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High Risk Population

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Submitted By mcharles44
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Diabetes is a national health problem in the African American population. The incidence of type II diabetes have greatly increased in the United States Individuals with diabetes have high rates of other comorbidities including cardiovascular disease and kidney damage. People with substance abuse and diabetes have a particular higher risk for developing medical comorbidities and hospital readmissions. Diabetic patients with substance abuse have been found to have more adverse outcome and poor adherence to diabetes care than those without substance use disorder. The relationships between substance use and diabetes have a major impact on health, people often use drugs without much thought despite the risk; for those with diabetes the use of substances have a greater health risk Several studies that mentioned illicit drug use have suggested the use of substance abuse could bring forward the onset of type II diabetes. The key messages about substance use and diabetes are the risk of hypoglycemia and diabetic ketoacidosis (DKA), which are medical emergencies (Stryker, Duncan & Pickering, 2003). As DNPs it’s important that we become knowledgeable about unhealthy drinking done by adult with diabetes and familiarized with the interaction between anti-diabetic agents and illicit or recreation drugs. Engaging poorly controlled diabetes patients in management of their diabetes remain a challenge, not only do these individuals are less likely to adhere to their diabetic care; they have the worse health outcome. My PICO clinical question I chose to answer: Do health education interventions improve the outcome in patients with type II Diabetes in African American with substance abuse disorder?
Population of interest is African American with clinical diagnosis of Type II diabetes and substance abuse disorder.
Intervention will include ongoing tailored counseling and

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