidney disease, and blindness. As a result, diabetes is a leading cause of death and disability worldwide.
  • Lifestyle changes: Diabetes is closely linked to lifestyle factors such as diet and physical activity. As a result, efforts to prevent or manage diabetes often involve promoting healthy lifestyle habits such as regular exercise and a balanced diet. These lifestyle changes can have a broader impact on society by promoting overall health and well-being.
  • Stigma: Diabetes can be stigmatized, with some people blaming individuals with diabetes for their disease. This can lead to discrimination and social isolation, which can have a negative impact on mental health and well-being.
  • Education and awareness: Diabetes education and awareness campaigns can play an important role in reducing the impact of diabetes on society. By promoting an understanding of the disease and its risk factors and encouraging early diagnosis and treatment, these campaigns can help to improve health outcomes and reduce healthcare costs.

Diabetes can significantly impact society, both in terms of healthcare costs and public health outcomes. By promoting education and awareness and encouraging healthy lifestyle habits, we can work to reduce the impact of diabetes on individuals and society as a whole.

Why Such A Subject?

While there are many subjects to write essays on, why write an essay on such a difficult subject? Well, when an educational institution asks you to write an essay, they look at your writing skills and try to figure out your personality along with it.

If you are writing about something that can bring change in society, it can impress them. Writing an essay on diabetes will allow you to stand out from all the other students who have submitted essays on almost the same topic.

Below are a few reasons why writing an essay on diabetes is a good idea.

  • To Raise Awareness: Diabetes is a chronic disease that affects millions of people worldwide, yet many people are still unaware of its causes, symptoms, and complications. Writing an essay on diabetes can help raise awareness about the disease, its impact on individuals and communities, and the importance of prevention and management.
  • To Educate: Diabetes is a complex disease that requires careful management and monitoring. Writing an essay on diabetes can help educate individuals about the different types of diabetes, risk factors, signs and symptoms, and treatment options.
  • To Promote Research: There is ongoing research on diabetes, including new treatments and management strategies. Writing an essay on diabetes can help promote research by highlighting the importance of funding and supporting research efforts.
  • To Advocate For Change: Writing an essay on diabetes can help advocate for policy changes that improve access to diabetes care, support for those with diabetes, and prevention efforts.
  • To Demonstrate Understanding: Writing an essay on diabetes can be an opportunity to demonstrate an understanding of the disease and its impact on individuals and communities. It can also showcase critical thinking skills and research abilities.

Writing an essay on diabetes can help raise awareness, educate, promote research, advocate for change, and demonstrate an understanding of the disease. It can be an important way to promote public health and improve the lives of individuals with diabetes.

A Step-by-Step Guide To Writing An Essay On Diabetes

Writing an essay on diabetes requires thorough research and reflection. You can’t just proceed with a diabetes essay like any normal essay topic. When writing an essay on diabetes, you can’t get wrong with your facts and information. One mistake in your information can affect your whole efforts.

When you are doing research for your essay, ensure that you are picking information from credible resources.

Follow the steps below to write a high-quality essay.

Step 1: Choose A Specific Topic

The topic of diabetes is vast, so it is essential to narrow it down to a specific area you can thoroughly explore in your essay. Consider the audience, the essay’s purpose, and the assignment’s scope. For instance, you could focus on the causes of diabetes, the different types of diabetes, the impact of diabetes on a particular population, or the latest treatment options for diabetes.

Step 2: Conduct Research

Once you have a specific topic, conduct thorough research to gather relevant information from credible sources such as academic journals, government publications, and reputable websites. Take notes on key points, statistics, and quotes that you can use to support your arguments.

Step 3: Develop A Thesis Statement

Based on your research, develop a clear and concise thesis statement that summarizes the main argument of your essay. Your thesis statement should be debatable and provide a roadmap for the rest of your essay.

Step 4: Create An Outline

Use your research and thesis statement to create an outline for your essay. Organize your ideas into logical sections and subsections, and ensure each point supports your thesis statement.

Step 5: Write The Essay

Using your outline as a guide, write your essay. Start with an introduction that provides background information and a clear thesis statement. Use the body paragraphs to present your arguments and support them with evidence from your research. End with a conclusion that restates your thesis and summarizes your main points.

Step 6: Edit And Proofread

After you have written your essay, edit and proofread it carefully to ensure it is clear, concise, and error-free. Check for spelling and grammatical errors, and ensure your ideas flow logically.

Step 7: Reflect On Your Essay

Finally, take some time to reflect on your essay. Consider the strengths and weaknesses of your argument, and think about what you could have done differently. This reflection can help you improve your writing skills and prepare for future assignments.

By following this step-by-step guide, you can write a well-researched and thoughtful essay on diabetes. Remember to choose a specific topic, conduct thorough research, develop a clear thesis statement, create an outline, write the essay, edit and proofread, and reflect on your work.

However, if you find it difficult to write an essay on diabetes, but the opportunity is too good to miss, ask a professional to ‘ write my essay for me ’.

Things To Consider!

Define your purpose.

Before you start writing, it’s important to clarify why you’re writing about diabetes.

Are you trying to educate readers about the disease? Discuss a specific aspect of diabetes research or treatment. Argue for a particular approach to diabetes prevention or management.

Defining your purpose can help guide your writing and ensure that you stay focused on your main goals.

Know Your Audience

Who will be reading your essay? Are they experts in diabetes, or are they general readers who may not be familiar with the disease? Understanding your audience can help you tailor your writing style and language to make your essay as accessible and engaging as possible.

Research Thoroughly

Diabetes is a complex and multi-faceted disease, so it’s important to do your research to ensure you comprehensively understand the topic. Find reputable sources, such as peer-reviewed journals, government websites, or expert organizations like the American Diabetes Association.

Consider Multiple Perspectives

There are many different viewpoints on diabetes, from healthcare providers to patients to public health advocates. When writing your essay, consider different perspectives and present a balanced view of the topic.

Use Clear, Concise Language

Diabetes is a technical topic with many medical terms and concepts that may be unfamiliar to some readers. To make your essay as accessible as possible, try to use clear, concise language that is easy to understand. Use layman’s terms when appropriate, and define any technical terms you use.

