Documentary

Works Cited

Works Cited

Diabetes: Demystifying the Myths: Diabetes: Demystifying the Myths. Discorvery Health Videos. 14 Aug. 2008. Web. 22 Apr. 2012.

demystifying-the-myths-diabetes-demystifyin.html>.

Diabetes: Demystifying the Myths: Diabetes: Demystifying the Myths Part 2. Discovery Health Videos. 14 Aug. 2008. Web. 22 Apr. 2012.

demystifying-the-myths-diabetes-demystifying-the-myths-part-2.html>.

"Diabetes in the United States." Chart. http://quezi.com/14977. 22 July 2011. Web.

http://www.google.com/imgres?hl=en&safe=active&gbv=2&biw=1093&bih=480&tbm=isch&tbnid=e5aNa2kts84tHM:&imgrefurl=http://quezi.com/14977&docid=c-Ix_h_pCNtULM&imgurl=http://quezi.com/wp-content/uploads/2011/07/Diabetes-in-the-United-States.jpg&w=493&h=425&ei=R35&dur=6765&hovh=208&hovw=242&tx=197&ty=48&sig=115844285920772060260&page=1&tbnh=136&tbnw=158&start=0&ndsp=12&ved=1t:429,r:0,s:0>.

Edgar, K. A., and T. C. Skinner. "Journal of Pediatric Psychology." Illness Representations and Coping as Predictors of Emotional Well-being in Adolescents with Type 1 Diabetes. Web. 18 Mar. 2012. .

Ivinson, M.H.L. "The Emotional World of the Diabetic Patient." Http://onlinelibrary.wiley.com. Web. 22 Mar. 2012 .

Lessard, Meryl Brod, Jens Harald Kongsø, Suzanne, and Torsten L. Christensen.  "Psychological Insulin Resistance: Patient Beliefs and Implications for Diabetes Management."

SpringerLink. Springer Science Business Media, 28 Nov. 2008. Web. 14 May 2012. .

Library of Medicine, 28 Oct. 0005. Web. 18 Mar. 2012. .

"Living with Diabetes." Diabetes Camp. Web. 9 May 2012. .

"Living with Diabetes." Discover You're Not Alone. Web. 10 May 2012. .

Pinkas, Abby. “Diabetes Survey.” Survey. 5 March 2012.

Polonsky, William H. "Emotional and Quality-of-life Aspects of Diabetes Management."

SpringerLink. Springer Science Business Media. Web. 22 Mar. 2012.

.

Rubin, Richard R., and Mark Peyrot. "Quality of Life and Diabetes." 

Http://onlinelibrary.wiley.com. 2 Dec. 1999. Web. .

Schram, Miranda T., Caroline A. Baan, and François Pouwer. "Depression and Quality of Life in Patients with Diabetes: A Systematic Review from the European Depression in Diabetes (EDID) Research Consortium." National Center for Biotechnology Information. U.S. National

States, 2005." Chart. Www.isletofhope.com. Web. <http://www.isletsofhope.com/diabetes/information/statistics_1.html>.

"The Association of Psychological Factors, Physical Activity, Neuropathy, and Quality of Life in Type 2 Diabetes." The Association of Psychological Factors, Physical Activity, Neuropathy, and Quality of Life in Type 2 Diabetes. Web. 18 Mar. 2012. .

Argumentative Essay

I wanted to choose a research topic that had to do with my life and personal experiences.  I have had Type 1 diabetes since I was five years old. My mother decided on that day that she wanted to treat me normally like my sisters. If they had dessert after dinner she would want to deprive me of that, I would just need to take insulin. She has always said, “Taking care of your diabetes is just like brushing your teeth. You have to do it every day in order to be healthy and take care of yourself.” She has always comforted me when I wondered “why me?” or felt different than everyone else. Most people do not understand what it is, and I feel it is best to be informed about what diabetics go through physically and emotionally. If the general public had a better understanding of what this disease is it might be possible that the people would have a lesser risk of being diagnosed with type 2 diabetes, and would watch their eating habits and exercise often. The human body can be affected by diabetes psychologically, for example depression, and physically, the pancreas slows production of insulin or completely stops.

In the article, “Depression and Quality of Life in Patients with Diabetes “ the authors,  Miranda T Schram, Caroline A Baan, and François Pouwer, stated, “Diabetes patients are known to have a worse quality of life than individuals without diabetes. They also have an increased risk for depressive symptoms, which may have an additional negative effect on their quality of life.” (Schram, Baan, and Pouwer.) This article also stated, “Diabetes is a serious health problem in the Western world. According to the International Diabetes Federation, 189 million individuals have diabetes worldwide. The prevalence of diabetes in Western societies is rapidly rising; worldwide the number of individuals with diabetes is expected to have doubled in 2025. Diabetes is frequently accompanied by serious short term complications such as hypoglycemia, but also by disabling long term complications like cardiovascular disease, neuropathy, nephropathy and retinopathy. Less known is the increased risk for depression: individuals with diabetes have a two-fold increased risk for depression, affecting approximately 1 in every five diabetes patients. Depressive symptoms are particularly common among diabetes patients with co-morbid health problems, as compared to patients with diabetes alone.” (Schram, Baan, and Pouwer.) This proves that something needs to be done to stop this vastly increasing problem, such as spreading awareness of this topic.

