Diabetes in Hawaii



Fact -->9 - 10% of all Hawaii has diabetes

Fact -->6-8% of all U.S. has diabetes, and more than half of them do not know it.

Diabetes has played a role in my life, because my Grandpa had diabetes and spent a lot of money on medications such as insulin. Another way that diabetes plays a role in my life is because my Mom's side of the family seems that all of them have it. But what I realized, was that many people have diabetes playing a role in their lives, more than 111,000 people just in Hawaii. What I want to gain from this research, is if there is a reason why families get diabetes, and why there are so many people with diabetes in Hawaii. Is it because of the things we eat? Or the way we cook it? Or is it because most of us are overweight? I also want to find out if what Punahou did by changing the lunch menu, is actually helping us prevent diabetes. Is food better for you when it is organic?
There are a few contributers to why a person gets diabetes, but some things that boost up the risk, are lack of excersize, and obesity
Diabetes, is when the carrier, has a metabolism disorder. The disorder, causes your body to limit the amount of insulin that is produced. There are two types of diabetes, type 1, and type 2. Type 2 diabetes, is usually the one that is diagnosed, which means that the body fails to use the insulin properly. Type 1, is diagnosed to only 5 - 10% of the people diagnosed. Type 1 is when the body is not able to produce insulin, which means that the sugar can not be turned into energy for the cells. There are other types of diabetes, like type 3, and there is also a type called Gestational diabetes in which a pregnant women can get it.



Insulin is used by the body to convert mostly sugar and starches into energy for the human body. Without the insulin, the body would need much more rest.
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This is an insulin pump, which was invented in 1970. It is used mostly by people with Type 1 diabetes, but people with Type 2 diabetes have slowly started to use the pump. The pumps are attached on a person's side, and gives insulin to the body throughout the whole day. The amount of insulin given can vary when a person eats. The user, can also adjust the amount given by pushing a button. They invented the pump, because a person needs insulin at least every 2 hours.

url: http://www.diabetes.org/type-1-diabetes/insulin-pumps.jsp




Research

"ADA chief sounds the alarm against the disease"

url:http://archives.starbulletin.com/2005/11/20/news/story05.html

Summary :

This article, is about the chief executive officer of the American Diabetes Association, who is going across the country due to there being a 14% increase in the amount of people with diabetes. Lynn Nicholas, said that there is about 111,000 people with diabetes in Hawaii, and there are about 39,000 people who don't even know that they have it.

"One in Three children born after 2000, will be diagnosed with diabetes, One in Two people in Hawaii, will be diagnosed with diabetes.

"A typical person with type 2 diabetes, spends just about $700 on insulin and diabetes supplies, a month." Said, Lynn Nicholas

She also said that as you get older, the medication gets more expensive, starting at first at about $11 a day, to a little over $23.

Over $130 Billion is spent by people nationally for diabetes care.

Reflection: I knew that there was about 100,000 people with diabetes, but I didn't know that the amount of people went up so rapidly. I was also amazed that there are so many people that don't even know they have diabetes. $130 billion is a lot of money, and in the article they said that 10% of the people who are diagnosed are uninsured. I also was suprised with the 14% increase. Some questions I had about this, was why does the medicine cost more as you get older? Is it because you need more? I also am confused about why the rate is higher for people in Hawaii, than in other parts of the Nation. I would like to go further into this problem, due to that we live in Hawaii. I wonder if it is because of they way we cook or food, such as frying it, or is it because of our race, which is what Lynn Nicholas said when she talked about how Native Hawaiians, Filipinos, and Japanese people are more prone.

"CDC Diabetes - Frequently Asked Questions - Diabetes Related Health Concerns"

url:http://www.cdc.gov/diabetes/faq/concerns.htm

Summary:
This is a website that informs the readers of all of the health related concerns that could happen to a person if he or she has diabetes. There are a variety of questions that are asked such as can diabetes change your mood, and if diabetes can trigger other health problems such as losing your sense of sight.

1) When you have diabetes, your vision may become blurred due to small blood vessels swelling up, and then it starts to leak liquid into/onto the retina.

2) Cells and blood vessels in the kidney can cause the kidney to be less efficient in filtering out waste due to them being damaged. This can cause there to be a lot of waste in your body and can cause kidney failure.

