The change initiative that I will be proposing for the management of diabetes is affordable gym membership subscriptions for individuals diagnosed with the disease and those pre-diabetic. Resistance and aerobic exercises will form part of the typical exercises at the gym. Aerobic exercises entail continuous movement of large muscle groups (Subrata et al., 2018). The benefits of this training include an increase in insulin sensitivity, mitochondrial density, oxidative enzymes, cardiac output, and lung function (Subramanian et al., 2014). On the other hand, resistance exercises will aid in an increase in muscle mass, insulin sensitivity, body composition, and cardiovascular health.
This approach supports the population of focus, setting, and role. Affordable gym membership subscriptions will play a major role in the African-American setting since most of these poor communities lack access to gyms and physical education teachers (Subrata et al., 2018). My role as an advanced registered nurse will be to provide screening, and diabetes prevention and management advice through instituting behavioral change by participation in physical exercises (Subramanian et al., 2014).
The research problem is amenable to a research-based intervention. Ideally, a clinical problem should be defined in such a way that it is relevant to the issue at hand and also facilitates the search for the answer (Subramanian et al., 2014). Besides, a well-built PICOT statement aids in the development of a search strategy through the identification of key concepts that need to form must of the answers to the question. Firstly, the statement identifies a patient problem, which is the prevalence of diabetes among African Americans. After that, an intervention is proposed which is compared with the one mostly used. In this case, lifestyle changes are compared with add-on drugs in the regulation of blood sugar. Finally, the outcome, which forms part of the answer, is whether there will be an improvement in blood sugar regulation after three months of exercise.
References
Subramanian, S., Julius, A., & Hariharasudan, R. (2014). Effects of Physioball Exercises on Glycemic Control and Quality Life of Type II Diabetic Patients. Biosciences Biotechnology Research Asia, 11(1), 325-328. doi: 10.13005/bbra/1275
Subrata, T., Lestarini, A., & Sari, K. (2018). Physical Exercises Effectiveness in Controlling Diabetes Mellitus in the Elderly Group in Bali – Indonesia. IOP Conference Series: Materials Science and Engineering, 434, 012228. doi: 10.1088/1757-899x/434/1/012228