Throughout my research I also came across an article, “Illness Representations and Coping as Predictors of Emotional Well-being in Adolescents with Type 1 Diabetes” it was based on a study that concluded, “Perceived impact was consistently associated with participants' indices of negative emotional well-being. Contrary to the hypothesized model, coping did not mediate the association between illness representations and emotional well-being in this sample.” (Edgar and Skinner.) This is proof that there are many cases of negative emotional well-being. This article also concluded, “Perceived impact, identity, and cognitive restructuring were significant independent predictors for depressive symptomatology. For anxiety, perceived impact and identity were significant predictors, and for positive emotional well-being, treatment effectiveness to control diabetes was the only significant predictor. Multiple regression analyses indicated that coping did not mediate the association between illness representations and positive emotional well-being.” (Edgar and Skinner.) As far as psychologically factors that are associated with diabetes, anxiety and depression play a major part. This is caused by diabetics that remember the time when they were not diabetic and how they compare themselves to that time. They no longer feel normal and feel they are not as healthy as they were in the past.

My research has proven that the link between diabetics and psychologically problems is a strong one. This can be solved by talking to other diabetics with the same problems. If they can relate to each other, their company can help discard their depression and/ or anxiety. The American Diabetes Association also sponsors a number of diabetes camps available for juvenile diabetics, where they can, “Listen and understand first-hand what it’s like to live with diabetes. They will be able to share their strategies for coping with diabetes management and learn about their day-to-day triumphs and challenges. Diabetics can inspire campers with their personal accomplishments at school, in sports and at work. They can help campers make new friends and develop their own lifelong support system.”

My Documentary

Docmentary: This patient education program addresses proper diabetes care and and helps to clarify common misconceptions about the disease.

Part 1

http://health.discovery.com/videos/diabetes-demystifying-the-myths-diabetes-demystifyin.html

Part 2

http://health.discovery.com/videos/diabetes-demystifying-the-myths-diabetes-demystifying-the-myths-part-2.html

Summaries

Essential question for research: How can I educate others on the different types of diabetes and how they affect a person physically (human body and pancreas) and emotionally? Also what is diabetes and what is the difference between the physical and emotional effects of type 1 and the effects of type 2?

Why are quality of life issues important in diabetes?- Article 1

In 1948 the World Health Organization classified the well being of health on a different level then just physically. Recently, there has been an interest in quality of life issues. There has been an effect of psychosocial factors on physical health.

People that have diabetes are challenged by their disease’s constant burden in management and maintaining it. It is a non-stop demanding situation 24 hours a day 7 days a week. Taking insulin and other types of diabetic therapy can affect the quality of life, physically or emotionally, either positively or negatively. In a physical state, it can positively reduce high blood sugar or negatively increase low blood sugar symptoms. Psychosocial issues can affect the physical health. Depression and other issues can affect self-care behaviors, in turn, developing long-term problems. Emotional factors can determine the amount of self-management.

How is quality of life measured?

The quality of life is multidimensional. It includes an individual’s insight on their physical, emotional and social well-being is imperative part towards happiness and satisfaction. There is a significant amount of research that has been conducted on the health status on overall life satisfaction and health-related value of life. The ability to cope with disabilities and limitations can affect someone’s insight on satisfaction of life.

There are two approaches to health-related measurement of the quality of life: generic and disease-specific. The generic method engages the use of measures related across health and infirmity groups. The Medical Outcomes Study (MOS) tries to record and discover behavioral dysfunction caused by diseases. The generic method is used in this.  There are several types of surveys that are conducted in this study that try to assess the health-related well-being of one-self. This study also measures emotional and physical indicators, mobility, and physical activity.

Emotional and quality-of-life aspects of diabetes management- Article 2

Diabetics are needed to be mathematicians, physicians, personal trainers, and dieticians all rolled up into one, daily. Diabetics commonly feel frustrated of overwhelmed by the daily aggravations of diabetes management. It can begin to feel like a burden to most diabetics. People diagnosed with this disease often may feel anger, guilt, frustration, or even the “Why me?” feeling. This can cause these patients to be unmotivated to perform self-care tasks. Knowing this, makes is not surprising that diabetes is associated with impaired health-related quality of life (HRQOL). There is a consistent finding during many cases of studies that prove how diabetes is associated with HRQOL. Medical and psychosocial characteristics of diabetes may possibly portray a negative affect HRQOL. Impaired HRQOL negatively influence self-management of diabetes. The concept of HRQOL in diabetes is still blurred, which makes evaluation troublesome.

