Reviewing the Literature

Student Name:
Summary of Clinical Issue (200-250 words):
The clinical issue addressed in this paper is the increasing prevalence of diabetes mellitus type II in adolescents and young

adults. Diabetes mellitus type II is a disorder of the endocrine system which is characterized by a reduction in insulin production and

sensitivity (American Diabetes Association, 2017). Diabetes is the most common endocrine illness among young people today and is

taking an increasing toll on the healthcare system (Kassab, 2017).

Despite an increase in cases, diabetes remains largely driven by changes in lifestyle decisions, typically those which lead to

increased body fat and less physical activity. As a result, adolescents and young adults are at increased risk for the development of

type II diabetes (Herman et al., 2015). This can be attributed to changes in the work environment which puts younger people at

increased risk as compared to the previous generation (Kassab, 2017). Furthermore, increasing rates of obesity constitute a significant

risk factor for the development of type II diabetes (Yates et al., 2017). Cardiovascular disease, nephropathy, and retinopathy are just a

few of the long-term health consequences of diabetes and why prevention is crucial (Lloyd-Jones et al., 2010). Various strategies can

be implemented to combat the increasing occurrence of diabetes, which will help to preserve healthcare quality in the long term.

© 2023. Grand Canyon University. All Rights Reserved.

PICO Question:
1. Among adolescents and young adults diagnosed with type II diabetes, is a non-pharmacologic approach more effective as a

primary modality than a pharmacological one in managing and exerting glycemic control over one year?

2. In young adults and adolescents, how does the impact of health education on the need for lifestyle changes affect the

development of type II diabetes mellitus compared to those who do not implement lifestyle changes?

Part 1: Literature Evaluation Table

Criteria Article 1 Article 2 Article 3

APA-Formatted “Lascar, N., Brown, J., Pattison, “Nip, A. S., Reboussin, B. A., “TODAY Study Group. (2022).
Article Citation With
Permalink H., Barnett, A. H., Bailey, C. J., Dabelea, D., Bellatorre, A., Risk factors for diabetic

& Bellary, S. (2018). type II Mayer-Davis, E. J., Kahkoska, peripheral neuropathy in

diabetes in adolescents and A. R., ... & Pihoker, C. (2019). “adolescents and young adults”

young adults. The lancet Disordered eating behaviors in with type II diabetes”: results

2
 Diabetes & endocrinology, 6(1), youth and young adults with type from the TODAY

69-80.” 1 or “type II diabetes” receiving study. Diabetes Care, 45(5),

insulin therapy: The SEARCH 1065-1072.”

for Diabetes in Youth Study.

Diabetes Care, 42(5), 859-866.”

How Does the Article This study is relevant since it The article by Nip et al. (2019) The article relates to the PICO
Relate to the PICO
Question? addresses both of the issues relates to the PICO questions as questions by examining the risk

stated in the PICO questions, it examines disordered eating factors that contribute to diabetes

with an emphasis on the behaviors in young adults and its and risk factors that increase the

importance of lifestyle association with type 1 or type II likelihood of diabetic peripheral

interventions like health diabetes. neuropathy in adolescents.

education for preventing and

managing type 2. Insight into the

efficacy of lifestyle and health

education interventions in

preventing and managing type II

3
 diabetes is also present in this

study.

Quantitative, The article is a quantitative The study is quantitative, as the This is a quantitative study, as it
Qualitative (How do
you know?) study. This is apparent since it authors gathered data from a uses numerical data to measure

carries out a systematic review cohort of young adults and the associated risk factors of

and meta-analysis of data adolescents from the SEARCH adolescents in developing

produced in research on lifestyle for Diabetes in Youth Study. diabetic peripheral neuropathy.

interventions for preventing and

managing type 2 diabetes in

adolescents and young adults.