3) Diabetes can cause major foot problems due to there being poor circulation and also nerve damage. It can cause major swelling causing there to be a lot of liquid near the ankle which would prevent the victim from walking easily. It can also become so bad that the person may need the limb to be amputated.

4) Diabetes can also affect your mood, due to a test done by psychologist, it is unclear why but the educated guess is that the metabolic effect which is the body failing to digest quickly can cause the brain function to become moody (makes the person sad, short tempered)

Reflection: I thought that diabetes just affects your energy, not your whole body. I was shocked to find out that you can become almost blind, and you can become depressed or short tempered all because of diabetes. A question I have, is how do they test your mood? Do they x-ray your brain? Another question I have, is how does diabetes affect your nerve endings, and how does it cause there to be blisters and ulcers on your feet? Does diabetes also affect your skin?


"Defeating Diabetes Malamalama the magazine of the University of Hawaii"

url:http://www.hawaii.edu/malamalama/2005/09/f4_diabetes.html


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Jane Kadohiro
Summary:
This is an article which one of its main focus' is to show how Jane Kadohiro is fighting against diabetes, whether it be her own personal diabetes, or to spread the word about diabetes in Hawaii and how to avoid getting it or how to reduce the effects of diabetes on your body. She was diagnosed with Type 1 diabetes when she was just 8 years old, and back then when you had diabetes you were not expected to live. Everyday, she has to check her sugar levels about 4 to 6 times a day, and she also has to take insulin shots 5 times a day.

Reflection: It was shocking to find out that diabetes a couple of decades ago, was a very dangerous thing to have, and doctors / researchers have begun to find out how to keep diabetes at its lowest affect on a human body. I find this interesting, because it shows that the government really wants to prevent diabetes due to them lending lots of money out to different researchers so that people would better know what diabetes is. A question I have, is why do people with type 1 diabetes have to take insulin shots 5 times a day? I also want to know how long insulin can last in the body, and do people with type 2 also need insulin shots?

"Diabetes - What You Need To Know"

url:http://www.youtube.com/watch?v=5Wvmv1oTzdI

Summary:
This is a video of Dr. VIncent Bellonzi educating people on what diabetes is, how people get it, and how it affects your body.



Reflection:
I knew that sugar was good for your body, but I didn't know that there was a bigger side affect than just getting cavities from eating too much sugars. Sugar is a main reason why a person gets diabetes because the sugar surrounds a red blood cell, and causes the red blood cell to not be able to carry oxygen. After watching this video I feel like just eating natural food like what the doctor said because it is best that if you do eat sugar, to eat it as natural such as being closer to its origin. A question I have, is all sugar bad for you? What are you supposed to do if you are a athlete, and you need sugar? If you excerize properly, and eat sugars, can you still get diabetes if you are healthy?

"Cost of Diabetes Care on the Rise"

url: http://www.boston.com/business/healthcare/articles/2008/10/28/researchers_cost_of_diabetes_care_on_rise/

Summary:
This article is about how the health care for diabetes, has gone up nearly 87% since 2001. In the article, it debates whether or not the newer drugs are worth it. It also states in the article, that most people with diabetes are on more than one medication to help the diabetes situation.

18 million people have been diagnosed with diabetes in the U.S. in 2007

The reason for this increase, is due to the calorie rich diets of the people, and also there sendentary habits which is when a person stays inactive for an increased period of time.

Reflection:
I wonder why the costs for medication is going up? If there are newer, better drugs than the ones that have been used previously, why are people questioning how good it is? I also want to know, how are other nations in the world doing compared to us in the amount of people getting diabetes every year. I was suprised to see that people were taking more than just one medication for diabetes. Are there certain medications to attack certain parts of the diabetes?
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This data table shows that us people in Hawaii, have a higher percentage of people with diabetes compared to places around the world.

I am meeting Kevin Kam on Thursday November 13th

Kevin Kam is a Certified Diabetes Educator and a Certified Pump Trainer. He was named Distinguished Young Pharmacist in 1997 by the Hawaii Pharmacist Association, Pharmacist of the year in 2002, and was Diabetes Educator of the Year in 2005.