The Emotional World of the Diabetic Patient- Article 3

The emotional world of an average diabetic patient depends on the clinician’s treatment and understanding of their patients. It is vitally important that what is done for the patient is the right thing. Otherwise this could cause emotional and physical problems. “Denial, intellectualization, and displacement are defined and instances of their application in medical work are discovered. Being well-appointed with a greater understanding of this psychological world of the patient can help the clinician remain attuned to the patient and help them control their diabetes on a physical level and an emotional state. Having diabetes is something a patient can not control by themselves, they need support and help from their clinician, friends and family. Receiving this help and support, in turn, can better their chances in controlling their Physiological problems due to diabetes.  

Interesting Graphs and Facts

"Diabetes in the United States." Chart. http://quezi.com/14977. 22 July 2011. Web.

http://www.google.com/imgres?hl=en&safe=active&gbv=2&biw=1093&bih=480&tbm=isch&tbnid=e5aNa2kts84tHM:&imgrefurl=http://quezi.com/14977&docid=c-Ix_h_pCNtULM&imgurl=http://quezi.com/wp-content/uploads/2011/07/Diabetes-in-the-United-States.jpg&w=493&h=425&ei=R

35&dur=6765&hovh=208&hovw=242&tx=197&ty=48&sig=115844285920772060260&page

=1&tbnh=136&tbnw=158&start=0&ndsp=12&ved=1t:429,r:0,s:0>.

States, 2005." Chart. Www.isletofhope.com. Web. <http://www.isletsofhope.com/diabetes/information/statistics_1.html>.

Essential Questions

I want to help people to undestand what diabetes is and how it can affect you on a personal level. In order to do that I need to further my knowledge by researching more. I need to ask some very essential questions in order to acheive this.
Which type of diabetes is the easiest to live with on an emotional level?
How does it effect your lifestyle and lifestyle choices?
What if a diabetic has surgery to recieve an artificial pancreas?
Why are people diagnosed with diabetes?
Should a cure to diabetes be researched more?
Asking myself these questions will help me to better my knowledge. It will also help my research as well. I will then be able to help others to comprehend what diabetes really is.

My Survey

The link is listed below for my diabetes survery. I want to know what you already know about diabetes. If you could take a moment to fill it out and submit it that would be great. Thank you!

My Survey:
https://docs.google.com/spreadsheet/viewform?formkey=dFJDZHg5SE50c3hxeWp3REZ1X2JKenc6MA

Research Memo #1: What really is Diabetes?

Hypothesis:

Most people do not understand how diabetes works. They wonder what the difference between the types is; I would like to educate others using the research that I will conduct. Which leads me to the questions, “how can I educate others on the different types of diabetes? How these types affect the human body and pancreas physically versus emotionally? In addition, what is diabetes and what is the difference between type 1 and type 2?”

            My hypothesis shows that diabetes is a condition that is developed when the pancreas slows or completely stops functioning, which causes insulin to not be produced. This can be tricky when dealing with blood sugar levels; when you consume carbohydrates, without insulin, they break down into glucose (sugar) causing your blood sugar level to rise. When you do not consume carbohydrates your blood sugar level can fall. It is shown in several studies that this causes several side effects, such as, blurred vision, fainting, shakiness, or dizziness, sweating, hunger, and possibly headaches.

I can educate others about this condition by furthering my research and posting it on my blog. This will hopefully inform others of what diabetes really is, what the different types are and the difference, and how it affects a person physically and possibly emotionally.  

Context:

My target audience was the people in a school setting. I chose these people because I felt I should start on a smaller scale and use my research to educate the people in a school setting (school faculty and students.)

The main purpose of my survey was to discover what students know about diabetes versus the faculty members. I feel my results are reliable and valid. The survey takers did not receive any help in completing the survey; instead, they used prior knowledge. A few questions may be biased based on the questioning used.