Purpose Statement This study examines research on The study examined the The study aimed to identify the

the efficiency of lifestyle prevalence and correlations of risk factors that contribute to

therapies for preventing and disordered eating behaviors in diabetic peripheral neuropathy in

treating type II diabetes in young youth and young adults with type adolescents with type II diabetes.

people and adolescents. 1 or type II diabetes receiving

4
 insulin therapy.

Research Question This article seeks to answer how The study's research question The study's research question

effective are lifestyle asked what the prevalence of was: What are the risk factors for

interventions for preventing and diabetes is when correlated with diabetic peripheral neuropathy in

managing type 2 diabetes in disordered eating behaviors in adolescents with type II

adolescents and young adults? youth and young adults receiving diabetes?

insulin therapy?

Outcome The outcome of this paper The study's outcome was that The study's determined that

suggests that health education participants who had a greater participants who possessed a

5
 and other lifestyle treatments degree of disordered eating higher body mass index score

help in preventing and managing behaviors were more likely to were more likely to develop

type II diabetes in young adults. have type 1 or type II diabetes. diabetic peripheral neuropathy.

Setting This study had multiple settings, This study took place at various The study was conducted at
(Where did the study as it involved reviewing and hospitals across the United States multiple diabetes centers across
take place?)
analyzing the data produced in that were treating diabetic the US.

existing diabetes studies. patients.

Sample The sample consists of the The study sample consisted of The study sample comprised 674

participants used in the selected 5,979 participants aged 10-25 patients with a mean age of 14

articles within this paper. The years that were diagnosed with years that had been diagnosed

6
 participants in all the selected type 1 or type II diabetes and with type II diabetes.

papers were tested based on the receiving insulin therapy.

effectiveness of lifestyle

interventions in the prevention

and management of type II

diabetes in adolescents and

young adults.

Method The method used in this study The method used in the study The method used to conduct the

was a systematic review and was a cross-sectional analysis of study was a prospective,

meta-analysis of existing studies. the participants in regard to the observational cohort study.

prevalence of disordered eating

behaviors and diabetes.

Key Findings of the The study's key findings were The study's key findings were The study's significant findings
Study

7
 that lifestyle interventions, such that disordered eating behaviors were that poor glycemic control,

as health education, can were common in youth and hypertension, body mass index

effectively prevent and manage young adults with type 1 or type score, and a longer duration of

type II diabetes in adolescents II diabetes receiving insulin diabetes were associated with an

and young adults. therapy and that various factors increased risk of diabetic

were associated with the peripheral neuropathy.

occurrence of disordered eating

behaviors.

Recommendations of The study authors suggest more The researchers recommended The researcher recommended
the Researcher
research be done to find ways to that interventions to address that further research be

better meet the specific needs of disordered eating behaviors in conducted to identify more

the population before youth and young adults should be effective interventions for

recommending any specific further researched and reducing the risk of diabetic

interventions. They also implemented to better treat the peripheral neuropathy in

recommend implementing health younger demographic of adolescents with diabetes.

8
 promotion initiatives to lower the healthcare patients.

prevalence of type 2 diabetes in

young adults and adolescents.

Article 4 Article 5 Article 6

Criteria

APA-Formatted “Suglia, S. F., Demmer, R. T., “Chen, M. H., Lan, W. H., Hsu, “TODAY Study Group, &
Article Citation With
Permalink Wahi, R., Keyes, K. M., & J. W., Huang, K. L., Su, T. P., Li, Bjornstad Petter El ghormli

Koenen, K. C. (2016). C. T., ... & Bai, Y. M. (2016). Laure Hughan Kara S. Laffel

Depressive symptoms during Risk of developing “type II Lori M. Nadeau Kristen J. Rayas

adolescence and young diabetes” in “adolescents and Maria Tesfaldet Bereket

adulthood and developing “type young adults” with autism Tollefsen Sherida E. Willi

II diabetes” mellitus. American spectrum disorder: a nationwide Steven M. Lynch Jane. (2022).