One of the main points that he made, was that the reason why people in Hawaii have a higher Diabetes rate, is because of our eating style such as the plate lunch, which is usualy two scoops of rice, mac salad, and a greasy or fried main dish such as chicken katsu of barbeque chicken. He also said that there are other people more prone to diabetes on the main land compared to Hawaii such as Native Americans.

Q: What do people in Hawaii do that makes them more vulnerable to diabetes?
A: Well it doesn't only focus on Hawaii. It is happening everywhere because of the television, computers, and video games are big for kids. Instead of going outside and playing, these kids are playing video games because it is more fun and easier for them.

Q: Is there any factors besides not being active which effects Hawaii?
A: Yes, the price for houses and other necessities has gone up, so that means that the parents have to work longer hours which means less time with the kids so they won't go to the park and play or be able to take them to recreational leagues. It also effects them because of the long hours no one is at home to make dinner which could be healthy with all of the foods needed provided, but they just don't have the time so instead they try to find a place that is cheap, and that the kids would like. This usually ends up being a McDonalds, a Burger King or any other Fast Food restaurant which means that there is so much bad ingredients inside, such as preservatives, and a lot of salt and also there is a lot of carbohydrates in the food and if they don't work it off then it will keep on building up until the child becomes obese which gives him a higher chance of getting diabetes.

Q: Does local food cause a higher risk of diabetes? If so why?
A: Local food doesn't specifically cause diabetes, but how we present it such as a plate lunch. Where you have your two scoops of rice which is a lot of carbohydrates, mac salad which is also not to good for you, and then you have your main dish which is a bigger portion, and the plate lunch food is usually deep fried, such as your barbeque luncheon meat, and also your spam, your chicken katsu, nd also your barbeque chicken.

Q: What are people in Hawaii doing to raise the awareness of diabetes?
A: There are expos, fairs, and November is Diabetes Awareness Month. There was also a big section in the Honolulu Advetiser in which there were tips on what to do if you have diabetes, what to eat to prevent diabetes, and also famous people speaking out about themselves having diabetes such as Frank Delimma.


Q: What does a person have to go through for them to be diagnosed with diabetes?
A: There are a couple different ways, you can have your blood glucose taken, and you can have a tolerance test. When the test are taken, you want to be in a certain range, and if you are to high, you can be diagnosed.


Q: How often does a person have to treat their diabetes?
A: It is actually an around the clock type of thing. Especially, if it is type 1 which is when you can't make insulin so you won't be getting energy unless you feed yourself the medicine which in this case is the insulin. But the most important times in which you have to treat your diabetes is when you are eating a big snack, or one of the three main meals because that is when your body is taking in all of this food which is possible energy for your body but you will need the medication if you have diabetes because you won't be able to process it.

Q: What kinds of food should people stay away from, and what should you eat? A: You should obviously stay away from the fast food places such as McDonalds, and Burger King but also you want to stay away from the deep fried foods, the foods that have lots of salt, and fat on them, and also buttery foods, and processed wheats such as white rice, and white bread which would mean that you would want to eat brown rice, and whole wheat bread. It is also recommended that you eat organic food, and eat a lot of greens.

Q: What does a person that is diagnosed with diabetes have to be aware of? A: The two main ones, are watching what you eat, because you don't want to be eating foods that are high in fat, and also how you treat it, because too much of the medicine is not good for your body and too little isn't good either. You have to find the right balance.

Q: What is an insulin pump? A: Well a insulin pump is a way for someone who has diabetes, to not have to worry so much about treating it because this pump is like a feeder that feeds your body 24/7 and you can change the amount you give to your body if you eat a big meal.

Q: What type of diabetes uses the insulin pump? A: It used to be mostly type one people because they were the people that were not able to produce insulin, but now people with type two have started to use it too.

In this clip, I found out that one of the most dangerous things that can happen to you from diabetes, is that you take care of it too much.



My action plan, is to create a power point and to also write a script for people to use to inform people who want to learn about diabetes, and also people who have just been diagnosed with diabetes.




Title Slide -
This is a slideshow about diabetes. It will tell you what diabetes is, how you can get diabetes, how it effects you, and how to prevent it.

