TITLE: Diabetes in Aboriginal Populations: Review of Guidelines for Screening and Treatment

The prevalence of diabetes is increasing in the Canadian population, and is a growing health concern. 1 This increase is particularly apparent in Canadian Aboriginal communities, where the estimated prevalence of the disease is three to five times that of the general population, and can reach as hig...

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Bibliographic Details
Other Authors: The Pennsylvania State University CiteSeerX Archives
Format: Text
Language:English
Published: 2010
Subjects:
Online Access:http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.172.6482
http://www.cadth.ca/media/pdf/l0205_diabetes_ifirst_nations_population_htis-2.pdf
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Summary:The prevalence of diabetes is increasing in the Canadian population, and is a growing health concern. 1 This increase is particularly apparent in Canadian Aboriginal communities, where the estimated prevalence of the disease is three to five times that of the general population, and can reach as high as 26 % in some communities. 1,2 First Nations individuals have more diabetes risk factors and suffer more diabetes-related health complications than non-Aboriginals. 3,4 Even with this knowledge, there remain barriers to screening and monitoring as rates continue to rise. Despite extensive clinical practice guidelines from the Canadian Diabetes Association and recommendations from CADTH, the First Nations population remains a treatment gap and there is a need for aggressive screening programs in partnership with communities, that are sensitive to their culture and traditions. 1,5,6 Within Canada, there is currently a range of diabetes screening, prevention and management programs specifically for Aboriginal people. 2 This report examines the prevalence and incidence of diabetes in Aboriginal communities and reviews the guidelines for diabetes screening and monitoring, and pharmacological and nonpharmacological interventions in this population. RESEARCH QUESTIONS: