Treatment of Diabetes

This research examines the delivery of health care for diabetes in the American health system. The plan of the research will be to set forth the principal features of concern with regard to the treatment of diabetes and then to discuss how such treatment affects the health-care delivery system as a whole; the health-care workforce directly and indirectly involved in the delivery of appropriate health care to individuals afflicted with any of several configurations of diabetes; and the implications for the planning of health care services to afflicted populations. As well, the research will review possible lines of development regarding the possibility of resolving diabetes by way of a complete cure, as well as resolutions that may efficiently and effectively help resolve difficulties associated with diabetes treatment strategies.

To discuss diabetes in the context of the contemporary health-care debate is to invite profound disagreement over the priorities of health-care delivery. This is because diabetes can arise not only on account of organic dysfunction but also on account of a progressive, gradual deterioration of appropriate bodily functions. The nature of diabetes, as a chronic disease with more than one manifestation and course of development, implies that any commitment by a health-care infrastructure to treatment is likely to be complicated. To begin with, there are two types of diabetes. Type 1, as it is designated, destroys insulin-producing pancreatic cells, ap

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chology, not high technology, which rather increases than diminishes the strain. It seems clear that diabetes affects health-care delivery to the patient by the health-care system and in conjunction with individuals associated with the patient. Special problems attend a diagnosis of diabetes, which does not lend itself to the kind of heroic medical interventions associated with car accidents or even heart attacks. Instead, the anticipation of chronic, basically incurable illness as the individual's defining physical condition makes a different category of demands on patient, the patient's close associates, and health-care system alike. In human terms, chronic illness does not demand heroes but as it were concerned citizens who are in the project of delivering health care for the long haul. Such health care delivery belongs to a different exercise from performing, say, an appendectomy, and the results of the medical intervention into diabetes appear to be far less conclusive than for acute cases. Few support options are available either in institutional or community systems to families engaged in caregiving for the chronically ill. Indeed, according to Dittbrenner, a diagnosis of diabetes has the effect of involving the patient in

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