Journal of Epidemiology, 183(4), longitudinal study. Diabetes Effects of metabolic factors,

269-276.” care, 39(5), 788-793.” race-ethnicity, and sex on the

development of nephropathy in

“adolescents and young adults”

with “type II diabetes”: results

9
 from the TODAY

Study. Diabetes Care, 45(5),

1056-1064.”

How Does the Article The article by Suglia et al. (2016) This article relates to the PICO This article relates to the PICO
Relate to the PICO
Question? relates to the PICO question as it questions as it examines potential questions by examining the

investigates the impact of risk factors in developing type II effects of metabolic factors, race

depressive symptoms during diabetes in adolescents and and ethnicity, and sex on the

adolescence and young young adults with a specific development of nephropathy in

adulthood on the development of focus on patients that have adolescents and young adults

type II diabetes mellitus. autism spectrum disorder. with type II diabetes.

Quantitative, This article is a quantitative This article uses numerical data This quantitative study uses
Qualitative (How do
you know?) research study using numerical from a nationwide longitudinal statistical analysis to examine

data to better understand the study to assess the risk of type II the significance of metabolic

10
 relationship between depression diabetes in the sample of factors, ethnicity, and sex on the

and type II diabetes. This is participants. development of nephropathy in

apparent since the study uses adolescents and young adults

significance percentages as a with type II diabetes.

means to analyze the data.

Purpose Statement The study examined the This study aimed to evaluate the This study aimed to examine the

association between depressive risk of developing type II effects of metabolic factors, race

symptoms during adolescence diabetes in adolescents and and ethnicity, and sex on the

and young adulthood and the young adults with an autism development of nephropathy in

subsequent development of type spectrum disorder. adolescents and young adults

II diabetes. with type II diabetes.

Research Question The study's research question The research question for this The research question of this

11
 was “Does the presence of study was: “What is the risk of study was “What are the effects

depressive symptoms during developing type II diabetes in of metabolic factors, race and

adolescence and young adolescents and young adults ethnicity, and sex on the

adulthood increase the risk of with autism spectrum disorder?” development of nephropathy in

developing type II diabetes later adolescents and young adults

in life?” with type II diabetes?”

Outcome The study's primary outcome was The outcome of this study was to The outcome of this study was

determining whether depressive evaluate the additional risk of an understanding of the effects

symptoms during adolescence developing type II diabetes when of metabolic factors, race and

and young adulthood were autism spectrum disorder is also ethnicity.

associated with an increased risk present.

of developing type II diabetes

later in life.

12
Setting The study was conducted across This study was conducted across The study was conducted across
(Where did the study multiple healthcare facilities in Taiwan. various healthcare organizations
take place?)
the United States. in the United States.

Sample The study sample consisted of The sample for this study The sample of this study

2,818 participants aged 16–22 consisted of 8,873 adolescents consisted of 5,067 adolescents

years. and young adults aged 12-19 and young adults ranging in

years with an autism spectrum backgrounds with type II

disorder diagnosis. diabetes.

Method The methods used in the study The method used in this study The method used in this study

included a longitudinal cohort was a nationwide longitudinal was a retrospective analysis of

study design and a series of study. data from the TODAY Clinical

logistic regression models to Trial.

assess the association between

depressive symptoms and the

13
 risk of developing type II

diabetes.

Key Findings of the The study's key findings were The study's key findings were The key findings of this study
Study
that participants with higher that adolescents and young adults were that metabolic factors, race

levels of depressive symptoms with autism spectrum disorder and ethnicity, and sex have a

during adolescence and young had an increased risk of significant impact on the

adulthood had an increased risk developing type II diabetes as development of nephropathy in

of developing type II diabetes compared to those without a adolescents and young adults

later in life. diagnosis. with type II diabetes.

Recommendations of The researchers recommended Further research was encouraged The researchers recommended
the Researcher
further research to examine the into the specific mechanisms that that further research be

role of depressive symptoms and contribute to the increased risk of conducted to better understand

other mental health factors in diabetes type II in adolescents the effects of metabolic factors,

14
 developing type II diabetes. and young adults with an autism race and ethnicity, and sex on

spectrum disorder. the development of nephropathy

in adolescents and young adults

with type II diabetes.

