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Lifetime risk of diabetes among First Nations and non–First Nations people

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Authors:
Summary:

These researchers sought to determine the disease burden of diabetes in Canada. They estimated the lifetime risk of diabetes among men and women in both First Nations and non–First Nations populations using a cohort of adults residing in the province of Alberta from 1997 to 2008 who were free of diabetes at cohort entry. The analysis involved 70,631 First Nations and 2,732,214 non–First Nations people aged ≥18 years. Among First Nations people, women had a higher lifetime risk of diabetes than men across all index ages (87.3% vs 75.6%), whereas among non–First Nations people, men had a higher lifetime risk of diabetes than women across all index ages (55.6% vs 46.5%).

Comment:
The BMJ recently published a paper regarding the efficacy and effectiveness of programmes to prevent type 2 diabetes, including how to screen and intervene. The authors concluded that “screen and treat polices alone are unlikely to have substantial impact”. It gave the impression, possibly not intended, that the issue was just too big. And, as this paper here clearly confirms, it is big – particularly for Indigenous peoples. A number of research programmes that focus on the management and prevention of type 2 diabetes for Māori and Pacifica whānau are about to get underway; I look forward to hearing about the results.
Reference: CMAJ. 2016;188(16):1147-53
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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