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Internal medicine journal · Nov 2016
ReviewManagement of diabetes in Indigenous communities: lessons from the Australian Aboriginal population.
- H D Nguyen, S Chitturi, and L J Maple-Brown.
- Department of Endocrinology, Division of Medicine, Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
- Intern Med J. 2016 Nov 1; 46 (11): 125212591252-1259.
AbstractType 2 diabetes mellitus and other chronic cardio-metabolic conditions are significant contributors to the large disparities in life expectancy between Indigenous and non-Indigenous Australians. Type 2 diabetes is more prevalent from a young age among Indigenous Australians and is often preceded by a cluster of risk factors, including central obesity, dyslipidaemia, albuminuria and socio-economic disadvantage. Management of type 2 diabetes in Australian Indigenous peoples can be challenging in the setting of limited resources and socio-economic disadvantage. Key strategies to address these challenges include working in partnership with patients, communities and primary healthcare services (PHC, Aboriginal community controlled and government services) and working in a multidisciplinary team. Population prevention measures are required within and beyond the health system, commencing as early as possible in the life course.© 2016 Royal Australasian College of Physicians.
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