Article 7 Article 8 Article 9

Criteria

APA-Formatted “Larkin, H. (2023). More “Misra, S., Holman, N., Barron, “Tönnies, T., Brinks, R., Isom,
Article Citation With
Permalink adolescents and young adults are E., Knighton, P., Warner, J., Kar, S., Dabelea, D., Divers, J.,

developing type II diabetes P., ... & Valabhji, J. (2023). Mayer-Davis, E. J., ... &

Around the Characteristics and care of young Imperatore, G. (2023).

World. JAMA, 329(3), 200-200.” people with type II diabetes Projections of type 1 and type II

included in the national diabetes diabetes burden in the US

audit datasets for population aged< 20 years

England. Diabetic through 2060: the SEARCH for

Medicine, 40(1), e14940.” Diabetes in Youth

study. Diabetes Care, 46(2),

15
 313-320.”

How Does the Article The article relates to the PICO This article relates to the PICO The article relates to the PICO
Relate to the PICO
Question? questions in that it discusses the questions as it examines question as it estimates the

increasing prevalence of type II important aspects of caring for prevalence of type 1 and type II

diabetes in adolescents and young people that have type II diabetes in the US population

young adults worldwide. diabetes. aged 20 years or younger

through 2060.

Quantitative, This is a quantitative article, as it This research is quantitative This study is quantitative, as it
Qualitative (How do
you know?) discusses the condition's since statistical measures are relies on numerical data to

prevalence among the world’s utilized to determine the estimate the prevalence of

population and carries out frequency of use for particular diabetes in the future US

statistical analysis to better diabetes treatments among young population.

understand trends present in the patients in addition to the

findings. effectiveness of such treatments.

Purpose Statement The article addresses the increase The study aimed to examine the The purpose statement of the

16
 of type II diabetes in adolescents primary strategies utilized in the study is to identify potential

and young adults around the care of young people with type II factors that will shift the

world and looks at potential diabetes, and how such strategies prevalence of diabetes in the US

causes for the increase in cases. influence patients’ health population.

outcome.

Research Question The research question is: “What The research question posed by The study's research question is

factors are contributing to the this study is: “What are the “What is the projected

rising prevalence of type II factors that are present and prevalence of type 1 and type II

diabetes in adolescents and prevalent in the care of young diabetes in the US population

young adults around the world?” people with type II diabetes.” aged 20 years or younger

through 2060?”

Outcome The study's outcome is the The study's outcome was the The study's outcome is the

occurrence of type II diabetes health condition of young number of individuals who will

and the associated risk factors patients being treated for have type I or type II diabetes in

that led to its development. diabetes type II. the future.

17
Setting This study is conducted using The setting of the study was in This study takes place in the US.
(Where did the study data from various countries. the United Kingdom.
take place?)

Sample The sample of the study is The study sample consisted of The sample of the study

adolescents and young adults people aged 25 and under consisted of 16,631 participants

who have been diagnosed with diagnosed with type II diabetes aged 0-19 years who were

type II diabetes. and which were included in the enrolled in the SEARCH for

national diabetes audit datasets Diabetes in Youth study.

for England.

Method The method used in the study is a The study method was a meta- The methods used in the study

systematic review of the analysis that analyzed the data of included a mathematical

literature. various healthcare studies which modeling approach and a

looked at the treatment involved systematic review of current

in caring for young patients with literature to estimate the

18
 diabetes type II. prevalence of diabetes in the US

population aged 20 years or

younger through 2060.

Key Findings of the The study's key findings are that The study's key findings were The study's key findings were
Study
the prevalence of type II diabetes that young people with type II that the projected prevalence of

in adolescents and young adults diabetes were more likely to have type 1 diabetes in the US

is increasing rapidly around the poor glycemic control, less likely population aged 20 years or

world and that this increase is to receive recommended care, younger through 2060 is 1.2%,

likely due to changes in lifestyle, and more likely to be from ethnic and the projected prevalence of

such as poor dieting and low minority backgrounds. type II diabetes in the same

amounts of exercise. population is 1.0%.

