The type II diabetes PICOT.

PICOT Statement

P- Patients who have diabetes.

I – Implementation specifically on dietary and lifestyle changes.

C- Comparisons of levels before and after lifestyle and dietary modifications.

O- Outcome whether there will be a reduction in levels.

T- The time frame is usually three months after initial diagnosis

PICOT Statement: Diabetic Condition in Patients.

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Introduction

According to the World Health Organization, diabetes is one of the most serious conditions that affect a significant percentage of individuals in the worldwide population. It is estimated that more than 400 million people in the world are likely to be diagnosed with diabetes, while those that have not been diagnosed totaling to the same number. Although diabetes can be attributed to hereditary conditions during a person’s life, what is more, devastating is the increase in cases of diabetes type II, which is usually preventable, affecting more than 90% of individuals with diabetic conditions in the world (Abbade et al., 2017). This put a lot of questions on the effectiveness of the current assessment techniques and procedures applied to control the condition in the world. Diabetes II is usually attributed to a high intake of processed foods that are mostly sugary.

Picot Statement

Population

Adults with early type II diabetes are more likely to be obese, whereby most of them are usually women. The type II diabetes is an epidemic especially in the US whereby it is estimated to have increased by 70% in adults. Research has estimated that close to 80% of individuals with diabetic conditions live in middle and low-income countries (Abbade et al., 2017). China had the highest number of individuals with diabetes, followed by India with more than 10% of individuals with diabetic conditions. Over the last three decades, there has been an increase in cases of diabetes prevalence, which has been noted at all ages, although the adults are more disadvantaged.

Intervention

Evidence-based intervention that seeks to reduce both childhood and adulthood diabetic incidences should target the preventive and treatment measures. Patient-level interventions usually include those directed at improved self-management including taking medication, proper diet and exercise and self- monitoring in the use of health care services. Professional education and knowledge activities are examples of strategies that can be put in place to cope with the condition. Since interventions are designed for the general population, the disadvantaged groups may not be able to take full advantage of the opportunities (Boswell & Cannon, 2018). In some cases, interventions may include change of school curriculum for students whereby physical education, change in meal provisions and physical exercise is usually encouraged.

Comparison

Since the physician is a member of the multidisciplinary team, then standardized care in support of good care is likely to be provided to ensure there is a healthy community. The physician plays a greater role in ensuring there is proper access to medicare through provision checkup services and screening services to help in the diagnosis of the disease (Boswell & Cannon, 2018). Individuals should focus on ensuring there is a healthy living and the need to expand the role of health care providers.

Outcome

When a physician is involved as one of the members of the multidisciplinary team approach, then there is guaranteed better care for an individual. The outcomes from the intervention should include a reduction in cases of diabetes and the risks related to the disease with the provision of affordable healthcare services.

Time

The treatment of diabetes, especially type II, should take approximately three months. The reason being that the focus is usually on general behavior patterns of individuals. Therefore, interventions should aim at the promotion of long term outcomes.

Reference

Abbade, L. P., Wang, M., Sriganesh, K., Jin, Y., Mbuagbaw, L., & Thabane, L. (2017). The framing of research questions using the PICOT format in randomized controlled trials of venous ulcer disease is suboptimal: A systematic survey. Wound Repair and Regeneration, 25(5), 892-900.

Boswell, C., & Cannon, S. (2018). Introduction to nursing research. Jones & Bartlett Learning.

The type II diabetes PICOT.