Use Examples And Anecdotes

Diabetes can be a dry and technical topic, so using examples and anecdotes can help to bring your writing to life and make it more engaging for readers. Consider including real-life stories of people with diabetes or describing specific research studies or medical interventions in detail.

Edit And Proofread Carefully

Finally, edit and proofread your essay carefully before submitting it. Look for spelling and grammar errors and any unclear or confusing language. Consider having someone else read your essay to get a fresh perspective and catch any mistakes you may have missed.

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Diabetes - Free Essay Samples And Topic Ideas

Diabetes is a chronic disease characterized by high levels of sugar in the blood due to insulin production issues or the body’s response to insulin. Essays on diabetes could delve into the types of diabetes, its prevalence, management strategies, and the impact on individuals and communities. Discussions might also explore ongoing research and advancements in diabetes care. A substantial compilation of free essay instances related to Diabetes you can find in Papersowl database. You can use our samples for inspiration to write your own essay, research paper, or just to explore a new topic for yourself.

A Problem of Hispanics with Diabetes

Introduction The health care industry changes each and every year. Making America a very diverse nation and with diversity many issues present itself in today's society. One of the main issues that is affecting society is the prevalence of Type 2 Diabetes in Hispanics. The purpose of this paper is to provide cultural information and awareness of this issue with ways to assist in the prevention of Diabetes. Knowledge about diabetes is very important and sometimes there is not enough […]

Clinical Problem of Diabetes Type i and II

Abstract This capstone paper integrates the current clinical problem of diabetes type I and II in the hospitalized adult and youth patients with the associated QSEN nursing competency of patient centered care by addressing and exploring the following question: Among patients with Diabetes, how does diabetes self-management education programs (DSME) compared with no diabetes self-management education programs affect diabetic self-care/self-management? After an introduction of the problem and its significance to patient centered care, a review of current research literature that […]

King’s Theory and Nursing Process

My institution, Overlake Hospital has a multidisciplinary diabetes inpatient team that include, endocrinologists, diabetes specialist podiatrist, nurses, wound care specialist, dietitian and social workers. Often patients expressed their concern and fear over not being able to self-manage their condition. Lack of knowledge on how to treat, lack of understanding of proper food choices, exercise regimen and overwhelming burden of this chronic disease causes depression. Our interdisciplinary team focuses on care for each and every individual's complex need and educate, train […]

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General Characteristic of Type II Diabetes

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Keto Diet and Type Diabetes

Some people experience autoimmune diseases while others do not. Maybe you have tried to understand how changes in your diet might help an autoimmune disease. Or maybe you are worried that what you are eating is contributing to it? Perhaps you are someone that is suffering from type 1 diabetes and wonder how the ketogenic (referred to as “keto”) diet might help to ease some of the symptoms. We want to assist you in choosing fuel for your body that […]

Importance of Nursing Theories

Nursing theories are important tools for the designing, understanding, and application of diabetes patient education (Anderson, Funnell, & Hernandez, 2005). Imogene King is one of the nursing theorists who has made significant contributions to nursing. King's Conceptual Framework and Theory of Goal Attainment (TGA) is valuable in the care of diabetes patients and adherence to treatment. In my unit most commonly-used nursing theories include, King's theory of goal attainment to the care of the adult with diabetes mellitus. TGA theory […]

History and Types of Diabetes

The first sign of diabetes was discovered in 1500 B.C.E by the Egyptians. According to one study, ancient Indians were familiar with the condition and had even determined two types of the condition. They called it "honey urine" and tested for it by determining if the ants were drawn to the urine. The first mention of the word diabetes was by the Greeks. It means "to go through", it was named this because of its main symptom: the excessive passing […]

The Basic Problem of Diabetes

Uncontrolled levels of blood glucose are the basic problem in patients admitted to our unit. Many are related to lack of knowledge and self-care in diabetes management, sedentary lifestyle, and food habits. This reveals that when assessing a patient in the hospital, a nurse must consider all factors and design a care plan accordingly. Nurses need to be non-judgmental and assess what factors may limit patients' abilities to follow lifestyle recommendations. According to the American Diabetes Association (ADA), uncontrolled blood […]

My Work as a Nurse

I work at Overlake Hospital Medical Center on a Medical Surgical and Oncology Unit. As a bedside nurse, my job and responsibility not only centered around vigilant monitoring for physiological changes and immediate needs of patients but also centered around an emotional aspect of caring and advocating. Our 37-bed unit provides care for various medical-surgical conditions, chemotherapy infusion, blood transfusion, dialysis, oncology with hospice, and end of life care patients on a day to day basis. As a bedside nurse, […]

Diabetes and its Main Types

Diabetes is a disorder of the endocrine system, which messes with the metabolism of carbohydrates, fats, and proteins. The metabolism is compromised because of a lack of insulin, either from destruction of the beta cells, which secrete insulin, or because of insulin resistance. Insulin is secreted by beta cells and it is what enables the cells to use glucose. Type 1 diabetes was formerly called juvenile diabetes because mostly kids were diagnosed with it. It is now changed to be […]

Adverse Health Effect of Environmental Heavy Metals on Diabetes

ABSTRACT Type 2 diabetes (T2D) and its complications constitute a major public health problem for both developed and developing countries due to the high rate of morbidity and mortality associated with the disease.  New evidence from both experimental and human studies has resulted in increased interest in analyzing the relationship between T2D and heavy metal exposures that are ubiquitous in the environment. Vellore district is a major leather- processing centre in Tamil Nadu, with an estimated 60,000 tannery workers. Tannery […]

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Since the introduction and continued implementation of the Affordable Care Act, millions of individuals now have access to health care who did not before. With this influx of patients in the health care system, there has been an increased demand for primary care providers in a health care environment already dealing with shortage, (Buppert, 2015)A large amount of this population includes patients battling diabetes and hypertension. These patients would benefit from a nurse practitioner specializing in these diseases such as […]

An Issue of Nutrition and Diabetes

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How is Low Carbohydrate Diet Beneficial to Diabetes

Abstract: This essay is about the global status of diabetes, what is diabetes, how insulin works, why people easy to have diabetes, what is carbohydrate and why low carbohydrate diet beneficial to the diabetes. With the development of society, people's living standards have gradually improved. The choice of food is gradually becoming more and more, also it has brought us many diseases. Diabetes, as one of the top ten death diseases in the world, has attracted the attention of people […]

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Diabetes: One of the Hardest Illness

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Were you assigned an essay on diabetes that requires extensive research? Do you have to distinguish between Type 1 and Type 2 and the affected age groups? Perhaps, you need to elaborate on the reasons for this disease and its health implications.

