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- September 3, 2010 |
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Welcome to the #1 online source of information for Diabetes Specialists! An international online community of more than 10,000 Diabetes Specialists.
CME on Diabetes is a website built to transmit top-level CME conferences given by international experts in endocrinology, insulin resistance, prediabetes, metabolic syndrome and type 2 diabetes. More than 2.6 million slides have been viewed since the website launch. Thank you for your continued support and commitment!
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"Special Diabetes Programs for American Indians" Kelly Moore (biography)
English - 2006-11-14 - 34 minutes
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Summary :
Division of Diabetes Treatment and Prevention, Indian Health Service, USA
Diabetes is a serious problem for American Indians and Alaska Natives. In 1997 Congress provided $150 million over 5 years to IHS for establishment of the Special Diabetes Program for Indians grant program focused on “the prevention and treatment of diabetes.” Congress passed additional legislation authorizing...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Diabetes and Obesity among American Indians/Alaska Natives
- The Special Diabetes Program for Indians (SDPI)
- Primary Prevention in SDPI
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"Diabetes in American Indians: Cultural Perspectives and Policy Issues" Donald Warne (biography)
English - 2006-11-14 - 41 minutes
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Summary :
Prior to contact with Europeans, American Indians had access to healthy food and healthy lifestyles, and diabetes was virtually non-existent. Health surveys conducted in the late 1800s and early 1900s reveal only one documented case of diabetes among American Indians from the Southwestern United States. Since that time, numerous governmental policies, including damming of rivers, loss of land...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Diabetes in American Indians
- Health Policy Issues & Diabetes
- Comparison of Modern and Traditional Medicine
- The Medicine Wheel in Practice
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"Preventing Diabetes in Pima and American Indians" Peter Bennett (biography)
English - 2006-11-14 - 47 minutes
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Summary :
The Pima Indians of Arizona have contributed enormously to knowledge of risk factors for type 2 diabetes. This information together with confirmatory studies in other populations led to the Diabetes Prevention Prgram (DPP) which showed that diabetes could be delayed or prevented equally well in American Indians and other ethnic groups in the USA. The current status of Primary and Secondary...
Learning objectives :
After viewing this presentation, the participant will be able to discuss:
- Where Pima Indians live
- Prevalence of T2DM in Arizona vs. Mexican Pima Indians
- Diabetes prevention in American Indians (Results from the DPP)
- The role of breastfeeding in prevention of T2DM
- Results of diabetes prevention interventions in the Gila River Community
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"Preventing Diabetes in NZ Maoris" David Tipene-Leach (biography)
English - 2006-11-14 - 27 minutes
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Summary :
Type 2 diabetes mellitus is a major health issue in New Zealand and is especially relevant to Maori. While there is a wealth of knowledge about what should be done to prevent diabetes, how it should be done outside the clinical trial setting in a cost effective manner is the key question. This community based diabetes prevention programme is the collaborative effort of a Maori owned and...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The Ngati & Healthy Community Project: setting, research, interventions, collaboration and evaluation
- What needs to be done to prevent diabetes (public health stance)
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"Preventing Diabetes in Indigenous Australians" Kerin O'dea (biography)
English - 2006-11-14 - 26 minutes
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Summary :
When Indigenous Australians lived traditionally as hunter-gatherers, diabetes and related chronic diseases were unknown. They were slim and physically active and consumed high quality diets derived from a wide range of undomesticated animals and uncultivated plants. After esternization, poverty and the associated poor quality diets, physical inactivity and psychosocial stress fuel the development...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Diet and lifestyle of Aborigines as hunter gatherers
- Aborigines after westernisation
- Burden of chronic diseases in Indigenous Australians
- Burden of diabetes in Aboriginal and TSI populations
- Therapeutic potential of the hunter-gatherer lifestyle
- Results of the Looma Healthy Lifestyle project
- Interventions to reduce the prevalence of chronic diseases
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"From Policy to Practice- Implementation of the National Aboriginal and Torres Strait Islander Nutrition Strategy and Action Plan" Sharon Laurence (biography)
English - 2006-11-14 - 24 minutes
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Summary :
The National Aboriginal and Torres Strait Islander Nutrition Strategy and Action Plan (NATSINSAP) responds to the recognition that poor diet and a lack of access to nutritious and affordable food is a core determinant of the burden of chronic disease and poor health experienced by Aboriginal and Torres Strait Islander people. The development of NATSINSAP involved a broad and lengthy consultation...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Under-nutrition in early life in Aboriginal and Torres Strait Islander (ATSI) people
- Over-nutrition in later life in ATSI people
- The National Aboriginal and Torres Strait Islander Nutrition Strategy and Action Plan (NATSINSAP): purpose, seven action areas and achievements so far
- NATSINSAP: What's next
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"Care of Diabetes in Indigenous Communities" Kelly Moore (biography)
English - 2006-11-14 - 32 minutes
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Summary :
Division of Diabetes Treatment and Prevention, Indian Health Service, USA
Diabetes is a serious and rapidly growing health problem in the United States and the world, with Native Americans and other indigenous groups bearing a disparate burden of diabetes and its complications. Inequalities in access to health care as well as health care quality worsen the impact of these disparities....