Results:

Questions	Faculty	Students
1.      In your own words, describe what diabetes is.	80% correctly answered this question	80% correctly answered this question
2. In your own words, describe the difference between type 1 and type 2 diabetes.	30% correctly answered this question	20% correctly answered this question
3. Do you have diabetes or are you related to someone with diabetes?	Opinion/Cannot be proven correct	Opinion/Cannot be proven correct
4. If you answered “no” to question three: do you feel it is more than likely you will get diabetes type 2 because of your eating habits?	Opinion/ Cannot be proven correct	Opinion/Cannot be proven correct
5. If you answered “yes” to question three: were you or the person you know, born with diabetes or diagnosed with it later in life?	Opinion/Cannot be proven correct	Opinion/Cannot be proven correct
6. Who do you think is the most influential in your life, on your eating habits? Check all that apply.	Opinion/Cannot be proven correct	Opinion/Cannot be proven correct
7. Do you think diabetes “runs in the family”?	50% correctly answered this question	50% correctly answered this question
8. What organ does diabetes effect?	80% correctly answered this question	40% correctly answered this question
9. True or false: Diabetes type 2 is more common than type 1.	60% correctly answered this question	30% correctly answered this question
10. True or false: If you eat healthier and work out, you can get rid of diabetes type 1.	70% correctly answered this question	50% correctly answered this question

Data Analysis:

v Finding One: People that are diabetics/know diabetics, know more about the topic than people that do not.

§ Five people out of all my survey takers do not have/ know someone with diabetes. In regards to question one “1.In your own words, describe what diabetes is.” Their responses were as follows:

ü Person 1: sugar problems.

ü Person 2: A disease that affects your cholesterol.

ü Person 3: Bad for your heart.

ü Person 4: when you eat a lot of sugar.

ü Person 5: when your pancreas does not make enough sugar.

Ø  Personal Analysis: I think people that have diabetes know more about it based off of personal experiences. When your doctor diagnoses you with diabetes you doctor usually educates you on what it is and how to take care of yourself while leading a normal life. This is an example of professional education on the topic. People without diabetes normally do not have a talk with their doctor about this matter. If someone were to receive education on the matter, I believe there would be a better chance in the prevention of it.

v Finding 2: Most people do not realize what the difference is between diabetes type one and diabetes type two.

§ Seven of the survey takers that answered the question “2. In your own words, describe the difference between type 1 and type 2 diabetes.”

Said, “I do not know the difference.” Only two of these people do not have diabetes/ do not know someone with diabetes. Only four people out of all the people that completed this survey knew the correct answer.

Ø  Personal Analysis: What is the reason why most people do not understand the difference between type 1 and 2 diabetes? My opinion is that society is not fully educated on the matter of diabetes. “You are diagnosed with diabetes when you do not take care of yourself (over eating and not exercising) “, is a stereotype. This is not the case in some instances.

v Finding Three: Most people do not understand the pancreas is the organ that is affected by diabetes.

§ Five survey takers answered the question “8. What organ does diabetes effect?” and said that the liver is the organ that is affected by diabetes.

Ø  Personal Analysis: Why did five of the survey takers not know the correct organ that diabetes affects? My personal belief on the matter is that society is not well informed on this. Without the proper knowledge about diabetes, how can society battle the diagnosis of diabetes type 2 and possibly type one?

v  Finding Four: Question 6 might have biased responses.

§   “Who do you think is the most influential in your life, on your eating habits?” This question was answered based off personal opinion not fact, which may have caused the survey data to be biased.

Ø  Personal Analysis: Why were the responses possibly biased? My personal opinion is that this question is biased because the answers were based on opinion and not fact.

Conclusion:

Again, my main questions I am asking are “How can I educate others on the different types of diabetes and how they affect the human body and pancreas? What is diabetes? What is the difference between type 1 and type 2?” My hypothesis stated what the condition diabetes is defined as, where it can be developed, and what the side effects are because of low and high blood glucose levels. This is the correct information based off of mainly my research and also prior knowledge. I was correct in the realization that most people do not understand what diabetes is, the difference between the types, and also the effects. My survey data proves this. I thought people would know a little more than what my data is showing me. I did not expect for my survey takers to not know what internal organ diabetes effects. My hypothesis was proven correct in the sense of my targeted population not knowing a great deal about diabetes. However, I expected them to know at least some information. I can conclude my targeted population does not know much about diabetes.  My research will help them to understand.

Follow up:

 I can go anywhere with the data I have collected during conducting my research and forming my Research Memo. I will further my research to explain more about this topic. The most logical essential research question that should be addressed next should be the question, “What are the main reasons why people are diagnosed with diabetes?” I feel I can go almost anywhere with this essential question. I have not changed my research questions because of my research because the research I conducted went as expected.

The reason behind my research question

I wanted to choose a research topic that had to do with my life and personal experiences. My topic is: How can I educate others on the different types of diabetes and how they affect the human body and pancreas? Also what is diabetes and what is the difference between type 1 and type 2?
I wanted to explain to others how you live with it and the difference between type one and type two. Most people do not understand what it really is and I feel they should be informed.
I've had type 1 diabetes since I was five years old. Most people think because I'm diabetic I can't have sweets, Which isn't the case. Type 1 diabetics lead normal lives and can do anything a person without it can.
In science, diabetes might be considered a disability or a disease. In my opinion, it's just something I have to deal with every day. It's like doing your homework, or brushing your teeth. You have to take care of certain things every day, diabetes is just one of them.