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Matire’s comments for the next 3 papers:

Making Education Easy

Authors:
Summary:

As you may know, Māori have raised a number of issues about the study Te Wai o Rona for Māori. And so I have been hesitant to include papers from the study in Maori Health Review. However, I have been convinced to do so after talking with Māori stakeholders including researchers, clinicians, participants and community, who are unaware that results have been written up and published in both national and international medical journals. I have included 3 papers here that I believe have important implications for diabetes care in Māori communities:

Comment:
1. undiagnosed diabetes is an issue for Māori, and particularly men, those who are overweight and those who have a CSC. Steps must be taken to improve diagnosis rates and access to quality diabetes care for Māori. 2. point-of-care testing with finger pricks tests (like the ones we see at community events, in mobile vans or even in GP clinics) are not adequate and may in fact falsely reassure a person that they don’t have diabetes. We must ensure that Māori receive quality screening tests such as fasting glucose or oral glucose tests. 3. the piloting of a personal trainer (Māori community health worker) approach was effective for weight loss in all participants of the programme. The methods for developing and testing the programme are well described and may be useful to those groups considering a similar approach within their own community.
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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