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Systematic care to reduce ethnic disparities in diabetes care

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From Māori Health Review Issue 28
Authors:
  • Kenealy TW et al
Summary:

These researchers analysed outcomes of a chronic care management programme for diabetes, implemented in 2005 by a Primary Health Organisation. The cohort included 1311 people with diabetes (354 Māori, 957 non-Māori). At the start of the programme, HbA1c levels were higher in Māori than non-Māori (mean 8.1% vs 7.1%) but over the approximate 2-year follow-up, HbA1c for Māori improved to that of non-Māori. LDL-cholesterol and systolic blood pressure decreased during the programme in both groups. Improved glucose in Māori was not due to starting insulin or metformin, and rates of sulphonylurea prescription increased in both groups. Urinary albumin:creatinine ratio remained higher for Māori throughout the programme. Smoking rates and body mass index (both higher in Māori) did not change.

Comment:
I enjoy hearing about successful programmes such as these and continue to encourage readers to consider publication/ presentation of similar types of research.
Reference: Diabetes Res Clin Pract. 2010;89(3):256-61.
Abstract
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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.

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