The incidence of diabetes mellitus in North Amer-ica is reaching epidemic proportions and is ex-pected to double by 2025.1 Over 5 % of the popu-lation is known to have diabetes, and as many as another 2.5 % are estimated to have the disease without knowing it.2 The prevalence of diabetes is increasi...

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Other Authors: The Pennsylvania State University CiteSeerX Archives
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Online Access:http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.598.4594
http://www.cmaj.ca/content/167/5/499.full.pdf
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Summary:The incidence of diabetes mellitus in North Amer-ica is reaching epidemic proportions and is ex-pected to double by 2025.1 Over 5 % of the popu-lation is known to have diabetes, and as many as another 2.5 % are estimated to have the disease without knowing it.2 The prevalence of diabetes is increasing faster in the First Nations population than in the general population, and the onset is occurring at ever earlier ages.3 Diabetes is the most common cause of end-stage renal disease (ESRD) in Canada and is a major risk factor for cardiovascular disease and blindness.4 Microalbuminuria represents an abnormally elevated urine al-bumin level that cannot be de-tected with the use of a urinalysis