Diabetes Mellitus

Diseases have been affecting both the physical, psychological, and economic aspects of human life for as long as we can remember. Metabolic disorders have also contributed to high morbidity and mortality rates. Edison Vitório de Souza Júnior and his team researched between 2013 and 2017 to determine the hospitalization, deaths, and hospital costs associated with Diabetes Mellitus (DM). Diabetes Mellitus is a disorder characterized by the body’s inability to create and respond to insulin, resulting in the abnormal metabolism of carbohydrates, which leads to increased blood glucose levels. The disease is primarily classified into type 1and type 2, with both cases presenting unique challenges to those who suffer from it. Type 1 is caused by the destruction of the beta cells leading to a lack of insulin production in the body, while type 2 results from decreased insulin production or ineffective response to it (Vitório et al. 2019). The researchers noted that approximately 14.3 million people have the disease in Brazil, which ranks it fourth in terms of prevalence after China, India, and the United States. Apart from the increasing rate of mortality, DM also leads to economic costs regarding health care. The researchers noted that 12% of global revenue is used in the treatment of DM. Therefore, the disease not only causes psychological and economic burden to families but also the country at large.


Diabetes Mellitus increases the risk of pathological, vascular, and renal diseases. It reduces the quality of life for many patients by causing them extreme discomfort, while the management of the disease depends on the accessibility to healthcare. It’s worth noting that adequate provision of primary health care leads to a decrease in both the mortality and morbidity rates associated with the condition. The challenges patients face in accessing healthcare include inaccessibility, lack coverage, and poor quality of the services. Vitório et al. (2019) used the quantitative, descriptive, and ecological study to research the Hospital Information System (HIS). The authors analyzed the hospitalizations and hospital deaths, the economic value of services offered to patients, and also the average length of hospitalization to come up with their findings.

The government of Brazil formulated strategic plans to confront Non-Communicable Chronic Diseases 2011-2022. According to the findings, 5.3% of deaths resulted from Diabetes Mellitus between 2013 and 2017. The authors also noted that there was a decrease in the number of hospital deaths from 7.1% in 1999-2001 (Vitório et al., 2019). The research shows that the northern region of Brazil has the highest rate of mortality associated with DM when compared to other areas; this is mainly due to poverty levels in this region, leading to inadequate care for patients. Different researches conducted in the area also showed that there was a lack of specialized network and long ques in the primary healthcare service, which could be a contributing factor to the increasing morbidity and motility rates.

The cost of care for Diabetic Mellitus patients is extremely high, and those in charge should ensure that they provide a system where people can be diagnosed early and get access to the primary healthcare services required. Improvement in living conditions will also lead to a decrease in the rate of morbidity since inadequate living standards increase vulnerability. Apart from making healthcare more accessible, it would make sense to reduce the morbidity and mortality rate of the condition by educating the public on how to manage and treat it efficiently.

The public should be keenly aware of the relationship between their nutrition and the disease because lifestyle adjustments can make a world of difference in the prevention and management of DM. The government spends millions annually to offer healthcare services to patients with DM and also, the patients and their families are affected by the financial and psychological strain. Although the government of Brazil is showing a willingness to combat DM and other Non-Communicable diseases, the efforts have not yielded a significant reduction. Therefore, the government and other healthcare officials should intensify their efforts in tackling the disease; also, more studies should be done to identify the best strategies for DM prevention and control.

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