Developing an Advocacy Campaign in Diabetes


The present paper sets out to propose a review to Florida Statute §385.203. The entire process will be fruitful is the wisdom of the Diabetic Review Committee is represented by members from different cultural and ethnic orientations. For instance, both African Americans and Hispanics can have one advisor serving on the educational programs that aim to enhance not just diabetes self-management but also culturally inclined to target the vulnerable population.

The Proposed Policy Could Be Enacted through Existing Law Modification

The law intends to ensure that physical activities for children are enhanced in schools and communities as such. The proposed legislation will be crafted by reviewing existing laws. It is why the United States constitution offers a legitimate response to issues related to diabetes in Section 504 of the American Rehabilitation Act. Under this Act, it becomes imperative for schoolchildren to work in collaboration with federally funded institutions to formulate individual schemes for combating diabetes (Hilliard et al., 2015). The schemes should entail when and where testing is supposed to take place as well as the response mechanism of high or low blood sugar. The law should also emphasize the need for the review of the school curriculum to cater for adequate calorie burn for healthy outcomes.

How Existing Regulations Could Affect Advocacy Efforts

From a theoretical perspective, regulations and the legality that underpin the preclusion approaches for diabetes are quite effective. If successful, they can eliminate or scale back the problem. The Local School Wellness Policy of 2006 is critical for the advocacy in many ways (Konchak et al., 2016). For instance, with the local wellness policies, the advocacy will be able to realize the nutrition education and physical activity in a bid to enhance student wellbeing (Lefebvre & John, 2014).

The truth is that most institutions of learning are on record for offering foods with completely low nutritional content. Nonetheless, these policies will not only be critical in respect of this trend, but will also ensure physical activities in schools to become a priority. It will help to cut down the number of calories. On the other hand, lawmakers and policymakers hold the view that early intervention schemes have greater outcomes as distinct from when directed towards adults.

However, the nutritional aspect and activity habits of the minors are yet to be incorporated into law, which makes children vulnerable to behavior modification and populace-based approaches (Lefebvre & John, 2014). Therefore, the advocacy will be more effective hinging on school-based initiatives largely because schools provide a proficient platform for reaching many children. Again, policy makers can sanction this approach as the most appropriate means to control not just physical exercise but nutrition as well. While the Nutrition Labeling and Education Act (NLEA) expects food content to be labeled on most food-related products such as calories, fat, and cholesterol content among others, not all food distributors are subject to the NLEA demands  (Konchak et al., 2016). Restaurants in the US for instance, are excused from these regulations. This exemption is likely to impact the advocacy negatively, since foods that are high in fats and calories can easily be acquired from restaurants.

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Analysis of Methods to Influence Legislators to Support the Policy

The effective strategy to influence legislators or policy makers to support physical education for children is creating awareness about the importance of education concerning diabetes prevention. After deciding to implement physical education in schools, nurses and other health providers would lobby the Congress to initiate legislations to support households with children to participate in physical education. With regard to three legs o lobbying, it would help nurses to understand lobbying process. According to Milstead (2012), approximately USD 1.1 million is invested in lobbying by American Nurses Association (ANA). To implement the physical education program in several schools, nurses should take the center stage by means of emails, membership in such organizations as ANA as well as investing time in enhancing initiatives for physical education to prevent diabetes among children.

Another leg is the grassroots lobbying. If constituents have professionals and the required knowledge regarding a certain issue, they are valuable resources or elected leaders (Milstead, 2012). In this context, nurses are the professionals who should speak up regarding the connection between diabetes and physical education. In addition, the practitioner should help parents to take part in these programs. The third leg is the function of money. The implementation of physical education in schools requires money to purchase exercise devices, therefore, to support this program nurses should lobby the congress to zero rate taxes on this equipment. In other words, lobbying is about helping parents to understand that this equipment is tax-free.

Obstacles in the Legislative Process and Ways to Overcome Them

To address barriers associated with physical education, a number of issues must be considered. While there are regulations that support the implementation of physical education programs in schools, much is required (Hilliard et al. 2015). Parents of obese children should not be embarrassed to take their children to schools with physical education programs. Creating awareness through mass media can be important in overcoming barriers related to physical education initiatives. Social media platforms have brought obesity in the limelight, however, in a negative manner. Therefore, nurses should promote children’s participation in physical education programs with close collaboration with state representatives as well as ANA.

Moreover, ethical issues present yet another deterrent common in any given healthcare setting. Participation of children in physical education initiative is not immune to ethical issues. Parents with obese youngsters should trust nurses’ advice concerning these initiatives. If nurses are confident with what they are telling parents, they will believe in the significance of physical education programs when it comes to preventing diabetes (CDC, 2011). However, the nurse should take into account that the parents’ decision to encourage their children to remain healthy through participation in physical education.


While nursing plays an integral role in society, patient advocacy and information is the souls and heart of nursing. Diabetes is widespread among the minority groups across the United States. Nonetheless, existing laws demonstrate that self-administered awareness schemes that target not just the vulnerable groups, but also culturally inclined have been a huge success in scaling back the illness. With this backdrop, the proposition to review the Florida Statute §385.203 would only be appropriate of the Diabetic Review Committee entail representation from different ethnic and cultural groups.



Centers for Disease Control and Prevention. (2011). National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. US Department of Health and Human Services, Centers for Disease Control and Prevention.

Hilliard, M. E., Oser, S. M., Close, K. L., Liu, N. F., Hood, K. K., & Anderson, B. J. (2015). From individuals to international policy: Achievements and ongoing needs in diabetes Advocacy. Current diabetes reports, 15(9), 1-10.

Konchak, J. N., Moran, M. R., O’Brien, M. J., Kandula, N. R., & Ackermann, R. T. (2016). The state of diabetes prevention policy in the USA following the Affordable Care Act. Current diabetes reports, 16(6), 1-12.

Lefebvre, C. M., & John, R. M. (2014). The effect of breastfeeding on childhood overweight and obesity: A systematic review of the literature. Journal of the American Association of Nurse Practitioners, 26(7), 386-401.

Milstead, J.A. (2012). Health policy and politics: A nurse’s guide. Jones & Bartlett Publishers.