Advocating for Diabetes

Diabetes is one of the most widespread chronic diseases in the United States affecting more than 17 million individuals. In this respect, I had initially identified an advocacy campaign for my policy to prevent and manage diabetes. However, the policy I am suggesting does not fully go hand in hand with the existing laws that are concerned with eliminating disparities in the prevention and access to care when it comes to diabetes. In this regard, modifications have to be made to this law, while there are some of the legislations on diabetes that provide a hindrance to my efforts of advocacy. Therefore, I will consider using the three legs lobbying in ensuring that I gain the needed support from legislators and policymakers for the new policy to be enacted.

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The Modification of Existing Law To Enact My Proposed Policy

The eliminating disparities in Diabetes Prevention Access and Care Act provide for the provision of effective and efficient treatment of diabetes, prevention in addition to public education to the adults by the Centers for Disease Control and Prevention (Congressional Record, 2009). The proposed policy for diabetes advocacy can be enacted through the modification of the already existing law. In my point of view, this law can be modified to incorporate it within the process of identification and reaching out to the adult population suffering from diabetes through the screening of the adult population. In this regard, the law can be modified in that it does not just concentrate on enhancing the research at the National Institutes of Health regarding the causes and the impacts of diabetes in the minority communities but rather put much emphasis on ensuring that diabetes is controlled and prevented (Ogilvie, 2013).

Therefore, the research to be made by the National Health Institute can include intensive research in dietary plans that eradicate the chances of adults suffering from diabetes, besides promoting the role of physical exercise in both the prevention and the management of diabetes. If the above-mentioned legislation is modified and enacted, there will be effective and efficient monitoring of the adults with diabetes, as more research will be done into the subject matter, thus influencing the approach method in preventing and treating diabetes among adults (Ogilvie, 2013). Furthermore, the general public with the help of community health-based organizations will receive adequate education regarding the prevention and managing diabetes, rather than concentrating on treating it and avoiding facing the fact it is prone to re-occur in other adults, therefore, resulting in the dire need to find methods for its prevention.

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How Existing Laws or Regulations Could Affect My Advocacy Efforts

My advocacy efforts could be affected by the existing laws and regulations. First, the Preventing Diabetes in Medicare Act helps the beneficiaries of Medicare who are diagnosed with the first stage of diabetes (pre-diabetes) to avoid ending up with diabetes by providing those people with access to improved nutritional advice in handling their condition (Congressional Record, 2009). As far as the current law is concerned, Medicare caters for medical therapy in nutrition that is provided by a dietician who is registered for diabetes beneficiaries. Medicare also caters to diabetes screening. However, Medicare does not cater for medical therapy in nutrition for beneficiaries who are diagnosed with the pre-diabetes condition (Congressional Record, 2009). This is a major hindrance to my advocacy efforts due to the element of preventing the occurrence of diabetes by encouraging a healthy diet, as most adults are not in a position to pay for the above-mentioned medical services.

Second, the Access to Quality Diabetes Education Care provides recognition for state-licensed or rather the certified diabetes educators who are registered as providers. It also enhances education, in addition to the outreach to primary physicians of care on the value of Diabetes Self-Management Training (DSMT) for the patients who are suffering from diabetes (Congressional Record, 2009). However, with the benefit of DSMT, Congress did not include certified diabetes educators as providers when changes were made to DSMT in 1997. This part of legislation hinders my advocacy efforts, as the certified diabetes educators are professionals in health care who can highly contribute to advocacy efforts, as they provide the most important elements of education for patients with diabetes.

An Analysis of the Methods I Could Use to Influence Legislators or Other Policy Makers to Support My Policy

Particularly, I could use the three legs lobbying in my advocacy efforts to influence legislators or other policymakers to support my policy. The three legs lobbying involves legislative advocacy, media in addition to grassroots mobilization (Jansson, 2013). In this line, effective and efficient advocacy depends on putting into practice the three legs lobbying. As far as my policy advocacy is concerned, I will engage in legislative advocacy in various ways. I will employ both full time and part-time lobbyists, whereby we will hold days to conduct lobbying exercises or provide testimonies in regards to my policy in places that citizens meet legislators during the session of legislation, where we can meet individuals concerned with the process of legislation and educate and inform them regarding my policy.

Furthermore, I will conduct grassroots campaigns, whereby I will inform the members of the community regarding the value of enacting my policy to prevent diabetes. I will use the elected officials to conduct community education regarding my policy. I will also use the media to communicate my policy to various individuals in the nation. I will specifically use forums, such as professional newsletters and newspapers to share about my policy and the need for its enactment. I will also use the internet, particularly social media, to reach out to various individuals to support my advocacy efforts for the policy to be enacted.

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The Obstacles that Could Arise

Various obstacles could arise in the legislative process. The first process is that of a cost. The provision of education requires numerous resources in terms of human resources and materials that will be used in the process of education (Ogilvie, 2013). That is very costly on my part. However, I will overcome this hurdle by seeking financial support from various stakeholders involved in the health ministry. The second obstacle that could arise is the time obstacle. The process of legislation is very tedious. In addition, it is also tedious trying to squeeze oneself into the already planned meetings with legislators. Apart from this, advocacy at the grassroots level takes a lot of time (Jansson, 2013). Nevertheless, I will overcome this hurdle by having the proper timing. That is, I will come up with a program with specific events taking place at a specified period to ensure that the advocacy plan goes through smoothly.


The advocacy policy that I had initially come up with needs the modification of the Eliminating Disparities in Diabetes Prevention Access and Care Act to be enacted. Other legislations have particular regulations, which might hinder the enactment of my suggested policy. Apart from this, I will particularly use the three legs lobbying to ensure that legislators or policymakers accept to enact my policy. It is also important to note that the hurdles of time and costs might arise during this process. However, these hurdles can be solved by taking the appropriate measures.

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