Healthy Eating to Prevent Type 2 Diabetes in Birmingham’s Middle-Aged Men

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Added on  2023/06/18

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This presentation discusses the benefits of healthy eating in preventing type 2 diabetes in middle-aged men in Birmingham. It also covers the barriers to care and the benefits of lifestyle interventions. The presentation includes references to research studies and statistics on diabetes in the UK.

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HEALTHY EATING TO PREVENT TYPE 2 DIABETES IN BIRMINGHAM’S
MIDDLE-AGED MEN
INTRODUCTION
In the UK, over 4.9 million people in the
UK have diabetes, and a further 13.6
million are at increased risk of developing
type 2 diabetes. There are many more
who have type 2 diabetes but have not
been diagnosed (Diabetes UK 2020).
CONCLUSION
Increased integration of
healthy diet, and
maintenance of these
dietary changes, is integral
to decreasing the risks
among middle-aged men of
Birmingham.
Increased access to
inpatient diabetes teams,
technology, and education
can lead to NHS budget
being allocated to diabetes
PREVENTION STRATEGY
Healthy eating can help prevent diabetes
onset or, at the very least, significantly
reduce its risks.
Type 2 diabetes is commonly linked to the
hormone called testosterone, with research
showing that low levels of testosterone in
men resulting in increased risk of diabetes
(Mandal 2019).
Middle-aged men are more likely to lead a
sedentary lifestyle (Bertoglia et al. 2017;
Lemes et al. 2019; Patterson et al. 2018).
Lifestyle interventions focusing on healthy
eating, weight loss, and physical activity, can
minimize the risks significantly and even
mitigate the impact of genetics on increased
risk of diabetes (Cardona-Morrell et al. 2010;
Galaviz et al. 2018; Schellenberg et al.
2013).
Life isn’t over because
you have diabetes. Make
the most of what you
have, be grateful.
I can
control my
diabetes.
BARRIERS OF CARE
There are various kind of barriers to care for
working-class middle-aged men of Birmingham
when provision of care for type 2 diabetes comes
into picture. First and the foremost type of barrier
to care for target population is lack of time and
their lifestyle. Due to extremely busy schedule, it
becomes difficult for them to adopt a healthy
lifestyle and eat healthy food. As a result, their
diabetes can become severe

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RATIONALE
Over 4.9 million people in the UK have diabetes, and a further 13.6 million are at increased risk of developing
type 2 diabetes (Diabetes UK 2020)
Many go undiagnosed
Research focused on Birmingham is minimal on this topic
Middle-aged men are more likely to lead a sedentary lifestyle (Bertoglia et al. 2017; Lemes et al. 2019;
Patterson et al. 2018)
Changing these behaviours can decrease their risk of developing Type 2 diabetes
Diabetes is costly (Galaviz et al. 2018)
It is debilitating for one’s physical health and also their mental health (Whicher et al. 2020)
It can lead to low self-esteem, depression, discrimination at work, driving issues, and decreased sex-drive
(Diabetes UK 2017; 2019; Hackett et al. 2014)
Medical issues emerge like retinopathy, foot disease, kidney disease, and cardiovascular disease (Becker et al.
2018; Holman et al. 2012; NHS Digital 2019; NICE 2017; RNIB 2016; Whicher et al. 2020).
Research supports implementation of healthy eating for decreased diabetes risks (Cardona-Morrell et al. 2010;
Galaviz et al. 2018; Schellenberg et al. 2013)
Increased integration of healthy diet and maintenance is integral to helping build a healthier population of
middle-aged men in Birmingham
Access to resources can help shift more NHS budget towards mitigation of diabetes problems altogether
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Continue…
Not only is the patient impacted by diabetes but their family, friends, and carers as well
Worser the symptoms, the harder it becomes to manage
I have personally seen examples of diabetes and its debilitating impacts within my own
circle of family and friends
This is both professional and personal for me
Lethargy, depression, joint pain, kidney problems, all become increasingly common
Inability to perform daily tasks
Lack of motivation
Families have to accommodate their schedules and lives around those with serious
diabetes complications
Public health campaigns at the government level would be the best way to implement a
broad-scale and effective change
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Continue…
There are various kind of barriers to care for working-class middle-aged men of Birmingham when provision
of care for type 2 diabetes comes into picture.
First and the foremost type of barrier to care for target population is lack of time and their lifestyle.
Due to extremely busy schedule, it becomes difficult for them to adopt a healthy lifestyle and eat healthy
food. As a result, their diabetes can become severe
Their busy life style makes it much more difficult for middle aged men to focus upon their health for
managing type 2 diabetes.
In order to overcome barriers of care and bring improvement within overall health of middle-aged men of
Birmingham.
Behaviour change approach can be used as it is appropriate and can help in overcoming main barriers of care
for target population.
This approach is suitable for target population because this approach helps in identifying ways in which
changes within overall behaviour of people can be brought so that they start adopting a healthy lifestyle.

