Send the link below via email or IMCopy
Present to your audienceStart remote presentation
- Invited audience members will follow you as you navigate and present
- People invited to a presentation do not need a Prezi account
- This link expires 10 minutes after you close the presentation
- A maximum of 30 users can follow your presentation
- Learn more about this feature in our knowledge base article
Type 2 diabetes in adolescents
Transcript of Type 2 diabetes in adolescents
The Finished Product
Initial idea: Diabetes
The 6'C's Vision
Team working in projects
Type 1 in children
Lots of information and support provided to children and their families once diagnosed
Problems with early identification of type 1 diabetes
Need to make people more aware of the risk factors and signs and symptoms of type 1 diabetes
A wealth of information available on the internet for type 2 diabetics
Little or no support provided from health professionals once diagnosed
Element of blame attached
Increasing number of type 2 diabetics
Increasing prevalence in children and adolescents
No information targeted at this client group
Women with diabetes are given counseling pre-conceptually.
Once pregnant, seen fortnightly by diabetic specialist staff.
Screening at every antenatal appointment.
Diabetes testing carried out from 28 weeks for gestational diabetes.
Individualised care plans developed.
Type 2 Diabetes in Adolescents
Why is this important?
Impact of Diabetes
Great strain on the NHS
2010/11 - 10% of budget spent on diabetes
£286 every second!!!
Decreased life expectancy
5th most common cause of death in the world
15-16% of all deaths in England
Facts and Figures
Biggest risk factor for developing diabetes (Diabetes UK 2012)
Approx 31% of boys and 28% of girls in England aged 2-15 are overweight or obese
In 2011/12, 1/10 children in reception were obese
In 2011/12, 1 fifth of children in year 6 were obese
(The Health and Care Information Centre 2013)
2000, initial cases in overweight girls aged 9-16 of Indian and Arabic descent
(Ehtisham et al 2000)
2002, initial cases in overweight white adolescents aged 13-15
(Drake et al 2002)
~23,000 children with diabetes in England
1.5% type 2 = 345 children
Most prevalent in over 10's
(Royal College of Paediatrics and Child Health 2009)
High prevalence in ethnic overweight girls with family history
(Ehtisham et al 2004)
One of the biggest health challenges facing the UK
Rising population of diabetics
By 2025, over 5 million people will be diagnosed
Estimated approx. 800,000 diabetics undiagnosed
Mainly type 2
in obesity and aging population
85% type 2
Usually affects over 40's
Asian and Afro-carribean common in under 25's
in obese children = type 2 diabetes in children and adolescents
Need to increase awareness of risk factors, promote changes in lifestyle, promote self management and improve access to diabetes services
Developing the culture of compassionate care
Creating a vision for Nurses, Midwives and Care-Givers
The NHS vision
Incorporating the vision into our product
Limited information for our target group
Creating additional information ensuring it is patient centered
Supporting target group to take responsibility for their own health
Using an empathetic, kind, respectful and dignified manner
Without judgment or blame
Demonstrated compassion by understanding impact of what we are delivering in our product
Evidence based research
Utilised our skills and knowledge as health professionals
Instiling confidence in our audience
Product is a relevant communication tool for target group, empowering them to take control of their condition
Information communicated to teenagers in an appropriate manner
Plain honest delivery of material within the product
Demonstrated courage when providing the information in the target groups best interest
To be accountable in creating a product to improve the health and well being of our target group
Identified diabetes as a link topic between all three disciplines of health care
Identified gap in market where education and sources are weak or lacking in substance
Research carried out within sub groups allowing effective identification of information
Sources of information - internet, hospital trust guidelines, local support groups
Through team work identified our product and information required
Investigated pathways to explore to help create a holistic information base
Acknowledged increase in mobile technology and the use of mobile phone apps
Developed simplistic app to inform, educate and empower patient group
Further development of app to encompass parents and educators of teenagers
Linking app to diabetic organisations
Model of change
Natalie Holland, Lucy Ison, Debbie Wood, Steph Sealey, Michelle Manders and Jenny Marsh
Why a mobile app?
Easy for teenagers to access
Free to access
Smartphone use on the increase in teenagers, 47% own a smartphone (Offcom 2011)
Apps very popular with teenagers (Offcom 2011)
Language used to ensure it is understood by target audience
Condition details broken down
Non offensive phrasing
Medical professional link
Designed as information tool not a tool to gain a diagnosis
How to access our app
Diagnosed through GP
Refereed to diabetic clinic
Provided with information directing them to the app
Headphone splitters with name of app and logo
Teenagers more likely to use this
Encourages teenagers to share with friends
Additional information on app
Frequently asked questions
Other client groups
Type 1 diabetics
Parents with children with diabetes
What did Diabetes UK think?
South Coast Paediatric Diabetes Team
Fewer type 2 than type 1
Less support given to type 2 diabetics than type 1
More prevalent in lower socio-economic groups
Don't tend to make changes to lifestyle or manage condition well
Identified emerging area of health practice
Identfied a suitable media for our target group
The app is easy to use
Support from stakeholders
Our Product will.......
