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Both Type 1 and 2 diabetes have a familial tendency (inherited) but have different etiologies. Type 2 is associated with obesity which was my group's (Group R) health outcome, and about 25% of pregnant patients with gestational diabetes will develop Type 2 diabetes later in life. Other than obesity, additional biological risks listed here are inclusive (blood lipid levels include high cholesterol, and impaired glucose tolerance is more commonly known as prediabetes), and Type 2 has become a major health risk especially with the increase in obesity worldwide. I enjoyed hearing the NP talk about this health issue especially as it relates to the consequence of kidney disease which is also increasing; currently, about 33% of all dialysis patients have end stage renal disease secondary to diabetes worldwide. About half of the top 10 states with the highest obesity rate are located in southeastern US, and so, correlate with high national Type 2 diabetes rates. Concerning the  structural risk factor of "non-smoking regulation", I'm thinking this may mean that those who cannot smoke eat more(?) and thus would be more likely to develop obesity. With the increase in risk factors noted in racial/ethnic minorities like hypertension and obesity, non-Hispanic blacks are twice as likely to die of Type 2 diabetes complications as whites. I am looking forward to hearing about Team A's interventions for prevention.

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We are focusing on blacks/ African American adults in Louisiana ( age group 18 and above).
Diabetes is among the leading causes of death in Louisiana. 1 in 8 Louisiana adults has been diagnosed with diabetes. Louisiana diabetes mortality rate was the fifth-highest in the nation with a rate of 27 diagnosed cases per 100,000 residents.
In Louisiana, blacks/ African Americans, at a rate of 15% are 38% more likely to have diabetes than caucasians.

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Family history

Race: black people tend to have the highest rate of diabetes

Obesity

High cholesterol

Insulin resistance

Sedentary lifestyle

Pancreas diseases

Polycystic ovary syndrome

Age ( 45 years or older)

Impaired glucose tolerance

Ethnic background

Blood lipid levels

High blood pressure

Cardiovascular health

Prediabetes

History of gestational Diabetes

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Type 2 diabetes is a life long disease that keeps your body from using insulin the way it should.
More than 34million Americans have diabetes (about 1 in 10) and approximately 90-95% of them have type 2 diabetes. Approximately 29 million people in the U.S. About 8 million people who have it don't know it.

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Availability/ proximity to recreational resources and healthcare services

Social Isolation/ Fear

Physical activity resources

Urban Sprawl

Stress

Violence ( disturbed sleep)

Air pollution

Noise pollution

Public Transport

Green Space

Crime/ Social disorders

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Lack of access to affordable healthy food options

Individuals with no insurance are subjected to higher rates for care

Lack of access to health care

Community and family safety

Lack of education on diabetes risk factors

Lack of time to properly exercise

Individuals without proper education on healthier diets

Lack of priorities in individuals to keep their health proper

Bias from healthcare workers against patients who are overweight

Areas where fast food restaurants are more accessible than places where fresh groceries can be bought

Living in areas which are not walkable/bikable

Individuals having jobs which do not allow adequate time for lunch breaks

Violent/ crime

Income inequality

Residential segregation

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I interviewed Dr. Kavita Tallapaneni, she is a family friend and she has a clinical focus in Nephrology, and has an extensive background with patients who have diabetes. My phone cut off in the beginning and I did not get her introduction.

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Unhealthy diet

Diet that is vitamin-D deficient

Smoking has shown a correlation to diabetes

Inactive lifestyle

Alcoholic tendencies might lead to diabetes

Inability to maintain healthy lifestyle

Inability to sustain healthy diet

Higher intake of a sugary diet

Insufficient sleep

Non-medical drug use

Depression

Physical distress

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I interviewed Dr. Kavita Tallapaneni, she is a family friend and she has a clinical focus in Nephrology, and has an extensive background with patients who have diabetes. My phone cut off in the beginning and I did not get her introduction. I had to split the video up in two because it became a long interview

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Insulin affordability (without insurance it can be $175 - $300, where patients may need 2-3 vials a month)

Quality of care and expense

Insurance in general is expensive

Non-smoking regulation

Public health is invested in differently from one political administration to the next

Lack of policy addressing type 2 diabetes as a public health crisis

Lack of education in schools addressing diabetes prevention and early signs of diabetes

City planning which has created food apartheids and prohibited access to fresh and healthy foods

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I interviewed a pharmacist. She has been practicing for 3 years and has worked alongside public health professionals.

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This is an interview with a family nurse practitioner who has been in the field for around ten years and who has worked alongside diabetes health educators.

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https://www.webmd.com/diabetes/type-2-diabetes
https://www.cdc.gov/diabetes/basic/type2.html
https://www.ldh.la.gov/assets/oph/chronic/diabetes/Diabetesfacts_LA_final_2015.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800177/

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ramya - will have interview ready in two weeks, my interviewee is not available until october 10th.. done!
Ashton- Is interviewing a family nurse practitioner... finished
Olapeju- My interview would be ready by next week. Thanks.