Recommendations of The researcher recommends The researcher’s The researcher recommends that
the Researcher
implementing adequate recommendations were for further research be needed to

19
 prevention and management further research to be done on the understand the underlying

strategies to reduce this care of young people with type II factors that drive the trend of the

disorder's burden on this young diabetes and for targeted increasing prevalence of type 1

age group. Education and interventions to address and type II diabetes in young

lifestyle interventions are the disparities in care. people and develop effective

mainstays of prevention and interventions to prevent and

management, but further research manage diabetes in this

is needed to develop more population.

effective interventions that target

the unique needs of populations

around the world.

Criteria Article 10 Article 11 Article 12

APA-Formatted “Nadeau, K. J., Anderson, B. J.,

Article Citation With
Permalink Berg, E. G., Chiang, J. L., Chou,

H., Copeland, K. C., ... & Zeitler,

P. (2016). Youth-onset type II

20
 diabetes consensus report:

current status, challenges, and

priorities. Diabetes care, 39(9),

1635-1642.”

How Does the Article The article directly relates to the

Relate to the PICO
Question? PICO questions as it analyzes the

current number of young

healthcare patients diagnosed

with diabetes type II, the

challenges associated with

treating these kinds of patients,

and strategies that should be

implemented for improvement of

future care.

21
Quantitative, This article is both quantitative
Qualitative (How do
you know?) and qualitative, as it uses

numerical measures to assess the

prevalence of type II diabetes in

adolescents and young adults.

The article also provides an

overview of the current state of

type II diabetes in the population

in regard to caring for patients

and meeting the increasing

demand.

Purpose Statement This article aims to provide an

overview of the current status of

type II diabetes in adolescents

and young adults, discuss

22
 challenges and priorities for

managing it, and make

recommendations for changes in

healthcare delivery.

Research Question The research question addressed

in this article is: “What are the

current challenges and priorities

for managing type II diabetes in

adolescents and young adults?”

Outcome The outcome of the article is a

set of recommendations for

future research and care for

patients with type II diabetes.

Setting The article takes place in the US.

23
(Where did the study
take place?)

Sample The sample for this article

consisted of the US population,

as population studies were

utilized to compare the

prevalence rates of diabetes.

Method The authors used a consensus

approach to assess the current

status, challenges, and priorities

for managing type II diabetes in

adolescents and young adults.

Key Findings of the The study's key findings are that

Study
type II diabetes is a significant

health concern for adolescents

and young adults and that there is

a need for improved prevention

24
 and management strategies.

Recommendations of The authors recommend that

the Researcher
future research focus on

developing more effective

prevention and management

strategies tailored to the unique

needs of the young population.

They also suggest that research

should explore the effects of

health education on reducing the

risk of type II diabetes.

Part 2: Analysis of Literature

Pattison, H., Barnett, A. H., Bailey, C. J., & Bellary, S. (2018). type II diabetes in "adolescents and young adults." The

lancet Diabetes & endocrinology, 6(1), 69–80.

The purpose of Pattison et al. (2018) is to analyze the latest information on type II diabetes in young people, including its

prevalence and risk factors, etiology, clinical and laboratory characteristics, and therapeutic methods. This article helps in contributing

25
strategies to combat the problem of type II diabetes in young people since it details the many facets of this condition in this age group.

The evidence presented in the article lends credence to the proposed intervention by stressing the significance of early diagnosis and

intervention, as well as the need for lifestyle modifications and early pharmacological treatment, to lessen the severity of

complications and improve the prognosis of type II diabetes in adolescents and young adults (Pattison et al., 2018).

Nip, A. S., Reboussin, B. A., Dabelea, D., Bellatorre, A., Mayer-Davis, E. J., Kahkoska, A. R., ... & Pihoker, C. (2019).