If any of these scenarios seem familiar, stop worrying because we have the solution to all your writing concerns. PapersOwl abounds with free argumentative essays about diabetes written by experts in the medical field. Moreover, the platform offers help with framing your thesis statement for diabetes and the overall outline of your paper. Other tools available on the website include a plagiarism checker, conclusion and citation generators, and a title page maker.

Diabetes mellitus is a lifelong condition prevalent in children and adults. It is the sixth leading cause of death in the US, claiming over 178,000 lives annually. The disease is complex because the glucose level in the blood is abnormally high and endangers the functioning of other organs. Improper treatment and lack of insulin can lead to life-threatening outcomes; otherwise, diabetics can have a typical life.

Engaging essay topics can include the effects of uncontrolled diabetes, proper diet, ideal body mass, reducing the risk factors, and avoiding a sedentary lifestyle. However, ensure you check at least several free essay examples on diabetes before you write the introduction. You can also consult titles by eminent experts with years of experience to get inspired for your sample research paper on diabetes.

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Diabetes Essay | Essay on Diabetes for Students and Children in English

February 12, 2024 by Prasanna

Diabetes Essay:  Diabetes is a metabolic disorder that primarily causes high blood glucose. The most common types of Diabetes are Type 1 and Type 2 diabetes. Type 1 diabetes is caused due to genetic disorder, whereas Type 2 diabetes is primarily a lifestyle disorder. The other types of Diabetes are prediabetes and gestational diabetes. Prediabetes is a borderline phase preceding Diabetes when the blood glucose levels are higher than usual but not as high as Diabetes itself.

Prediabetes gets cured once the glucose levels return to normal. Gestational Diabetes is caused in pregnant women, and it occurs mainly during the gestational phase, thus the name. This condition usually gets reversed once the fetus is delivered. Both prediabetes and Gestational Diabetes are reversible conditions, while Type 1 and Type 2 diabetes are chronic conditions and usually last a lifetime after its onset.

You can also find more  Essay Writing  articles on events, persons, sports, technology and many more.

Long and Short Essays on Diabetes for Students and Kids in English

We are providing students with essay samples on a long essay of 500 words and a short essay of 150 words on the topic of Diabetes for reference.

Long Essay on Diabetes 500 Words in English

Long Essay on Diabetes is usually given to classes 7, 8, 9, and 10.

Diabetes is a severe metabolic disorder that causes high blood glucose. Diabetes can be both reversible as well as chronic. Chronic Diabetes includes Type 1 and Type 2 diabetes, in which Type 1 is caused due to genetic reasons, whereas Type 2 is caused due to an irregular lifestyle. Reversible Diabetes includes prediabetes and gestational diabetes. Prediabetes usually precedes the onset of type 2 diabetes but can be corrected with proper diet and exercise.

Gestational Diabetes occurs only during pregnancy, and once the baby is born, the condition gets better in the mother’s body. However, women with gestational Diabetes stand a risk of suffering from Type 2 diabetes later on in their lives. Chronic Diabetes is caused by a lack of insulin hormone production or the body’s resistance to the insulin produced. Insulin produced by the beta cells of Islets of Langerhans of the pancreas is responsible for regulating glucose levels in the blood.

Usually, when the blood glucose levels increase, it sends a signal to the pancreas to produce insulin, helping the cells absorb the glucose. After that, the level of blood glucose comes down to normal, and insulin secretion drops. In Type 1 diabetes, the body’s immunity system fuelled by a genetic reason leads the immune response to attack the beta cells and destroy them, thereby diminishing or almost inhibiting insulin production. In this condition, the patient needs a steady influx of insulin in regular insulin injections to maintain normal blood glucose levels. Obesity or lifestyle habits barely play any role in this form of Diabetes.

On the other hand, Type 2 diabetes is caused due to unhealthy lifestyle habits such as prolonged lack of proper sleep, excessive alcohol and tobacco consumption, excessive consumption of junk food, and obesity, to name a few. This condition is caused due to the body’s resistance to the insulin present in the bloodstream and the pancreas’ consequent inability to produce enough insulin to overcome this.

As a result, the cells fail to absorb the glucose, and blood glucose levels increase abnormally. Type 2 diabetes is usually kept in check with medications that constitute insulin sensitizers. People with a sedentary lifestyle, lack of physical exercise, polycystic ovarian syndrome, high cholesterol, hypertension, and obesity are at a high risk of developing Type 2 diabetes. The risk of getting affected with diabetes increases with age. Some of the common symptoms of diabetes include frequent urination, increase in thirst, and appetite.

Apart from medications, Diabetes can be kept in check by maintaining a healthy diet, proper exercise, optimum sleep and water consumption, and abstaining from tobacco, alcohol, and junk food consumption. Prolonged chronic Diabetes can trigger a host of other life-threatening diseases. Some of them being chronic kidney failure (nephropathy), neurological damage (neuropathy), coronary artery disease, stroke, atherosclerosis, retina damage (retinopathy), Alzheimer’s disease, microbial skin infections, foot damage, and hearing impairment. In a few cases, it can even cause depression.

Short Essay on Diabetes 150 Words in English

Short Essay on Diabetes is usually given to classes 1, 2, 3, 4, 5, and 6.

Diabetes is a metabolic disorder that causes an increase in blood glucose levels. It can be both chronic as well as reversible. Chronic diabetes types are more commonly found as compared to reversible ones.

Chronic types are Type 1 and Type 2 diabetes. Type 1 diabetes is caused due to genetic reasons and leads to an autoimmune attack on the body’s insulin-producing cells. Thus, insulin production is inhibited. Type 2 diabetes is caused due to an unhealthy lifestyle and obesity. While Type 1 diabetes is treated with insulin injections, Type 2 diabetes requires a combination of insulin sensitizer medication as-well-as a healthy diet and proper exercise.

