Self-Management of Diabetes: An Evidence-Based Solution in King County

This report presents an evidence-based solution for self-management of diabetes in King County, Seattle. It highlights the importance of self-management, including blood glucose monitoring, diet control, exercise, and lifestyle modifications, to prevent complications and improve patient outcomes. The rationale for choosing self-management is discussed, emphasizing its feasibility and the need for integrating it into healthcare programs through education and support. The report details methods to determine the feasibility of self-management, such as hospital discharge interventions and patient questionnaires, and ways to integrate self-management into programs through education and support. It also discusses the role of healthcare providers and the importance of a systematic approach to promote self-management practices. The report concludes by emphasizing the need for a multi-pronged approach to address the challenges of diabetes management and improve health outcomes.

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Self-management of diabetes: An evidence based solution
Self-management of diabetes can be classified as a solution for diabetes in King
County, Seattle. Diabetes is a chronic disease which needs medical care lifelong as well as
active involvement of patient. The risk of diabetes can be reduced if the person suffering
from diabetes or having a family history with diabetes have an access to monitor their blood
glucose in regular intervals (Powers et al., 2016). If the person can check their blood glucose
by selves, monitor their weight, control the diet, reduce tobacco intake and increase physical
activity; then the chances of getting affected with diabetes decreases. The healthcare provider
can also check the blood pressure, deportment eye exam for noticing diabetic eye
impairment, early dealing of kidney damage due to diabetes, conducting foot exam,
prescribing lower dose of aspirin as well as scrutiny cholesterol yearly as well as treating
elevated cholesterol (Kingcounty.gov. 2020).
Recent researches have shown that self-management have helped in controlling blood
sugar that can prevent complications of diabetes. Previous records have shown that self-
management in insulin intake have resulted in check in blood sugar daily for 93% of people
and among rest 7% of the population who did not visit healthcare of do not follow the self-
management policies have experienced sever outcomes (Lin et al., 2017). In total the ration
of people accepting self-management and those who did not follow the self-management
procedure were 23 to 29% respectively. Hence, improvement in the patient care can be
fulfilled by grounding self-management system of diabetes at medical care in addition to
assimilating with community assets. The management systems can track patient care to
guarantee that all constituents of an inclusive care plan given to every individual
(Strawbridge et al., 2015).

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Rationale for choosing self-management
Self-management is chosen as a solution to control Diabetes in King county. This
self-management includes proper medication intake, physical activity, eating healthy foods,
and checking blood glucose. This self-care would help in resolving the problems related to
diabetes, reduction in the chronic as well as acute complicacies, as well as various
psychosocial features of existing with diabetes (Chrvala et al., 2016). Previous researches
have shown that diabetes can be controlled if the person follows some rules. Modification in
life-style can help in keeping the blood glucose level under control, regular exercise helps in
the insulin to work efficiently and effectively, as well as causes reduction in blood pressure
and heart diseases. Self-management tells people about controlling glycaemia however, it
corresponds with prevention of disability complications along with rehabilitation.
Self-management on individuals suffering from diabetes showed to produce an
affective impression over the advancement in addition to expansion of their disease by
contributing in self-care. In spite of the fact, acquiescence or observance of these happenings
found to be less, specifically considering long-term vicissitudes (Diabetes Care, 2018).
However, socio-economic, multiple demographic, in addition to social sustenance factors is
considered to be a positive provider in King County to facilitate self-care accomplishments in
diabetic patients. The main role of clinicians is to promote self-care, which is vital as well as
accentuated. Comprehending the multi-faceted features of the problem, an integrated,
systematic, and multi-pronged methodology is needed in order to promote self-management
practice amid diabetic individuals to prevent long-term difficulties.
Determine the feasibility of self-management
The feasibility of self-management can be determined by following hospital
discharge. The interposition comprised home visit for one in-person in addition to
continuation weekly simulated diabetes mellitus self-management for four extra weeks. The