Disordered eating behaviors in youth and young adults with type 1 or type II diabetes receiving insulin therapy: The SEARCH

for Diabetes in Youth Study. Diabetes Care, 42(5), 859–866.

This article explores the connection between eating disorders and insulin therapy for people with type 1 and 2 diabetes.

Because this article looks at the effects of eating disorders on young people, it is pertinent to diabetes mellitus type II as it discusses

the condition in the context of preventative medicine. This article places an emphasis on discussing proposed interventions to diabetes,

with one of the key points being educating people about the value of healthy eating habits. Those with type 2 diabetes were found to

have a higher prevalence of eating disorders, suggesting that eating disorders may make patients more susceptible to developing

diabetes. The study also found that intensive insulin therapy was more common among those with type 2 diabetes, which may be a

factor in this population's elevated rate of disordered eating (Nip et al., 2019). This data suggests that people with type II diabetes and

those who are at risk can be helped by teaching appropriate eating habits.

26
 TODAY Study Group. (2022). Risk factors for diabetic peripheral neuropathy in adolescents and young adults with

type II diabetes: results from the TODAY study. Diabetes Care, 45(5), 1065-1072.

This paper sought to determine factors contributing to diabetic peripheral neuropathy in young people with type 2 diabetes.

This study provides strategies to address the healthcare challenge of treating an increasing number of patients for type II diabetes,

specifically in adolescents and young adults (TODAY Study Group, 2022). Based on this purpose, this paper serves as a support to the

proposition in my literature review, which is to educate adolescents and young adults with and without type II diabetes about

preventable risk factors and important lifestyle changes that can help. Having diabetes for a more extended period and being

overweight are both significant risk factors for diabetic peripheral neuropathy in young adults. This paper provides evidence that

therapies should be provided to address these risk factors.

Demmer, R. T., Wahi, R., Keyes, K. M., & Koenen, K. C. (2016). Depressive symptoms during adolescence and young

adulthood and the development of type II diabetes mellitus. American Journal of Epidemiology, 183(4), 269-276.

This paper aimed to examine whether type II diabetes can be predicted by the presence of depressive symptoms in adolescents

and young adults. This study is important to my literature review since it examines an additional possible risk factor for type II

diabetes in adolescents and young adults (Demmer et al., 2016). Providing mental health counseling services to young adults, as the

research proposes, may help to alleviate the issue that is highlighted in my paper. Furthermore, a greater emphasis can be placed on

27
the connection between the mental health of an individual and physical health problems, which can facilitate further action by the

healthcare field.

Chen, M. H., Lan, W. H., Hsu, J. W., Huang, K. L., Su, T. P., Li, C. T., ... & Bai, Y. M. (2016). Risk of developing “type

II diabetes” in “adolescents and young adults” with autism spectrum disorder: a nationwide longitudinal study.  Diabetes

care, 39(5), 788-793.

The purpose of this article is to determine how much more likely it is that autistic adolescents and young adults will develop

type II diabetes (Chen et al., 2016). This article is relevant to the type II diabetes healthcare issue since it highlights a vulnerable

population (patients with ASD) which should receive additional attention if action is to be taken. Further healthcare monitoring for

adolescents and young adults with autism spectrum disorder is supported by this paper, which can contribute to my call for greater

research in healthcare interventions regarding diabetes. The authors give evidence that persons with ASD are at an increased risk of

developing type II diabetes, highlighting the need for heightened healthcare monitoring to ensure this population receives the required

attention. The authors also note the need for additional research into the factors that lead to this elevated risk.

TODAY Study Group, & Bjornstad Petter El ghormli Laure Hughan Kara S. Laffel Lori M. Nadeau Kristen J. Rayas

Maria Tesfaldet Bereket Tollefsen Sherida E. Willi Steven M. Lynch Jane. (2022). Effects of metabolic factors, race-ethnicity,

and sex on the development of nephropathy in "adolescents and young adults" with "type II diabetes": results from the

TODAY Study. Diabetes Care, 45(5), 1056-1064.