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The Indian Health Service (IHS)
- Quality Improvement Activities
- Lessons Learned
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"Complications of Diabetes in Indigenous Communities" Alex Brown (biography)
English - 2006-11-14 - 34 minutes
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Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Social disadvantages of Indigenous Australians
- Causes of death of Indigenous Australians
- Indigenous CVD differentials and CVD risk factors
- The combination of factors causing Indigenous vascular risk
- Cardiovascular consequences of diabetes
- Diabetes and health risk factors in Aboriginal people
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"Renal Complications in Australian Indigenous Communities" Alan Cass (biography)
English - 2006-11-14 - 34 minutes
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Summary :
Within the broader domain of social determinants of health, inequitable access to care and inequitable health outcomes contribute powerfully to health disparities for Indigenous Australians. Chronic kidney disease is inextricably linked with diabetes and cardiovascular disease as a major contributor to health disparities for Indigenous Australians. This presentation will explore population...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The burden of end-stage kidney disease in indigenous Australians
- Indigenous kidney disease myths
- Challenges to health service delivery to indigenous Australians
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"Diabetes in Inuit Communities - Treatment & Prevention" Ed Boyko (biography)
English - 2006-11-14 - 32 minutes
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Summary :
The Eskimos are indigenous residents of northern circumpolar regions in multiple countries and territories, and are comprised of two groups. The Inuit are found along the north coast of Alaska, Canada, and Greenland, while the Yupik reside mainly in Western Alaska and Siberia. Given their isolation from urban and industrialized areas, it was believed that the Eskimos might be protected from the...
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"A Traditional Diet for the Modern World" Jay Wortman (biography)
English - 2006-11-13 - 53 minutes
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Summary :
Canadian Aboriginal populations have experienced a significant shift in diet as they have abandoned traditional ways of food-gathering and eating for modern introduced foods. These populations now demonstrate significantly higher rates of obesity, metabolic syndrome and type 2 diabetes than the general population. The principal difference in the macronutrient composition of their diet as a result...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The history of the obesity epidemic
- The traditional Aboriginal diet
- The modern low-carb ketogenic diets
- Clinical trial in an Aboriginal community
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"Diabetes in Indigenous Communities: A Global Overview"Dr. Stewart Harris (biography)
English - 2006-11-13 - 30 minutes
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Summary :
This presentation reviews literature on type 2 diabetes mellitus and its complications among Indigenous populations around the world. The rising prevalence and incidence of type 2 diabetes in many Indigenous populations has stimulated research focusing on the causes of diabetes including: genetic, environmental, behavioural, socio-economic and cultural factors. A more detailed exploration of the...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Who and Where are the Indigenous Peoples?
- Epidemiology of Diabetes and Complications
Prevalence
Risk Factors
Complications
- What are the Causes?
