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Research studyDiabetes Mellitus is a clinical syndrome characterized by high blood sugars due to deficiency of insulin (Sukha & Rubin, 2007). Insulin deficiency may arise in several ways such as destruction of ß– cells of the pancreas. Insulin deficiency affects the metabolism of carbohydrates, proteins, fats, electrolytes and water leading to major organ function disorders throughout the body (Leslie et al., 2008). Although the exact cause of the disease is unknown, genetic and predisposing factors contribute to the onset of the disease (Al Shafee et al., 2008).
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Research study Diabetes Mellitus is a clinical syndrome characterized by high blood sugars due to deficiency of insulin (Sukha & Rubin, 2007). Insulin deficiency may arise in several ways such as destruction of ß– cells of the pancreas. Insulin deficiency affects the metabolism of carbohydrates, proteins, fats, electrolytes and water leading to major organ function disorders throughout the body (Leslie et al., 2008). Although the exact cause of the disease is unknown, genetic and predisposing factors contribute to the onset of the disease (Al Shafee et al., 2008).Type 2 Diabetes is a life threatening disease that affects 18.2 million Americans and is now occurring in the younger population. Self-management of diabetes is necessary to prevent complications, disability, and death (American Diabetic Association, 2001). Diabetes is a chronic disease that necessitates constant medical care and patient education to prevent complications. Nearly 21 million people in the United States have this disease and are the most common cause of blindness, kidney failure, and below knee amputations in adults. The risk of heart disease and stroke is two to four folds greater among people with diabetes (Centers for Disease Control and Prevention, 2005). Problem statement The incidence and prevalence of diabetes continues to rise steadily in United States residents. It is approximated that diabetes affects 8 percent of adults (Diabetes Prevention Program Research Group, 2002). What is alarming is that most individuals living with type-2 diabetes may not show clinical symptoms and are not tested for the condition. It is estimated that the incidence of individuals with a positive diagnosis of diabetes would increase by 165% between the years 2000 and 2050, and the lifetime risk of development of the disease at approximately 38.5% for females and 32.8% for males (Narayan et al, 2003). Efficient management of diabetes includes the patient developing an understanding of his or her disease…

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