ArticleCanadian family physician Medecin de famille canadien2009
Diabetes care and health status of First Nations individuals with type 2 diabetes in Alberta.
Article in Canadian family physician Medecin de famille canadien, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Reported sources of health inequities in Indigenous Peoples with chronic kidney disease: a systematic review of quantitative studies.BMC public health · 2021Pooled it
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- Diabetic foot complications among Indigenous peoples in Canada: a scoping review through theFrontiers in endocrinology · 2023Article
- Effectiveness of RADAR: An Innovative Model to Organize Diabetes Care in First Nations Communities.Clinical diabetes : a publication of the American Diabetes Association · 2023Article
- Diabetic retinopathy awareness and eye care behaviour of indigenous women in Saskatoon, Canada.International journal of circumpolar health · 2021Article
- Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment.BMC health services research · 2021Article
- Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review.International journal for equity in health · 2020Article
- A Review of Advancements and Evidence Gaps in Diabetic Retinopathy Screening Models.Clinical ophthalmology (Auckland, N.Z.) · 2020Review
- Working towards a better understanding of type 2 diabetes care organization with First Nations communities: a qualitative assessment.Archives of public health = Archives belges de sante publique · 2020Review
- Self-reported eye diseases among American Indian individuals with type 2 diabetes from the northern Midwest.Eye reports · 2019Article
- Addressing the gaps in diabetes care in first nations communities with the reorganizing the approach to diabetes through the application of registries (RADAR): the project protocol.BMC health services research · 2017Article
- Room for improvement in diabetes care among First Nations in northern Quebec (Eeyou Istchee): reasonable management of glucose but poor management of complications.International journal of circumpolar health · 2012Article
- Caring for aboriginal peoples.Canadian family physician Medecin de famille canadien · 2009Article
- Improving aboriginal health: How can health care professionals contribute?Canadian family physician Medecin de famille canadien · 2009Review
- Improvements in indicators of diabetes-related health status among first nations individuals enrolled in a community-driven diabetes complications mobile screening program in Alberta, Canada.Canadian journal of public health = Revue canadienne de sante publiqueArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the state of diabetes care among Alberta First Nations individuals with diabetes living on reserves.
designSurvey and screening for diabetes-related complications.
settingForty-three Alberta First Nations communities.
participantsA total of 743 self-referred First Nations individuals with known diabetes.
main outcome measuresClinical measurements (glycated hemoglobin A(1c) levels, body mass index, waist circumference, total cholesterol, blood pressure, and the presence of kidney complications or proteinuria, retinopathy, and foot abnormalities), self-reported health services utilization, clinical history, and knowledge of and satisfaction with diabetes services.
resultsFemale participants tended to be more obese (P < .05) and to have abnormal waist circumferences more often than men (P < .05). Male participants, however, had a higher proportion of proteinuria (P < .05), hypertension (P < .05), limb complications (P < .05), and retinopathy (P < .05). Family physicians were the main diabetes care providers for most participants. Nearly half the participants felt they did not have care from a diabetes team. A total of 38% had never seen dietitians. Diabetes-related concerns were responsible for 24% of all hospitalizations and emergency department visits. Approximately 46% and 21% of participants had recommended hemoglobin A(1c) testing and foot examinations, respectively. Only 24% of participants with kidney complications were receiving treatment. A considerable proportion of participants had undiagnosed complications of diabetes: kidney damage or proteinuria (23%), high cholesterol (22%), foot complications (11%), hypertension (9%), and retinopathy (7%).
conclusionDiabetes care is suboptimal in Alberta First Nations communities. Rural physicians caring for First Nations individuals on reserves should be involved, along with other members of diabetes health care teams, in strategies to improve diabetes care. Our results justify the need for community-based screening for diabetes control and complications in First Nation communities.
Indexed as
Identifiers
19366950PMC2669013W1844038354What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.