Approves of efforts to help young people with this condition
Applaud any help for young people to protect their long-term health with diabetes
Good communication tool to target group
Thousands of young people currently using Diabetes UK tracker app - launched September 2011
(Diabetes UK 2012)
(Diabetes Health Intelligence 2010)
Complications during pregnancy
Tends to be a family history of obesity and diabetes
Be aimed at teenagers with type 2 diabetes aged 14-16
Provide education on:
AIM: To empower teenagers to take control of their type 2 diabetes
May not be readily available to lower socio-economic groups
Needs to be overseen by medical professionals
So, what's the result of our app???
We would like to say a massive thank you to our stakeholders, John Whiteside and Jenny Komorowski and to Diabetes UK for their support and advice on our project. Additionally, thank you to Jen Leamon for your guidance through this process.
Contact made with JDRF, the world's leading type 1 diabetes research charity
Very interested in app if client group included type 1 diabetics
Increase knowledge base
American Diabetes Association., 2013. Living with diabetes. Available from: http://www.diabetes.org/food-and-fitness/fitness/fitness-management/top-10-benefits-of-being.html. [Accessed 4th February 2013].
Anderson, J, W., Kendall, C, W., Jenkins, D, J., 2003. Importance of Weight Management in Type 2 Diabetes: Review with Meta-analysis of Clinical Studies. Journal of the America Collage of Nutrition. 22, (5) 331-339.
Arora T, Hosseini-Araghi M, Bishop J, Yao GL, Thomas GN, Taheri S., 2012. The complexity of obesity in UK adolescents: relationships with quantity and type of technology, sleep duration and quality, academic performance and aspiration. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23239604 [Accessed 24th Jan 2013]
BBC Health., 2013. Diabetes and looking after yourself. Available from: http://www.bbc.co.uk/health/physical_health/conditions/in_depth/diabetes/livingdiabetes_look.shtml Accessed [6th February 2013].
British Diabetic Association., 2013. Complications – how to protect yourself. Diabetes UK. Available from: http://www.diabetes.org.uk/Guide-to diabetes/Complications/ [Accessed 11th February 2013].
British Diabetic Association., 2013. Lifestyle changes. Diabetes UK. Available from: http://www.diabetes.org.uk/Guide-to-diabetes/My-life/Teens/What-is-diabetes/About-diabetes/Treatment-and-healthcare/ [Accessed 11th February 2013].
British Diabetic Association, 2013. My Life - What is diabetes. Diabetes UK. Available from: http://www.diabetes.org.uk/Guide-to-diabetes/My-life/Teens/ [Accessed 11th February 2013].
Copeland, K.C., Silverstein, J., Moore, K.R., Prazar, G.E., Raymer, T., Shiffman, R.N., Springer, S.C., Thaker, V.V., Anderson, M., Spaan, S.J., and Flinn, S.K., 2013. Management of Newly Diagnosed Type 2 Diabetes Mellitus (T2DM) in Children and Adolescents. Pediatrics, 131 (2), 364-382.
Department of Health., 2013. Government launches new vision for NHS nursing care. Available from; http://cno.dh.gov.uk/2012/12/04/vision-nursing/ [Accessed 2nd March 2013]
Department of Health., 2011. Obesity General Information. Available from:http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publichealth/Obesity/DH_078098 [Accessed on 24th Jan 2013]
Diabetes UK., 2010 . Childers charter. Available from: http://www.diabetes.org.uk/Documents/Reports/Childrens%20Charter%20report-final.pdf [Accessed 24th Jan 2013]
Diabetes UK., 2012. Diabetes in the UK 2012 Key Statistics on Diabetes. Available from: http://www.diabetes.org.uk/Documents/Reports/Diabetes-in-the-UK-2012.pdf [Accessed 3rd January 2013].
Diabetics UK., 2013. Physical Activity. Available from: http://www.diabetes.org.uk/Information-for-parents/Living-with-diabetes-new/Physical-activity/ [Accessed 4th February 2013]
Diabetes UK., 2013. Teenagers and diabetes. Available from:
[Accessed 11th February 2013].
Diabetes UK., 2013. Teens, treatments and Type 2. Available from: http://www.diabetes.org.uk/Research/Current-research/Teens-treatments-and-Type-2/ [Accessed 22nd February 2013].
Diabetes UK., 2013. Type 2 diabetes. Available from; http://www.diabetes.org.uk/Type-2-diabetes/ [Accessed 2nd March 2013].
Drake, A.J., Smith, A., Betts,P.R., Crowne, E.C., and Shield, J.P.H., 2002. Type 2 diabetes in obese white children. Archives of Disease in Childhood, 86, 207-208.
Ehtisham, S., Barrett, T.G., and Shaw, N.J., 2000. Type 2 diabetes mellitus in UK children - an emerging problem. Diabetic Medicine, 17, 867-871.