Rapid Cultural Transition
Genetic Pre-Disposition
- Intervention Approaches
Biomedical and Sociocultural Models
Community-Based Participatory Interventions
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"Diabetes and Other Adverse Health Outcomes in Indigenous Australians: Another View" Lisa Jackson Pulver (biography)
English - 2006-11-13 - 28 minutes
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Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Life expectancy of Aboriginal people compared to non Aboriginal people in Australia
- Epidemiologic transition theory: comparison of Aboriginal and non-Aboriginal populations
- Indigenous epidemiologic transitions in the 21st century
- Conclusions
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"Indigenous Health - Hope on the Horizon?" Michael Gracey (biography)
English - 2006-11-13 - 26 minutes
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Summary :
Clinicians can contribute significantly to secondary prevention of type 2 diabetes (diabetes) and its comorbidities and complications in Indigenous people in remote areas. Success depends on accessibility to effective therapy, follow-up supervision, and one-to-one management by regular medical practitioners who are supported by culturally appropriate clinical services that encourage long-term...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Recent aboriginal health gains
- Recent aboriginal health losses
- Results of Diabetes Management & Care Program (DMCP)
Bibliographic references :
(1) McMahon SK, et al. Medical Journal of Australia 2004; 180: 459-61.
(2) Gracey M, et al. Asia Pacific Journal of Clinical Nutrition 2006; 15(2): 178-88.
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"Diabetes in Indigenous Communities: Diabetes & Pregnancy" David Simmons (biography)
English - 2006-11-13 - 41 minutes
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Summary :
The diabetes epidemic among indigenous people includes an increasing number of women with diabetes during their child-bearing years. Type 2 diabetes (known or previously undiagnosed) is associated with high rates of congenital abnormalities and fetal loss rates, yet few studies among diabetic indigenous women have reported pre-conceptual counselling or folate therapy rates. While the prevalence...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The prevalence of diabetes and obesity in women of childbearing age
- The prevalence of diabetes in pregnancy in indigenous communities
- Outcomes of diabetes in pregnancy and postnatally
- What can be done in the management of diabetes in pregnancy?
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"Type 2 Diabetes in Indigenous Children in Canada" Amelia McGregor (biography)
English - 2006-11-13 - 47 minutes
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Summary :
The Kahnawake Schools Diabetes Prevention Project, also know as KSDPP, is an on going project geared towards diabetes prevention which is located in the Kanienkehaka Mohawk community of Kahnawake, located south of Montreal in Quebec Canada. Kahnawake has a population of about 7200 people. In the early 1990's Type 2 diabetes became prevalent in Kahnawake, the rates were so high that it created a...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Diabetes prevalence in Kahnawake
- Kahnawake Schools Diabetes Prevention Project (KSDPP): goal and interventions
- KSDPP results: nutrition, television and video watching, physical activity, weight change, capacity building
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"Type 2 Diabetes in Maori and Pacific Youth in New Zealand" Cheri Hotu (biography)
English - 2006-11-13 - 22 minutes
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Summary :
The global epidemic of obesity and type 2 diabetes has not bypassed the people of New Zealand. There is an increasing prevalence of type 2 diabetes in New Zealand youth. The majority of those affected are Maori or Pacific. Features of the metabolic syndrome are common within these groups and the incidence of renal complications is high. Their risk of premature vascular disease is also high....
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Ethnic groups of New Zealand
- Prevalence of Obesity in New Zealand (focus on Maori and Pacific groups)
- Early presentation of T2DM in Northland Maori
- Prevalence of T2DM in adolescents in Aukland
- National audit of care outcomes in young people with diabetes in NZ
- Solutions for management of obesity and diabetes in New Zealand
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"Dispossession & Health - A Case Study" Geoffrey Angeles (biography)
English - 2006-11-13 - 34 minutes
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Summary :
Geoffrey (“Jacko”) Angeles BAppSc, is a Kungarakan/Gurindji man and he is a traditional owner of the Finnis River Land Trust. Geoffrey is an Indigenous Research Officer at the Menzies School of Health Research, but is better known in Darwin and beyond for his passion for fishing and preparing “bush tucker” on the ABC’s Indigenous arts program Message Stick. He started working at Menzies School of...
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The impact of life changes on the health the aboriginal people.
- The impact of mining on nature and the lives of the aboriginal people
- The effects of banning fish traps on the health of the aboriginal people
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