Chronic Diabetes can give rise to other diseases like heart failure, kidney failure, loss of eyesight, nerve damage, and depression. People with high cholesterol, hypertension, obesity, a sedentary lifestyle, and high alcohol consumption are at a high risk of developing diabetes later on.

10 Lines on Diabetes Essay in English

Essay about Diabetes

FAQ’s on Diabetes Essay

Question 1.  What is Diabetes?

Answer: Diabetes is a metabolic disorder characterized by high blood glucose and a decrease in insulin levels in the blood.

Question 2.  How is insulin produced?

Answer:  The insulin hormone is produced by beta cells in the Islets of Langerhans in the pancreas.

Question 3.  Can Diabetes cause heart failure?

Answer:  Diabetes can trigger coronary artery disease resulting in heart failure.

Question 4. Can diabetes cause kidney failure?

Answer:  Prolonged Diabetes can cause chronic kidney failure in many patients.

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Written reflection in an eHealth intervention for adults with type 2 diabetes mellitus: a qualitative study

Silje s lie.

1 Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway

Bjørg Karlsen

Christopher p niemiec.

2 Department of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, NY, USA

Marit Graue

3 Center for Evidence-Based Practice, Western Norway University of Applied Sciences, Bergen, Norway

Bjørg Oftedal

Individuals with type 2 diabetes mellitus (T2DM) are responsible for the daily decisions and actions necessary to manage their disease, which makes self-management the cornerstone of diabetes care. Many patients do not reach recommended treatment goals, and thus it is important to develop and evaluate innovative interventions that facilitate optimal motivation for adequate self-management of T2DM.

The aim of the current study was to explore how adults with T2DM experience using reflection sheets to stimulate written reflection in the context of the Guided Self-Determination (GSD) eHealth intervention and how written reflection might affect their motivation for self-management of T2DM.

We used a qualitative design in which data were collected through individual interviews. The sample consisted of 10 patients who completed the GSD eHealth intervention, and data were analyzed using qualitative content analysis.

The qualitative content analysis yielded 2 main themes. We labeled the first theme as “Written reflection affects awareness and commitment in diabetes self-management”, which reflects 2 subthemes, namely, “Writing creates space and time for autonomous reflection” and “Writing influences individuals’ focus in diabetes self-management”. We labeled the second theme as “Written reflection is perceived as inapplicable in diabetes self-management”, which reflects 2 subthemes, namely, “Responding in writing is difficult” and “The timing of the writing is inappropriate”.

Our findings indicate that written reflection in the context of the GSD eHealth intervention may be conducive to motivation for diabetes self-management for some patients. However, it seems that in-person consultation with the diabetes nurse may be necessary to achieve the full potential benefit of the GSD as an eHealth intervention. We advocate further development and examination of the GSD as a “blended” approach, especially for those who consider written reflection to be difficult or unfamiliar.

Introduction

Type 2 diabetes mellitus (T2DM) is a chronic health condition whose worldwide prevalence has increased rapidly in recent decades. 1 Individuals with T2DM are responsible for the daily decisions and actions necessary to manage their disease, which makes self-management the cornerstone of diabetes care. 2 Self-management can be defined as an “individual’s ability to manage the symptoms, treatment, physical and psychosocial consequences and life style changes inherent in living with a chronic condition”. 3 Adequate self-management of T2DM is therefore a complex process that requires motivation for managing medication as well as lifestyle changes in diet and physical activity to reach treatment goals for glycosylated hemoglobin (HbA 1c ), cholesterol, and blood pressure in order to prevent serious long-term complications. 4 , 5 Indeed, long-term complications associated with T2DM include cardiovascular disease, neuropathy, nephropathy, and periodontal disease, among others. 1 , 5 Patients have described adequate self-management of T2DM as difficult to attain because of the following reasons: cumbersomeness of lifestyle changes in diet and physical activity, and the long-term complications of T2DM and other chronic conditions. 6 Moreover, the values that people hold can conflict with the recommended behaviors for adequate self-management of T2DM, which can undermine the motivation for lifestyle changes. 7 Hence, it is important to develop and evaluate innovative interventions that facilitate optimal motivation for adequate self-management of T2DM.

Indeed, eHealth interventions have been shown to have potential to support adequate self-management of T2DM, and recommendations suggest that eHealth interventions be theory-based and include “soft-touch” strategies such as personal feedback to enhance efficiency and engagement. 8 – 11 Such features enable asynchronous and flexible follow-up for each patient, which can bridge the gap between diabetes care and adequate self-management. Based on these recommendations, in the development phase of our project, we adapted the Guided Self-Determination (GSD) self-management support program to be an eHealth intervention for adults with T2DM. 12 Originally, the GSD program was developed for type 1 diabetes, and research indicates that the program is effective in facilitating the development of life skills and lowering psychosocial distress. 13 – 20

Based on self-determination theory (SDT), the GSD program is intended to enhance autonomous problem solving, goal setting, and action planning among individuals with diabetes. 21 SDT is an organismic approach to human motivation, which has been applied to health care and health behavior change, including management of T2DM. Central to SDT is the specification of 3 basic psychological needs, namely, autonomy (an experience of volition and choicefulness), competence (an experience of capability and mastery), and relatedness (an experience of support from and connection with important others); the satisfaction of these needs is necessary for optimal motivation, physical health, social integration, and psychological wellness. 22 – 24 Indeed, past research has shown that support for the basic psychological needs is associated with higher levels of autonomous motivation for diabetes self-management, medication adherence, quality of life, dietary self-care, and glucose control. 4 , 22 , 25 – 28

An important feature of the GSD program is the use of semistructured reflection sheets, which are designed to afford patients an opportunity to express their experiences and personal difficulties with diabetes, as well as to enable them to participate actively in their care process. 13 Such expression and active participation can empower patients to become self-determined and develop the skills necessary for adequate self-management of diabetes. 12 Written reflection requires the translation of emotions and experiences into words, and this cognitive process can benefit individuals in a variety of situations. 29 The use of writing as a therapeutic approach has been examined in a variety of populations, including college students who are vulnerable to depression, cancer survivors, and individuals with chronic pain and various physical diseases, and findings indicate that this approach can improve treatment outcomes and quality of life. 30 – 33 In addition, a systematic review of interventions for women with breast cancer found that expressive writing can improve their physical health. 34 To our knowledge, written reflection has not been examined in the context of eHealth interventions, and the current study was designed to fill this gap in the literature.