Ehtisham, S., Hattersley, A.T., Dunger, D.M., and Barrett, T.G., 2004. First UK survey of paediatric type 2 diabetes and MODY. Archives of Disease in Childhood, 89, 526-529.
Ford, 2012. All NHS staff told to embrace nursing's '6Cs'. Available from; http://www.nursingtimes.net/nursing-practice/clinical-zones/management/all-nhs-staff-told-to-embrace-nursings-6cs/5053011.article [Accessed 2nd March 2013].
Furness, H, 2012. The new 30 a day habit. Available from: http://www.telegraph.co.uk/technology/mobile-phones/9627870/The-new-30-a-day-habit-Teenage-texting-on-the-rise.html. [Accessed 2nd March 2013].
Goran, M, I., Geoff, D, C., and Cruz, M, L., 2003. Obesity and Risk of Type 2 Diabetes and Cardiovascular Disease in Children and Adolescents. The Journal of Clinical Endocrinology & Metabolism 88 (4): 1417.
Kaufman, F, R., 2002. Type 2 Diabetes Mellitus in Children and Youth: A New Epidemic. Journal of Paediatric Endocrinology and Metabolism. 15, 737-744.
Kellow, J., 2013. Childhood Obesity. Available from http://www.weightlossresources.co.uk/children/childhood_obesity.htm [Accessed 24th Jan 2013]
Ling, C., and Groop, L., 2009. Epigenetics: A Molecular Link Between Environmental Factors and Type 2 Diabetes. American Diabetics Association. 58, (12) 2718-2725.
Mobile Operators Association., 2012. Stats and facts. Available form: http://www.mobilemastinfo.com/stats-and-facts/ [Accessed 6th February 2013].
National Institute for Health and Clinical Excellence (NICE) 2013. Available from: http://publications.nice.org.uk/promoting-physical-activity-for-children-and-young-people-ph17/recommendations. [Accessed 6th February 2013]
National Obesity Observatory. 2012. Slide set for adult and child obesity. Available from: http://www.noo.org.uk/slide_sets [Accessed 24th Jan 2013]
NHS., 2013. Change for life. Available from http://www.nhs.uk/Change4Life/Pages/change-for-life.aspx [Accessed 25th February 2013]
NHS UK., 2012. Living with type 2 diabetes. NHS Choices. Available from: http://www.nhs.uk/Conditions/Diabetes-type2/Pages/Living-with.aspx [Accessed 11th February 2013].
NHS Choices., 2013. Physical activity guidelines for children and young people. Available from: http://www.nhs.uk/Livewell/fitness/Pages/physical-activity-guidelines-for-young-people.aspx. [Accessed 4th February 2013]
NHS UK, 2012. Symptoms of type 2 diabetes. NHS Choices. Available from: http://www.nhs.uk/Conditions/Diabetes-type2/Pages/Symptoms.aspx [Accessed 11th February 2013].
Patient UK., 2013. Physical Activity For Health. Available from: http://www.patient.co.uk/health/Physical-Activity-For-Health.htm.
[Accessed 6th February 2013].
Offcom., 2011. A nation addicted to smartphones. Available from: http://consumers.ofcom.org.uk/2011/08/a-nation-addicted-to-smartphones/
[Accessed 22nd February 2013].
Patient UK., 2013. Type 2 diabetes. Available from: http://www.patient.co.uk/health/type-2-diabetes. [Accessed 6th February 2013].
Royal College of Paediatrics and Child Health., 2009. Growing up with Diabetes: children and young people with diabetes in England. Available from: http://www.diabetes.org.uk/Documents/Reports/CYP_Diabetes_Survey_Report.pdf [Accessed 22nd February 2013].
Scottish Intercollegit Guidelines Network (SIGN)., 2010. Management of diabetes, a national clinical guidelines. Available from www.sign.ac.uk. [Accessed 4th February 2013].
Telegraph Media Group Limited., 2013. Available from: http://www.dailymail.co.uk/health/article-1189706/How-beat-forgetfulness-world-memory-champion-Dominic-OBrien.html. [Accessed 4th February 2013].
The Health and Social Care Information Centre., 2013. Statistics on Obesity, Physical Activity and Diet: England, 2013. Available from: http://www.ic.nhs.uk/Article/1685 [Accessed 22nd February 2013].
The independent 2012 , New UK obesity centre offers surgery to teens. Available from:http://www.independent.co.uk/life-style/health-and-families/health-news/new-uk-obesity-centre-offers-surgery-to-teens-7742355.html [Accessed 24th Jan 2013]
Young, T, K., Dean, H, J., Flett, B., and Wood-Steiman ,P., 2000. Childhood obesity in a population at high risk for type 2 diabetes. The Journal of Pediatrics, 136 (3), 365-369.
Zimmet, P., 2003. The burden of type 2 diabetes: are we doing enough? Diabetes and Metabolism 29 (4) prt2 pages 6s9-6s18. Available from: http://www.sciencedirect.com/science/article/pii/S1262363603727839 [Accessed 24th Jan 2013]