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knowledge of diabetes was dignified at baseline in addition to achievement of the policy
implementation. Questionnaire might be designed to understand the response of the people
suffering from diabetes (Pereira et al., 2015). The A1C level of hemoglobin was taken from
health record as well as three months’ hospital discharge. The readmissions at hospitals were
calculated for 30 days. Enrollment of about 20 patients need to be conducted. Patients
completing the intervention need to set a score and analysis must be conducted depending on
the data received. Patient need to know about the program that is to be conducted and their
views need to tracked (Hou et al., 2016). The individual interested must be chosen for the
record study and analysis need to be done. If the results outcomes demonstrate that regular
exercise, good health regime as well as monitoring the glucose lvel by oneself is making the
blood glucose to be under control, then self-management will be chosen as feasible program
for keeping the blood glucose under control.
Ways to integrated self-management into the programme
Educating people and gaining their support would be the best way to integrated self-
management of diabetes. Diabetes is a protracted sickness, which needs a person to follow
restrictions in their daily life. Diabetes self-management education is the best tool to make
the people aware of various guidelines that would help them in keeping the disease in control
without regular medical visit (Greenwood et al., 2017). Once, the self-management policies
become acceptable it will be easy to integrated it into the programme. DSME/S (Diabetes
self-management education and support) provides a platform to make people aware and help
them to navigate diabetes. Hence, the activities and decision made would help in the
enhancement in health outcomes. This DSME is defined as a process to facilitate te
knowledge, ability and skill for diabetes self-care.
In this project, this DSME can be implemented by having an interaction with people
suffering from diabetes or with individual having chances of diabetes. Educating people is

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necessary for positive implementation. People must have a knowledge about the usage, which
exercise are necessary for insulin activity, the kind of food to eat and not to eat for keeping
the diabetes under control, and ways to use glucometer as well as when to visit a doctor. As a
health professional it must be made sure that patient understands about implementation and
provisions of managing skills in addition behaviors that are required for self-management.
Even though different participants in the health care team in addition to community might
subsidize in the process of implementation, it is necessary for health care providers in
addition to their practice situations to maintain a systematic referral and resources to ensure
that patient receive both DSME and DSM (Strawbridge et al., 2015). Once the individuals
have clear idea about the self-management policies, then the implementation would be
possible with practitioner programme.

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References
Chrvala, C., Sherr, D., & Lipman, R. (2016). Diabetes self-management education for adults
with type 2 diabetes mellitus: A systematic review of the effect on glycemic control.
Patient Education And Counseling, 99(6), 926-943.
https://doi.org/10.1016/j.pec.2015.11.003
Diabetes Care. (2018). 5. Lifestyle Management: Standards of Medical Care in Diabetes—
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Greenwood, D., Gee, P., Fatkin, K., & Peeples, M. (2017). A Systematic Review of Reviews
Evaluating Technology-Enabled Diabetes Self-Management Education and Support.
Journal Of Diabetes Science And Technology, 11(5), 1015-1027.
https://doi.org/10.1177/1932296817713506
Hou, C., Carter, B., Hewitt, J., Francisa, T., & Mayor, S. (2016). Do Mobile Phone
Applications Improve Glycemic Control (HbA1c) in the Self-management of
Diabetes? A Systematic Review, Meta-analysis, and GRADE of 14 Randomized
Trials. Diabetes Care, 39(11), 2089-2095. https://doi.org/10.2337/dc16-0346
Kingcounty.gov. (2020). Public Health Data Watch. Retrieved 20 April 2020, from
https://www.kingcounty.gov/depts/health/data/~/media/depts/health/data/documents/
diabetes-in-king-county-april-2007.ashx
Lin, K., Park, C., Li, M., Wang, X., Li, X., Li, W., & Quinn, L. (2017). Effects of depression,
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Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk,
M. D., Siminerio, L., & Vivian, E. (2016). Diabetes Self-management Education and
Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes
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Strawbridge, L., Lloyd, J., Meadow, A., Riley, G., & Howell, B. (2015). Use of Medicare’s
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