The aim of the current study was to explore how adults with T2DM experience using reflection sheets to stimulate written reflection in the context of the GSD eHealth intervention, and how written reflection might affect their motivation for self-management of T2DM.

The current study, which was conducted as a pilot study, is part of a larger project that developed a complex eHealth intervention for adults with T2DM who are treated in general practices in Norway. 12 We used a qualitative design in which data were collected through individual interviews that were conducted between December 2015 and December 2016. Interviews provide valuable information on patients’ experiences and opinions, which is important when piloting clinical interventions in real-life contexts. 35

Description of the GSD eHealth intervention

Nurses who were trained in the GSD method and had experience with diabetes care delivered the GSD eHealth intervention to patients in general practices. The GSD eHealth intervention was delivered along with regular care, which for individuals with T2DM in Norway consists of structured annual consultations at general practices, regular measurement of HbA 1c , and additional consultations as per individual needs. 5 Initially, nurses and participants met face-to-face in order to establish a relationship, during which the nurse explained the aim of the GSD program, how to log on to the Web portal ( www.MinJournal.no ) and use the secure messaging system, and how to complete the reflection sheets. The Web portal requires electronic identification via BankID, which is aligned with the level of security necessary to allow for transfer of sensitive information in Norway. All participants received a comprehensive manual that described how to use the Web portal. After the initial meeting, participants received the reflection sheets in PDF format via 4 eHealth consultations. They were asked to reflect on and write about their thoughts, feelings, experiences, and difficulties related to the self-management of T2DM, as well as to formulate goals and action plans for adequate self-management of T2DM, and return the completed reflection sheets to the diabetes nurse via secure messages.

The GSD eHealth intervention was initially conducted as a “pure” eHealth intervention by recording responses to the reflection sheets in writing and communicating via secure messages. Due to a long duration (up to 35 weeks) and a large dropout rate, the approach was modified to a “blended” intervention, including 1 in-person consultation with the nurse following the third eHealth consultation. 36 The participants who were offered an additional in-person meeting completed the intervention in about 12 weeks. Figure 1 presents an overview of the GSD eHealth intervention for T2DM, along with the topics of the 13 reflection sheets and a description of the 1 additional in-person meeting.

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Object name is ppa-12-311Fig1.jpg

Overview of the GSD eHealth program for adults with T2DM.

Abbreviations: GP, general practitioner; GSD, Guided Self-Determination; HbA 1c , glycosylated hemoglobin; T2DM, type 2 diabetes mellitus.

Patients and methods

Participants and procedure.

At 8 general practices in Norway, participants were recruited by their nurse or general practitioner to participate in the GSD eHealth intervention. Patients were eligible if they had been diagnosed with T2DM for >3 months, were at least 18 years of age, could read and communicate in Norwegian, had regular access to the Internet and a computer, and had a registered BankID (a secure personal electronic identification that was necessary to access the Web portal). Patients were excluded if they had severe physical or mental illness that would limit their ability to participate in the study.

A total of 25 patients (18 in the “pure” eHealth intervention, and 7 in the “blended” intervention) from southwestern Norway were invited to participate in the study. Five of the 18 patients in the “pure” eHealth intervention completed the study, and the large proportion of dropouts in this group has been described elsewhere. 36 Five of the 7 patients in the “blended” intervention completed the study. Hence, the current study included 10 participants (6 female, 4 male). After completing the intervention, participants were asked by their nurses to take part in an individual interview with an investigator at a time and place of their choosing. All 10 participants agreed to this request. Table 1 presents the characteristics of the study participants.

Characteristics of the study participants

CharacteristicsValue
Sex, n
 Female6
 Male4
Age, mean (range), years51 (39–64)
HbA , mean (range), %7.5 (6.0–9.7)
BMI, mean (range), kg/m 32 (25–39)
Diabetes duration, median (range)4 (3 months–15 years)
Living situation, n
 Alone1
 With family9
Educational status, n
 Higher education >4 years1
 Higher education <4 years4
 Upper secondary education4
 Primary school1
Occupational status, n
 Working full time6
 Working part time1
 Retirement pensioner1
 Receiver of disability benefit1
 Unemployed1
Diabetes treatment, n
 Diet only3
 Oral or other medications5
 Insulin2

Abbreviations: BMI, body mass index; HbA 1c , glycosylated hemoglobin.

Data collection

A semistructured interview guide was used to organize the interviews. Participants were invited to speak freely about the theme addressed in the main question, namely, “What was your overall experience with the GSD eHealth counseling program?” During the conversation, the interviewer asked supplementary questions to clarify and elaborate on participants’ responses, including “How did you experience writing your reflections on the digital reflection sheets?” and “How did writing reflections influence your motivation for diabetes self-management?” At the end of each interview, participants were asked to supplement their responses with other experiences related to the GSD eHealth intervention in order to ensure adequate representation of their perspective in the data. On average, interviews took 70 minutes to complete, and all interviews were audiotaped and transcribed verbatim. The interviews were conducted in Norwegian. Relevant meaning units were translated into English during the analysis process, and the translation has been text edited. Demographic and clinical data were collected via a questionnaire at baseline.

Ethical considerations

The Norwegian Regional Committee for Medical and Health Research Ethics (REK West, number 2015/60) approved the study protocol. Prior to the beginning of the study, participants signed a written consent form and were guaranteed anonymity and the right to withdraw from the study at any time. Anonymity was ensured by severing the link between participant names and the ID numbers and transcripts of the interviews.

Data analysis

We performed a qualitative content analysis, as described by Graneheim and Lundman, 37 which involved reading in full the unit of analysis (namely, all 10 transcribed interviews). Data from both groups of participants were analyzed together, as the theme focused on experiences with the reflection sheets and writing reflections in the context of the GSD eHealth intervention and how doing so might affect motivation for self-management of T2DM. Meaning units that corresponded to the aim of the study (namely, experiences with using reflection sheets to stimulate written reflection, and how written reflection might affect motivation for self-management of T2DM) were identified and shortened while retaining the main experience, and then labeled with codes. Codes were systematically organized according to their similarities and differences and placed in categories, which describe “what” participants talked about and represent the manifest content of the text. Revision of the codes and the names of categories occurred several times during the process of analysis. Finally, the latent content, or underlying meaning, was interpreted and represented in the subthemes and main themes, which characterize the “‘meaningful essence’ that runs through the data”. 38 Table 2 presents the themes and subthemes derived from the qualitative content analysis. Abstraction was done in collaboration with coauthors to ensure credibility and to enhance the likelihood that a probable interpretation of the text was obtained.