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REFERENCES
Becker, C., Schneider, C., Aballéa, S., Bailey, C., Bourne, R., Jick, S. and Meier, C., 2018. Cataract in patients with diabetes mellitus—incidence rates in the
UK and risk factors. Eye, 32(6), pp.1028-1035.
Bertoglia, M.P., Gormaz, J.G., Libuy, M., Sanhueza, D., Gajardo, A., Srur, A., Wallbaum, M. and Erazo, M., 2017. The population impact of obesity, sedentary
lifestyle, and tobacco and alcohol consumption on the prevalence of type 2 diabetes: Analysis of a health population survey in Chile, 2010. PloS one, 12(5),
p.e0178092.
Birmingham City Council 2019, Birmingham Health Profile 2019. Birmingham: Birmingham Public Health.
British Nutrition Foundation 2016, ‘Diabetes,’ <https://www.nutrition.org.uk/index.php?
option=com_content&view=article&id=271:diabetes&catid=84&Itemid=319&showall=1&limitstart=> Accessed 9 June 2021.
Cardona-Morrell, M., Rychetnik, L., Morrell, S.L., Espinel, P.T. and Bauman, A., 2010. Reduction of diabetes risk in routine clinical practice: are physical
activity and nutrition interventions feasible and are the outcomes from reference trials replicable? A systematic review and meta-analysis. BMC public
health, 10(1), pp.1-17.
Diabetes UK 2010, Diabetes in the UK 2010: Key statistics on diabetes. London: British Diabetic Association.
Diabetes UK 2017, The future of diabetes. London: British Diabetic Association.
Diabetes UK 2019, Too often missing: Making emotional and psychological support routine in diabetes care. London: British Diabetic Association.
Diabetes UK 2020, ‘Diabetes statistics,’ <https://www.diabetes.org.uk/professionals/position-statements-reports/statistics> Accessed 9 June 2021.
Galaviz, K.I., Narayan, K.V., Lobelo, F. and Weber, M.B., 2018. Lifestyle and the prevention of Type 2 Diabetes: A status report. American Journal of Lifestyle
Medicine, 12(1), pp. 4-20.
Hackett, G., Cole, N., Bhartia, M., Kennedy, D., Raju, J., Wilkinson, P., Saghir, A. and Blast Study Group, 2014. The response to testosterone undecanoate in
men with type 2 diabetes is dependent on achieving threshold serum levels (the BLAST study). International journal of clinical practice, 68(2), pp.203-215.
Holman, N., Young, R.J. and Jeffcoate, W.J., 2012. Variation in the recorded incidence of amputation of the lower limb in England. Diabetologia, 55(7),
pp.1919-1925.
Lemes, Í.R., Sui, X., Turi-Lynch, B.C., Lee, D.C., Blair, S.N., Fernandes, R.A., Codogno, J.S. and Monteiro, H.L., 2019. Sedentary behaviour is associated with
diabetes mellitus in adults: findings of a cross-sectional analysis from the Brazilian National Health System. Journal of Public Health, 41(4), pp.742-749.
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Mandal, A. 2019, ‘What is type 2 diabetes?’ News Medical – Life Sciences, <https://www.news-medical.net/health/What-is-Type-2-
Diabetes.aspx> Accessed 9 June 2021.
NHS 2019, Type 2 diabetes mellitus. Birmingham: Birmingham, Solihull, Sandwell and Environs Area Prescribing Committee (APC).
NHS 2020, ‘What is type 2 diabetes,’ <https://www.nhs.uk/conditions/type-2-diabetes/> Accessed 9 June 2021.
NHS Digital 2019, ‘National diabetes audit – Report 2 complications and mortality, 2017-18,’ NHS, < https://digital.nhs.uk/data-and-
information/publications/statistical/national-diabetes-audit/report-2--complications-and-mortality-2017-18> Accessed 9 June 2021.
NICE 2017, ‘Diabetic foot care in England: An economic study,’ <https://www.evidence.nhs.uk/document?id=1915227&returnUrl=Search
%253Fq%253DDiabetic%252BAmputation&q=Diabetic+Amputation> Accessed 9 June 2021.
Patterson, R., McNamara, E., Tainio, M., de Sá, T.H., Smith, A.D., Sharp, S.J., Edwards, P., Woodcock, J., Brage, S. and Wijndaele, K., 2018.
Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and
dose response meta-analysis. European journal of epidemiology, 33(9), pp.811-829.
Public Health England 2018, ‘Diabetes,’ <https://fingertips.phe.org.uk/profile-group/cardiovascular-disease-diabetes-kidney-disease/
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2021.
RNIB 2016, The state of the nation: Eye health 2016. London: RNIB.
Schellenberg, E.S., Dryden, D.M., Vandermeer, B., Ha, C. and Korownyk, C., 2013. Lifestyle interventions for patients with and at risk for
type 2 diabetes: a systematic review and meta-analysis. Annals of Internal Medicine, 159(8), pp.543-551.
Simmons, H. 2019, ‘Diabetes in men versus women,’ News Medical – Life Sciences, <https://www.news-medical.net/health/Diabetes-in-
Men-versus-Women.aspx> Accessed 9 June 2021.
Whicher, C. A., O’Neill, S., & Holt, R. I. G. 2020, Diabetes UK Position Statements. Diabetic Medicine, pp. 242-247.
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