title: Management of diabetes in Indigenous communities: lessons from the Australian Aboriginal population.
abstract: Type 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.
authors.affiliation: Department of Endocrinology, Division of Medicine, Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
authors.forename: H D
authors.initials: HD
authors.lastname: Nguyen
authors.affiliation: Department of Endocrinology, Division of Medicine, Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Chitturi
authors.affiliation: Department of Endocrinology, Division of Medicine, Royal Darwin Hospital, Tiwi, Northern Territory, Australia. louise.maple-brown@menzies.edu.au.|Menzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, Australia. louise.maple-brown@menzies.edu.au.
authors.forename: L J
authors.initials: LJ
authors.lastname: Maple-Brown
mesh_terms: D001315:Australia / Q000453:epidemiology; D050110:Bariatric Surgery; D003153:Community Health Services / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000628:therapy*; D019468:Disease Management; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D008019:Life Style; D008403:Mass Screening / Q000379:methods; D011369:Professional-Patient Relations; D012307:Risk Factors; D012959:Socioeconomic Factors; D017216:Telemedicine
keywords: Aboriginal; Indigenous Australians; cardio-metabolic; diabetes; diabetes management