Characteristics and outcome of type 2 diabetes in urban Aboriginal people: the Fremantle Diabetes Study.
We analysed data from Aboriginal patients with type 2 diabetes recruited to the community-based Fremantle Diabetes Study and compared them with those from the Anglo-Celt participants. Diabetes prevalence among Aboriginal people in the Fremantle area was more than double that of Anglo-Celts and the average age at diagnosis was 14 years or younger. Glycaemic control, urinary albumin :creatinine and the proportion of smokers were all higher in the Aboriginal group and there was evidence of lower diabetes-related quality of life and high rates of disability at a young age. The Aboriginal patients died 18 years or younger than their Anglo-Celt counterparts. Specialized, culturally-sensitive and sustainable programmes are urgently needed to improve the management of diabetes in urban Aboriginal communities.
Davis
T M E
TM
School of Medicine and Pharmacology, University of Western Australia, Fremantle Hospital, Western Australia, Australia. tdavis@cyllene.uwa.edu.au
McAullay
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Davis
W A
WA
Bruce
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DG
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D000886:Anthropometry; D002318:Cardiovascular Diseases / Q000208:ethnology / Q000209:etiology / Q000401:mortality; D015331:Cohort Studies; D003469:Culture; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000208:ethnology* / Q000401:mortality / Q000523:psychology / Q000628:therapy; D003928:Diabetic Nephropathies / Q000150:complications / Q000208:ethnology; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D006973:Hypertension / Q000208:ethnology / Q000517:prevention & control; D007182:Income / Q000706:statistics & numerical data; D007676:Kidney Failure, Chronic / Q000208:ethnology / Q000209:etiology; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D011788:Quality of Life; D012307:Risk Factors; D012907:Smoking / Q000208:ethnology; D012924:Social Conditions; D014504:Urban Health / Q000706:statistics & numerical data*; D014904:Western Australia / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data
D006442:Glycated Hemoglobin