Slide 2 -
There are several types of diabetes, but the most common ones, are type one which is known as juvenile diabetes, which is nicknamed juvenile diabetes because you usually develop it when you are young. Type two diabetes, is the most common one. Usually about 90% of all diabetes cases are type 2. The most common, is gestational diabetes which a lady can get when she is pregnant. The blue circle is the symbol for diabetes.

Slide 3 -
There are certain ways that you can deal with diabetes. For type 1 and type 2 you can use a insulin pump which is a insulin feeder to your body. Blood glucose meters are used to measure your glucose levels to make sure they are normal and if they are not you are able to know and you can change it. Another way to treat diabetes is to eat healthier, and to also excersize.

Slide 4 -
Type one diabetes is when the body is not able to produce insulin. It effects the body because since the body isn't producing insulin, all of the potential energy that the food has is not being taken by the body so the person would be lethargic. There isn't a real way to prevent type one, but the ways to treat it are to use insulin medication. When you have type one, you have to carefully watch how much food you take in so that you can balance it out with the insulin medication you take.

Slide 5 -
Type 2 diabetes is the most common. Its when your body is not able to make enough insulin, or when your body produces so much that the body becomes immune to it. Usually before you get type 2 diabetes, you get something called pre diabetes which over 57 million people in the U.S. have. During pre diabetes, the body can be damaged especially the circulatory system, and also the heart. There has been research done that proves that if you have pre diabetes and if you treat it well, you can prevent yourself from getting type two diabetes. Type two diabetes effects the body immensely. It can damage the kidney's, it can cause damage to the limbs which could cause amputation, it can cause heart disease, and many other bad things. One case, is when the glucose builds up in the arteries and clogs them, leading to not enough blood going to the organs which is like starving them. Treatment for type 2 can be insulin medication but usually you would try to exercise and diet, because even with type two, you can still be healthy.

Slide 6 -
Gestational diabetes happens when a lady is pregnant. It affects about 4 % of all pregnant women, which is about 135,000 people a year. There is no explanation yet about why women get this type of diabetes, but they think that it could be cause by hyperglycemia which is when there is an excessive amount of glucose being circulated in the blood plasma. Gestational diabetes mostly affects the lady during late pregnancy after the baby has been formed, so gestational diabetes does not cause birth defects, while mothers who have had diabetes before pregnancy can have birth defects. The most common effects, are the baby being born with diabetes, and the baby being fatter than usual. Gestational diabetes usually goes away after pregnancy but it is possible that you can get types 2 or 3 after. Treatment for gestational diabetes is special dieting, and exercise. If it isn't treated, the lady may need to have a c section.

Slide 7 -
The percentages of people in Hawaii with diabetes are higher than places around the world. Probably because of our life style which includes plate lunches, and long working hours so there is less time for exercise. Plate lunches are bad because of all the carbohydrates with the two scoops of rice, and the usually oily meat served with it like a pork chops of shoyu chicken. These percentages were taken from the places local newspapers.

Slide 8 -
There are a lot of famous people with diabetes, which shows that even with diabetes you can achieve a lot of great things and still do things even though you have diabetes if you deal with it.

Slide 9 -
There has been a start in diabetes awareness, which is diabetes awareness month in the U.S. which is in November, and world diabetes day is on November 14th.

Final Comments:
Jeff- Your revisions have helped to make your work much clearer and more complete. It seems you gained new insights through your research. I especially liked how you summarized Kevin Kam's main points. That is a clear synopsis and gives someone something specific to hang onto. I also like how you fulfilled your Action Plan. I did have a few final comments about your Action Plan and powerpoint. 1) Your target audience is still vague as written above. Who did you plan to share this with? I think you were going to give it to someone in a diabetes help center but you haven't stated this above. 2) Did you ever give a copy of your powerpoint and script to that person? Also not stated here so I'm wondering if you were able to follow through. 3) Your transition choice with the slides zooming in makes it hard to focus and read the information. Try it. Watch it and see how much info you can read before it switches to the next slide. It is hard just to read the info on the slide but then to try to narrate each with your script would be impossible. Maybe that is just how it saves in the movie version but if one were showing the powerpoint they could control the timing and switch slides after reading the script. I'm thinking this is the case but leaves some guessing to the reader as they look at your wiki. But other than that, you've done a nice job with your project.