 |
|
 |
- December 1, 2008 |
|
|
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!
|
|
|
| Presentation |
|
"Indigenous Health - Hope on the Horizon?" Michael Gracey (biography)
English - 2006-11-13 - 26 minutes
|
 | (12 slides) |
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 compliance.Regular testing for HbA1c, lipids, albumin/creatinine ratios, and urinalysis can assist with monitoring as can physical examination including blood pressure measurement. Closely supervised clinical treatment with newer therapeutic agents can effectively arrest complications, including renal disease and its sequelae. Existing “mainstream” public health programs have mostly been ineffective; this is manifest by the progressive worsening of rates and severity of “lifestyle” diseases including diabetes in remote Aborigines. The urgency for more effective intervention is now more pressing because of the emergence of type 2 diabetes at very high rates in Aboriginal vs non-Aboriginal children. In Western Australia this relative rate is approximately 18:1 and increasing (1). Better primary and secondary prevention requires closer collaboration between existing health service providers and more meaningful involvement of Indigenous communities in programs that affect their own health and wellbeing. This has been shown to be effective in an Aboriginal-driven program in very remote communities in far northwest Australia (2).
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.
|
|
|
|
|
|
| Search our website |
 |
| |
Would you like to know more about insulin resistance? Are you looking for information pertaining to Type 2 Diabetes? You can find what you are looking for in over 2000 references available on CMEonDiabetes. |
| |
|
|
| Social |
|
| |
Let others know about this presentation.
|
|
|
|
