Global complication rates of type 2 diabetes in Indigenous peoples: A comprehensive review

Naqshbandi, Mariam; Harris, Stewart B.; Esler, James G.; Antwi-Nsiah, Fred

doi:10.1016/j.diabres.2008.07.017

Cited by 138 publications

(103 citation statements)

References 107 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One large study conducted in northern Canada revealed that 61.1% of the participants had HbA1c levels >7, indicating that most were not achieving glycaemic targets [26]. Similar results were found in the present study and were also disconcerting considering Aboriginal peoples with diabetes experience serious disparities in diabetes-related complications and mortality than the general population with type 2 diabetes, including chronic kidney disease, amputations and macrovascular disease, all of which limit a person’s quality of life [26–28]. …”

Section: Discussionsupporting

confidence: 77%

Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples

Spurr

Bullin

Bally

et al. 2018

International Journal of Circumpolar Health

View full text Add to dashboard Cite

Diabetic retinopathy is the most common cause of new cases of blindness and is pandemic among Aboriginal people around the world. To reduce health inequities, accessible vision screening among these high-risk populations is essential. To assess cardio-metabolic co-morbidities associated with type 2 diabetes and the use of a portable fundus camera as a novel approach for convenient, earlier and more accessible vision screening for Aboriginal peoples living with type 2 diabetes in northern and remote Canadian communities. This quantitative pilot study screened participants diagnosed with type 2 diabetes for commonly associated cardio-metabolic co-morbidities using anthropometrical measurements, blood pressure and a A1c (HbA1c) blood glucose test, followed by vision exams conducted first by a trained nurse and then by an ophthalmologist to screen for signs of retinopathy using fundus photography. Large numbers of the participants presented with overweight/obese (84.8%), pre-hypertension/hypertension (69.7%) and an elevated A1C (78.8%). Inter-rater reliability demonstrated substantial agreement between vision exam judgements made by the nurse and ophthalmologist (k = .67). Nurse-led vision screening in remote or northern communities can improve the standard of care by extending access to health services, lowering the costs to families by reducing travel expenses and preventing vision loss in a family member.

show abstract

Section: Discussionsupporting

confidence: 77%

Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples

Spurr

Bullin

Bally

et al. 2018

International Journal of Circumpolar Health

View full text Add to dashboard Cite

show abstract

“…Reports on mortality, renal replacement and amputations among Indigenous people with diabetes are limited, and vary by region and ethnicity. There is a need for using uniform definitions and methodologies for such reports (52). We encourage an international collaborative to report on the experience of Indigenous populations affected by diabetes with regards to complications and mortality.…”

Section: Discussionmentioning

confidence: 99%

Diabetes prevalence, incidence, complications and mortality among Alaska Native people 1985–2006

Narayanan

Schraer

Bulkow³

et al. 2010

International Journal of Circumpolar Health

View full text Add to dashboard Cite

Objectives. To examine trends in diabetes prevalence, incidence, complications and mortality between 1985 and 2006 among Alaska Native people. Study design. We used data from the population-based Alaska Native Diabetes Registry, which includes all people who receive care in the Alaska Tribal Health System. Methods. We compared the periods of 1986-1990 and 2002-2006 for diabetes-related amputations, renal replacement and mortality using Poisson regression. Complications and mortality data were examined for trends using Poisson regression. Survival analyses for those diagnosed since 31 December 1985 were performed using the Cox proportional hazard model. Results. Age-adjusted diabetes prevalence increased from 17.3 in 1985 to 47.6/1,000 in 2006. The number of Alaska Native people living in Alaska with diabetes increased from 610 in 1985 to 3,386 in 2006. Diabetes incidence rates have also increased. Comparing age-adjusted rates for the 5-year periods 1986-1990 and 2002-2006, amputations decreased from 5.3 to 2.6/1,000, renal replacement decreased from 3.3 to 1.2/1,000 and mortality decreased from 41.7 to 33.2/1,000. Yearly analyses showed a downward trend for amputations, renal replacement and mortality rates. Survival analyses showed a significantly higher hazard ratio for any amputations, major amputations and renal replacement for the earlier time period compared to the most recent time period.Conclusions. An increase in risk factors, awareness, funding and case-finding may be contributing to the increase in prevalence and incidence of diagnosed diabetes. While diabetes prevalence and incidence are increasing among Alaska Native people, our results suggest that even in remote, rural areas, complications and mortality can be reduced.

show abstract

“…den of diabetes-related end-stage renal disease, [1][2][3][4] but the reasons for this disparity are incompletely understood. Although the increase in end-stage renal disease among indigenous peoples has paralleled the global emergence of type 2 diabetes mellitus, 5 disparities in end-stage renal disease among Canada's First Nations adults persist 2 after adjustment for elevated prevalence of diabetes.…”

mentioning

confidence: 99%

Differential mortality and the excess burden of end-stage renal disease among First Nations people with diabetes mellitus: a competing-risks analysis

Jiang

Osgood

Lim

et al. 2013

CMAJ

View full text Add to dashboard Cite

Global complication rates of type 2 diabetes in Indigenous peoples: A comprehensive review

Cited by 138 publications

References 107 publications

Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples

Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples

Diabetes prevalence, incidence, complications and mortality among Alaska Native people 1985–2006

Differential mortality and the excess burden of end-stage renal disease among First Nations people with diabetes mellitus: a competing-risks analysis

Contact Info

Product

Resources

About