Discuss of Obesity in Diabetes

Obesity in Diabetes
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Date

Obesity and Diabetes
Introduction
Diabetes is a group of metabolic diseases in which the person has very high blood sugar. This is either because the production of insulin is inadequate or because the body cells do not properly respond to insulin. Obesity, on the other hand, is a health condition whereby excess body fat has accumulated to an extent where it has a negative effect on health. This leads to reduced life expectancy and increased health problems. Diabetes and obesity are closely tied as doctors highly link diabetes to people’s weight problem. This study focuses on the relationship between obesity and diabetes and the care for patients suffering from these conditions.
The links between obesity and diabetes are well recognized worldwide as obesity continues to be a significant public health burden especially among children and adolescents in the United States. Research says that almost one-third of children and adolescents are classified as overweight or obese. The potential roles of the vicious cycle are seen in the context of current trends in obesity and Type 2 diabetes among children and adolescents. The overall prevalence of obesity is more in adolescent youths than in children below six years (Bostock-Cox., 2014)
The general obesity pandemic that spawned significant growth in the worldwide prevalence of Type 2 diabetes is driving an escalation of severe obesity in the modern society. Severe obesity is clearly a great issue in the diabetes management field as they are both long-term conditions (Bostock-Cox., 2015). These conditions both require a chronic disease model of care to optimize health outcomes element enabling individuals to use self-care strategies. These strategies are used to optimize their disease management and improve health outcomes. It is stated that the complications of Type 2 diabetes can be prevented with a sustainable blood pressure glycemic control achieved through self-care.
Care for an Obese, Diabetic Patient
Poulsen, Cleal, Clausen, & Andersen, (2014) says that the recommended self-care regimen for people with diabetes includes regular physical activity, healthy diet, and regular health care check-ups in addition to daily medication, insulin and blood sugar monitoring. Management of weight and self-care strategies for the severely obese may be rather challenging. Dieting is common for most obese people; lifelong behavioral strategy imposes a significant personal burden that results in repetitive weight regain (Poulsen et al., 2014).
Repeated failure may generate negative attitudes towards unsuccessful behavioral change. Management of Type 2 diabetes and obesity requires attention to the psychological, behavioral and social aspects of these strongly associated conditions. Often people who are overweight following a diagnosis of Type 2 diabetes will highly increase the risk of poor control and future complications. Dabelea & Harrod, (2013) suggests that the management of obesity is central to the prevention of diabetes. Significant weight loss could be achieved through a low-calorie diet or through bariatric surgery in people who are overweight and have recently been diagnosed with Type 2 diabetes may lead to remission of the condition (Dabelea et al., 2013)
Various drug options have been frequently tried over the years to try helping people to lose weight, but many have withdrawn from the market because of unacceptable adverse drug reactions. Depression is also quite an important factor in weight diet and physical activity attitude, behaviors among those with diabetes and obesity. These behaviors are negatively impacted by depression and its symptoms as it has positive reciprocal associations with obesity. Additionally, obesity and depression both have a major impact on costs associated with managing diabetes. While caring for obese patients with diabetes, one should ensure that the patient is free from stress and depression (Dabelea et.al, 2013). The patients should be engaged in activities that make them happy and bring out the positivity out of them. This keeps them happy and their minds away from stress, hence dealing with other health issues like weight loss would be easier.
According to Bostock-Cox (2014), being in a positive environment is healthy for the patients as it keeps their minds away from all the stigmatization. The patients also learn to appreciate themselves and help them feel better about themselves despite their health conditions. Non-pharmacological treatments like lifestyle measures are vital in the care of obese and diabetic patient. Physical activity and dietary measures with behavioral modification are recommended for the care of the obese with diabetes in order to achieve weight loss. These lifestyle measures are effective in producing weight loss in Type 2 diabetes.
Obese patients should be encouraged to engage themselves in physical exercise on a daily basis like taking nature walks, going to the gym or jogging. Dixon et.al, 2014 state that these exercises will help their basal metabolic rate and blood pressure. Physical exercise helps the patients keep fit and enhance the loss of calories and general body activeness. Patients who exercise are better off than the ones who do not because they grow healthier on a daily basis compared to the ones who just sit at home. Feeding habits of the patients is also a great factor that should be monitored.
Foodstuffs with large amounts of calories should completely be eliminated from the patient’s diet, as it will not better the overweight situation. Excess calories into the body greatly affect the metabolism and blood pressure and only worsen the weight loss situation. These patients should be kept away from junk foods and foods with a lot of sugar as they already take insulin, which is enough for the proper functioning of the body (Bostock-Cox, 2015). Due to this, it is not necessary for the patients to include their diet with sugary foods as high sugar intake increases obesity levels as well as diabetes.
Care for obese patients with diabetes is not easy at all, but it is not impossible. One should know that dealing with such patients requires strength to inspire them to change and be better. They should learn not to be lenient all the time when it comes to matters concerning their patients’ diet and exercise. The job of the person taking care of the patients is to ensure that their routine is followed to the latter. People who take care of patients with these conditions should always be on the lookout in case the patients start going back to their old ways
Conclusion
From the study, patients suffering from diabetes and obesity should be well taken care of and not exposed to factors that will increase the level of these conditions. They should be engaged in activities that enhance the reduction of these medical conditions. People with these conditions are emotionally sensitive and go through stigmatization for a very long time in their lives especially being obese. The patients should learn to appreciate themselves and try to better themselves for their own good by living a happy and healthy life. This healthy life involves practices that are helpful in their medical life like physical exercises. Patients suffering from obesity and diabetes should also change their diet and try to regulate what they eat and the calories in their diet. Through doing all this, patients live a healthier life.

References
Bostock-Cox, B. (2014). Obesity and diabetes: a different perspective. Practice Nurse, 44(8), 24-27.
Bostock-Cox, B. (2015). The Diabetes Year in Review. Practice Nurse, 45(1), 28-32.
Dabelea D., & Harrod C. S., (2013). The role of developmental overnutrition in pediatric obesity and type 2 diabetes. Nutrition Reviews, 71S62-S67.
Dixon, J. B., Browne, J. L., Mosely, K. G., Rice, T. L., Jones, K. M., Pouwer, F., & Speight, J., (2014). Severe obesity and diabetes self-care attitudes, behaviors and burden: implications for weight management from a matched case-controlled study. Results from Diabetes Miles-Australia. Diabetic Medicine, 31(2), 232-240
Poulsen, K., Cleal, B., Clausen, T., & Andersen, L. L. (2014). Work, diabetes, and obesity: a seven-year follow-up study among Danish health care workers. Plos One, 9(7), 1-10.