Themes and subthemes derived from the qualitative content analysis

ThemesSubthemes
Written reflection affects awareness and commitment in diabetes self-managementWriting creates space and time for autonomous reflection Writing influences individuals’ focus in diabetes self-management
Written reflection is perceived as inapplicable in diabetes self-managementResponding in writing is difficult The timing of the writing is inappropriate

The qualitative content analysis yielded 2 main themes ( Table 2 ) that describe how adults with T2DM experience using reflection sheets to stimulate written reflection in the context of the GSD eHealth intervention and how written reflection might affect their motivation for self-management of T2DM. We labeled the first theme as “Written reflection affects awareness and commitment in diabetes self-management”, which reflects 2 subthemes, namely, “Writing creates space and time for autonomous reflection” and “Writing influences individuals’ focus in diabetes self-management”. We labeled the second theme as “Written reflection is perceived as inapplicable in diabetes self-management”, which reflects 2 subthemes, namely, “Responding in writing is difficult” and “The timing of the writing is inappropriate”. In the following sections, we describe in detail the content of these themes and subthemes using direct quotations from participants.

Written reflection affects awareness and commitment in diabetes self-management

Participants suggested that by creating space and time to express thoughts and feelings, writing affords an opportunity for reflection on what is important for them in diabetes self-management. In addition, writing creates transparency and concretizes ideas, which influences focus in diabetes self-management. Hence, written reflection affects awareness and commitment in diabetes self-management.

Writing creates space and time for autonomous reflection

Participants appreciated the opportunity for reflection in the peace and quiet of their homes, as well as the ability for written reflection without interruption. Participants also valued the opportunity to decide on the timing of their written reflection amid their busy lives, as well as the opportunity to let thoughts “simmer” for a while, which was conducive to mature and thoughtful responses.

I appreciated having the opportunity to sit and relax and fill out [the reflection sheets] in peace and quiet, and to do it when it suited me. That I had time to sit down and prioritize doing it. To sit down and be able to use the time I needed to think through my answers […]. [Participant 10]

With reflection, participants came to discover aspects of themselves and their reactions to situations of which they had not been aware previously. Participants also appreciated the intellectual stimulation represented by written reflection, through which they could focus on concrete issues and express mature thoughts.

Writing challenges you much more intellectually. That is why writing is very useful. If you just sit and talk, you may put much more emotions into things. When you sit down and write, you dispose some of the emotional, the sentimental, part. You write down your thoughts, cognitive, how you experience the situation. That is why I like to be challenged on that. [Participant 1]

Participants valued the personal nature of written reflection, which afforded an opportunity to think through their responses thoroughly rather than be interrupted with clarifying questions, as typically happens in conversations. Participants considered written reflection to be a useful clinical tool (in addition to traditional health care) because the reflection sheets focused on the psychosocial aspects of having and managing diabetes, and such experiences are important to share with the diabetes nurse.

Earlier follow-up has just been blood samples and other tests, and then finished and “good bye”. I have not had time to express thoughts and emotions, and […] That was what I appreciated, that I could finally communicate with someone about it. How I experience all of it. [Participant 2]

For some participants, written reflection sparked an interest in discussing matters related to self-management of T2DM with their family, which afforded an opportunity for enhanced openness and understanding with important others.

Writing influences individuals’ focus in diabetes self-management

Participants used reflection sheets to create focus in diabetes self-management, as their responses were “in writing”. With the opportunity for written reflection, participants created a positive commitment to their goals and action plans, which became specific, concrete, transparent, and manageable and, moreover, could be reviewed after the conclusion of the eHealth consultations.

It becomes more concrete than when it is just in your head. Maybe for some people when they have written it down, I will not say that it becomes a contract, but yet more concrete than when it is just feelings and thoughts. [Participant 4]

Yet interestingly, some participants expressed the opposite sentiment, such that written reflection can be embellished and/or forgotten after the responses are sent to the diabetes nurse. In response to the Interviewer’s question, “Would you go back and check on your goal setting?” 1 participant said, “No, there is no imminent danger of that ever occurring.”

Written reflection is perceived as inapplicable in diabetes self-management

Some participants found it difficult to understand the reflection sheets and respond in writing. Other participants perceived the questions to be repetitive or unnecessary for them. Finally, some participants thought that the timing of the writing was inappropriate, for various reasons. Hence, written reflection is perceived as inapplicable in diabetes self-management.

Responding in writing is difficult

Some participants mentioned that they struggled with writing in general, whereas others suggested that the writing would have been easier if the reflection sheets were on paper rather than digital. One participant found it difficult to comprehend the questions and, therefore, enlisted family members to help make sense of the reflection sheets. For some of the participants who were offered an in-person meeting following the third eHealth consultation, it was important to discuss the reflection sheets with the diabetes nurse.

I had some problems understanding some of the questions on the reflection sheets. So when I came to see the nurse, I had to say “I don’t know what this means”, and then she had to explain what it meant. [Participant 7]

Some participants noted the importance of further instruction on how to complete the reflection sheets. Additionally, some participants found the language of the reflection sheets to be “too academic”. Other participants found some of the reflection sheets (especially on “Work with changes” [ Figure 1 ]) to be repetitive and difficult to understand/respond to in writing.

But then there were these reflection sheets where I felt like […] first you were supposed to write about your observations, your thoughts, and feelings. I found those a little hard to separate really. Your observations […]. What do they mean with that? And then your thoughts and feelings. And then the observations. There you were supposed to write a little without thoughts and feelings? I found this difficult […]. [Participant 5]

Finally, due to the “locked-to-form” nature of the reflection sheets, some participants perceived less opportunity for elaboration of responses based on individual needs and preferences.