28
 This article aims to explore the influence of metabolic variables, race-ethnicity, and sex on the development of nephropathy in

adolescents and young adults with type II diabetes. This paper is pertinent to the healthcare problem of type II diabetes in adolescents

and young adults since it provides evidence-based information on the risk factors linked with the development of nephropathy in this

population. The evidence in the paper supports the intervention of early detection and management of risk factors in patients with

diabetes to lower the probability of developing nephritis. The paper found that higher levels of glycosylated hemoglobin, blood

pressure, and body mass index were related to an increased risk of nephropathy, whereas having lower levels of glycosylated

hemoglobin, blood pressure, and body mass index were associated with a decreased risk of nephropathy. Also, the study indicated that

race-ethnicity and sex had no significant effect on the risk of nephritis. These findings can all be factored in when discussing

approaches to the increasing prevalence of diabetes.

Larkin, H. (2023). More adolescents and young adults Developing type II diabetes Around the World. JAMA, 329(3),

200-200.

This article raises awareness about the rising rates of type II diabetes in young people of all ages and regions (Larkin, 2023).

This piece is relevant to the discussion because it illustrates the degree to which diabetes affects the global population. The article's

data supports the recommended intervention in my literature review of implementing more preventative measures and distributing

greater education regarding diabetes to younger audiences.

29
 Misra, S., Holman, N., Barron, E., Knighton, P., Warner, J., Kar, P., ... & Valabhji, J. (2023). Characteristics and care

of young people with “type II diabetes” included in the national diabetes audit datasets for England. Diabetic Medicine, 40(1),

e14940.

The authors of this piece set out to examine the demographics and treatment options for young adults with type II diabetes in

England by analyzing data from the National Diabetes Audit that was carried out by the UK government. Type 2 diabetes mellitus is a

growing global health concern, and this article investigates the current treatment options for this particular age group. The article's

applicability arises in its proposed treatment approaches for young patients suffering from diabetes. Age-appropriate education and

interventions better suited to their requirements are only two examples of how the article's insights can serve the new demographic of

diabetes patients better (Misra et al., 2023). This in turn paves the way for more successful intervention strategies to be developed and

implemented.

Tönnies, T., Brinks, R., Isom, S., Dabelea, D., Divers, J., Mayer-Davis, E. J., ... & Imperatore, G. (2023). Projections of

type 1 and type II diabetes burden in the US population aged< 20 years through 2060: the SEARCH for Diabetes in Youth

study. Diabetes Care, 46(2), 313-320.

This article presents evidence-based predictions in regard to the increasing prevalence of type I and type II diabetes among

patients aged <20 years by 2060 (Tönnies et al., 2023). This article relates to my paper’s healthcare concern as it includes forecasts of

the future burden of diabetes. The data in the article also supports preventative measures that can be taken to minimize the increase in

30
patients that have health complications due to diabetes. This information can inform healthcare professionals and policymakers on

which plan of action is best utilized to reduce future strain on the healthcare system.

Nadeau, K. J., Anderson, B. J., Berg, E. G., Chiang, J. L., Chou, H., Copeland, K. C., ... & Zeitler, P. (2016). Youth-

onset type II diabetes consensus report: current status, challenges, and priorities. Diabetes care, 39(9), 1635-1642.

The objective of this article was to present a consensus report about the current status, problems, and priorities for youth-onset

type II diabetes. This article studies the healthcare problem of diabetes mellitus type II in teenagers and young adults since it provides

a complete overview of the current understanding and difficulties surrounding this group’s healthcare treatments (Nadeau et al., 2016).

The evidence in the study supports my proposed strategy by stressing the necessity of early intervention and lifestyle adjustments,

such as diet and exercise, to prevent or postpone disease progression and enhance glycemic control. The authors also underline the

need for further research and clinical trials to optimize therapy and improve the quality of life for persons affected by diabetes.

31