Lecture 8 Flashcards
What does language always have and what is it informed and influenced by
Meaning, informed by our culture and influenced by context
What is the methodology for analyzing language in policy
- What is the problem represented to be in a specific policy
- What are the silences (what is not being talked about)
- What is the effect of this representation of the problem (war on drugs)
What is diabetes mellitus
Insulin is impaired and non-existent
What is the most common form of diabetes
Type 2 there are increasing rates of mortality for diabetes has gone up
What are the causes of type 2
Environmental metabolic and genetic
What are the test to diagnose Type 2 Diabetes
Oral Glucose Tolerance Test (OGTT)
Fasting plasma glucose
Glycolated Haemoglobin A1c
What are some terms that are associated with type 2 diabetes
It is framed as preventable and that you can make healthy choice and that when you get than you did something wrong
Assymptomatic you wont seek help if you are not hurt
Epidemic we frame like a chronic illness
Noncommunicable not passed person to person so it compelty there fault
Remission what is the goal of treatment with type 2 diabetes
Reversal you can’t actually reverse it
What is pre diabetes
Created in the 1970s to prevent type 2 siabetes 5-10% with pre diabetes will progress to type 2 diabetes each year
If you have pre diabetes that does not mean you will deelop diabetes
What were the three study purposes
- Interview with primary care providers: family physicians nurses, dieticians and a pharmacist
- Focus groups and interviews with patients told they were at risk for type 2
- Policy analysis of the national framework for diabetes in Canada
What is pre diabetes preventing
Most conversations do not happen until patients reach the threshold of pre diabetes
What is patient centered practice
Contextualzing symptoms
Time contingent
Patient knowledge
Obesity
Age (sometimes we do not tell older people)
What are some terms associated with prediabetes
Reaching and resisting prediabetes
Navigating and understanding prediabetes (some people think that because they have it they have type 2)
Co-existing discourses- some people are concered about other disease than attaining to the risk of pre diabetes
Family history- I don’t want what happened to my dad to happen to me but you can’t necessarily contorl
Attending to prediabetes and risk you are always feel guilty
What is the background on policy
Framework for diabetes in canada was released in 2022 and was a uanamous framework top down approach on how to deal with families couldn’t find family phsyicans
What was the policy framing of risk for T2D
- Make people more aware of the risks awarness actually help us with the prevention of the disease
- Absence of primary care (primary care was not consulted at all, silences none of these provinces endorse this)
- Individuals has to change it is commonly placed at the indvidual
What can we do
Provide and support family physicians
Built environment look at access to healthy food reduce costs
Sugary beverage tax implement policies which adress risk for chronic disease