The timing of the writing is inappropriate

Some participants suggested that the GSD program was introduced either too early or too late in their disease trajectory for them to receive a benefit from written reflection. For some participants, written reflection conflicted with their expectations for a self-management support program. In particular, these participants viewed working with the reflection sheets as too time consuming, likely to create unnecessary problems and concerns, and inapplicable to their current life experience. Other participants focused on personal matters, such as family, relationships, and multimorbidity that undermined their perceived benefit from and opinion of written reflection. They assumed that they were supposed to deal only with specific diabetes self-management behaviors, such as diet and exercise in their written reflections and goal setting. Taken together, the timing of the writing was inappropriate for some participants.

Because you also have other things to deal with. You cannot just put all that aside and simply focus on [diabetes self-management behaviors], right. The other things are there all the time, in the back of my head. [Participant 6]

The aim of the current study was to explore how adults with T2DM experience using reflection sheets to stimulate written reflection in the context of the GSD eHealth intervention and how written reflection might affect their motivation for self-management of T2DM. The findings indicate that participants had diverse experiences with the digital reflection sheets and written reflection more broadly. Some participants experienced written reflection as positively affecting their awareness and commitment in diabetes self-management. On the other hand, some participants experienced difficulties in writing their reflections and perceived this as inapplicable in diabetes self-management. In the following sections, we discuss our findings in the context of previous research and SDT.

One important finding in the current study is that the writing initiated by the digital reflection sheets creates space and time for autonomous reflection, which was experienced as more positive than ordinary follow-up at the general practice. With written reflection, participants were able to identify and put into words their personal experiences and difficulties with self-management of T2DM. As the necessary behaviors for self-management of T2DM are demanding and may not have inherent interest for the individual, it is important to support autonomy in health care in order to facilitate optimal, autonomous motivation for diabetes self-management. 22 , 27 Individuals experience a sense of autonomy when their behavior is congruent with deeply held values, beliefs, and interests. 24 Written reflection in the context of the GSD eHealth intervention may be perceived as autonomy supportive, such that it engenders an experience of self-governance and volition in patients. These findings build on previous research in which adults with type 1 diabetes perceived their health care climate as more autonomy supportive after participating in the GSD intervention. 13

Another important finding is that writing influences individuals’ focus in diabetes self-management. For some participants, responding to the reflection sheets and then sending these to the diabetes nurse assist in helping to create specific goals and clear action plans, in addition to concretizing what is necessary to attain their goals. The autonomous reflection and the focus created by the writing may have facilitated healthy, autonomous goal setting in the self-management of T2DM. This is important because specific goals are much more effective than general goals for developing effective self-management behaviors. 7 , 39 Previous research has shown that active involvement in goal setting is conducive to patients’ regulating their self-management behaviors and attaining positive treatment outcomes. 23 Moreover, competence is supported when individuals pursue goals that they have an opportunity to attain, thereby experiencing a sense of achievement in reaching their goals. 24 , 27

Our findings indicate that the GSD eHealth intervention may provide support for patients’ competence – as well as autonomy. Indeed, support for competence has been associated with treatment adherence, quality of life, and glycemic control in patients with T2DM. 4 , 26 With these findings in mind, we suggest that written reflection in the context of the GSD eHealth intervention may be conducive to positive treatment outcomes because of its potential to support autonomy and competence around self-management of T2DM.

Our findings also indicate that the GSD eHealth intervention may be described as a “double-edged sword”. For some participants, written reflection may affect their awareness and commitment in diabetes self-management in a positive way, whereas for other participants, written reflection was perceived as inapplicable in diabetes self-management. Our findings suggest that responding in writing is difficult and that the timing of the writing is inappropriate for some patients, and thus participants may not value and/or benefit from written reflection in a uniform way. These findings suggest that the reflection sheets might require further adaption for adults with T2DM in an eHealth intervention.

In the current study, the reflection sheets were completed electronically, which contrasts with previous research on the GSD intervention. 13 , 14 , 18 Research on therapeutic writing has shown that the effectiveness of writing as a therapeutic tool depends on support and assistance during the writing process. 31 Moreover, in previous research showing that the GSD intervention can develop life skills and reduce psychosocial distress in individuals with type 1 diabetes, participants completed the reflection sheets on paper at home as preparation for an in-person consultation with health care personnel, which may facilitate dialogue around assistance with, explanation for, and tailoring of the intervention. 13 – 19 The fact that the written reflection and communication with health care personnel occurred primarily electronically may have undermined perceptions of support for some participants.

It is interesting to note that some participants who were offered an in-person meeting following the third eHealth consultation mentioned that their meeting with the diabetes nurse was crucial for understanding the reflection sheets. This finding underscores the importance of in-person consultation that offers assistance to participants around the GSD eHealth intervention and builds on our previous research that revealed participants’ missing of in-person consultations with the diabetes nurse as an important contributor to dropping out from the study. 36 In-person consultation with health care personnel allows for advice based on user reactions to be communicated in real time, which can facilitate engagement in eHealth interventions. Of course, additional in-person consultation can increase the cost and time required for completion of eHealth interventions, in addition to reducing reach into the population. 40 Nonetheless, we anticipate that the benefits associated with in-person consultation are likely to outweigh the costs.

Some participants considered the timing of the writing to be inappropriate, and thus this aspect of the intervention did not suit them for various reasons. Whereas some participants had a different focus and/or additional challenges in life, others were able to manage their diabetes well without much to consider in written reflection. Hence, it is important to consider the timing of eHealth interventions with regard to disease trajectory, personal needs, and anticipated strains in life. 41 Furthermore, although – ideally – the reflection sheets can be used to consider a broad range of topics in life, participants tend to focus on specific diabetes self-management activities in their goal setting, such as diet and exercise. Future research on written reflection might attempt to strike more of a balance between focusing participants on broad life issues versus specific issues relevant to diabetes self-management.

It is also interesting to consider how the concept of causality orientations within SDT 42 might affect perceptions of the timing of the writing as inappropriate. The concept of a causality orientation describes differences in how individuals initiate and regulate their behaviors over extended periods of time, and this concept has received considerable empirical attention. 24 , 43 With an autonomy orientation, individuals initiate and regulate their behavior based on personal interest, value, and choice. In contrast, with a controlled orientation, individuals initiate and regulate their behavior based on self- and/or other-imposed perceptions of pressure, coercion, and control. 42 Certainly, differences in causality orientation might affect the focus of written reflection, the self-management goals that are adopted, and the perception of the GSD eHealth intervention as appropriately timed and beneficial. It is reasonable to speculate that those participants who asserted that written reflection affects awareness and commitment in diabetes self-management (Theme 1) are more likely to have an autonomy causality orientation than those who asserted that written reflection is inapplicable in diabetes self-management (Theme 2). Indeed, individuals who score higher on the controlled causality orientation tend to benefit less from health initiatives such as the GSD program. 42 Future research on written reflection might examine whether and how the causality orientations affect the amount of benefit that participants derive from the GSD eHealth intervention.

Strengths and limitations

Several strengths and limitations deserve mention. One strength of the current study was its qualitative design with semi-structured interviews during which participants could give voice to their experience with the GSD eHealth intervention. One limitation was the small number of informants (n=10); yet it is important to note that the sample consisted of all participants who completed the GSD eHealth intervention, which precluded the possibility of further recruitment. Indeed, the fact that all participants who completed the intervention agreed to take part in our interviews is a notable strength of the current study. A second strength was that 1 investigator conducted all of the interviews in order to ensure the credibility of the data collection. Undeniably, our findings and interpretations were discussed by all coauthors during analysis and manuscript drafting, which may enhance the trustworthiness of our conclusions. That being said, because a text can have >1 meaning and interpretations are subjective, we cannot dismiss the possibility that others would have interpreted our findings in a different way. 37 , 38 A second limitation was the heterogeneity in educational status of the study participants, which might have affected how participants responded to the reflection sheets. Half of the participants in the current study had primary or secondary education as their highest level of education. That being said, we found no indication that participants with less education experienced writing as more difficult than those with more education, which may be due to the limits of our small sample size. Thus, it is important for future research with a larger sample size to examine how educational status affects responses to and benefits from written reflection, given the cognitive demands of this component of the eHealth intervention.

Written reflection stimulated by digital reflection sheets may affect awareness and commitment in diabetes self-management in a positive way by creating space and time for autonomous reflection and influencing individuals’ focus in diabetes self-management. Interpreted through the lens of SDT, it is possible that written reflection in the context of the GSD eHealth intervention can support patients’ autonomy and competence, which are conducive to autonomous (ie, optimal) motivation for diabetes self-management and positive treatment outcomes. That being said, the structured nature of written reflection in the context of the GSD eHealth intervention may be inapplicable for some participants, as responding in writing can be difficult and the timing of the writing can be inappropriate. Therefore, it seems that in-person consultation with the diabetes nurse may be necessary to achieve the full potential benefit of the GSD as an eHealth intervention. Hence, we advocate for further development and examination of the GSD as a “blended” approach, especially for those who consider written reflection to be difficult or unfamiliar.

Acknowledgments

The authors express special thanks to the participants involved in the current study. In addition, we express our gratitude to the 8 study nurses and the involved general practices for recruiting the patients and conducting the intervention.

The current study, which was conducted in collaboration between Western Norway University of Applied Sciences and the University of Stavanger, was funded by a grant from the Norwegian Research Council (project number 221065), and funds from the University of Stavanger and Western Norway University of Applied Sciences, Norway.

Author contributions

SSL, BK, MG, and BO developed the study design. The interviews, transcriptions, tentative analysis, and first draft of the article were performed by SSL. BK, CPN, MG, and BO were involved in analysis of the data, writing the manuscript, and revising the manuscript for intellectual content. All authors gave final approval of the version to be published and agree to be accountable for all aspects of the work.

The authors report no conflicts of interest in this work.

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What Is Type 2 Diabetes Mellitus Nursing Essay

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Type 2 Diabetes and Treatment Approaches Essay

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In order to treat patients with type 2 diabetes, a comprehensive approach is essential. It involves educating the patient, assessing them for related issues, achieving near-normal blood glucose levels, and reducing the risk of cardiovascular problems through appropriate medications (Wexler & Nathan, 2022). The goals for blood sugar control must be tailored to each patient, simultaneously considering the possibility of hypoglycemia and other side effects and the expected decrease in microvascular complications over time. Generally, an A1C of ≤7 percent is a reasonable target, though it may be increased for elderly adults and those with other conditions or limited life expectancy (Wexler & Nathan, 2022). Better regulation of sugar levels in the blood has a protective effect against microvascular complications in type 2 diabetes and a beneficial effect on macrovascular outcomes.

In a clinical setting, this information can apply to patients with newly diagnosed type 2 diabetes. Healthcare providers can use this information to develop a personalized treatment plan tailored to the individual patient’s needs, goals, and health status. It is crucial to consider the patient’s age, comorbidities, and life expectancy when setting treatment goals for glycemic management. Moreover, the healthcare professional should prioritize managing cardiovascular risks, including helping people quit smoking and recommending aspirin for those with atherosclerotic cardiovascular disease or after discussing the potential benefits and risks with the patient.

Healthcare practitioners must consider the ethical, cultural, and societal consequences when managing those with type 2 diabetes. One relevant moral issue is the possibility of hypoglycemia and other unwanted treatment effects, which must be balanced with the advantages of glycemic control. Additionally, caregivers must acknowledge cultural and social aspects, like the patient’s dietary inclinations and lifestyle habits, when developing a tailored care plan. Furthermore, nurses should be mindful of disparities in healthcare access and understanding, which may significantly affect specific groups of patients. To sum up, healthcare providers must treat type 2 diabetes with consideration and awareness of each patient’s unique needs and circumstances.

The key points of treating the diabetes 2 include the following:

  • Mindfulness-based interventions can improve nurse well-being by reducing stress, anxiety, and burnout while also increasing job satisfaction.
  • Mindfulness-based interventions can lead to better patient outcomes such as reduced pain, anxiety, and length of hospital stay.
  • The use of mindfulness-based interventions in a clinical setting should consider ethical, cultural, and social implications, as well as accessibility for nurses from diverse backgrounds.

Wexler, D. J. (2022). Initial management of hyperglycemia in adults with type 2 diabetes mellitus . UpToDate. Web.

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