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Title: Improved metabolic parameters of people with diabetes attending an Aboriginal health service in regional Victoria.
Austin Authors: Eer, Audrey S;Hearn, Tracey;Atkinson-Briggs, Sharon;Drake, Shannon;Singh, Satpal;Neoh, Sandra L ;Pyrlis, Felicity ;Hachem, Mariam;Zajac, Jeffrey D ;Burchill, Luke J;O'Brien, Richard C ;Ekinci, Elif I 
Affiliation: Endocrinology
Medical Clinic, Rumbalara Aboriginal Co-operative, Mooroopna, Victoria, Australia.
Australian Centre for Accelerating Diabetes Innovations (ACADI), The University of Melbourne, Parkville, Victoria, Australia.
Medicine (University of Melbourne)
Department of Medicine, The University of Melbourne (Royal Melbourne Hospital), Melbourne, Victoria, Australia.
Issue Date: May-2023
Date: 2022
Publication information: Internal Medicine Journal 2023
Abstract: Aboriginal and Torres Strait Islander people have higher rates of diabetes and its complications than non-Aboriginal people. Rumbalara Aboriginal Co-operative is the major primary healthcare provider for Aboriginal people in the Greater Shepparton region. To evaluate the baseline metabolic parameters and presence of diabetes complications in people with type 2 diabetes attending Rumbalara Aboriginal Co-operative in 2017 and compare it with other Aboriginal and Torres Strait Islander studies and Australian specialist diabetes services. Clinical and biochemical characteristics, including diabetes type, age, weight, body mass index (BMI), blood pressure, micro- and macrovascular complications, glycosylated haemoglobin (HbA1c), haemoglobin, renal function, lipid profile, urine albumin:creatinine ratio, diabetes medications, renin angiotensin system inhibition therapies, HMG-CoA reductase inhibitors and antiplatelet agents, were determined. One hundred and twenty-six individuals had diabetes, 121 had type 2 diabetes. One hundred and thirteen identified as Aboriginal and/or Torres Strait Islander. Median age was 57.5 (48-68) years, median HbA1c was 7.8% (6.8-9.6) and median BMI was 33.4 kg/m2 (29-42.3). Compared with other Australian Aboriginal and Torres Strait Islander populations, this population was older and had more obesity, but with better glycaemia management. Compared with specialist diabetes services, this population was of similar age, with greater BMI but comparable HbA1c. Aboriginal people living with type 2 diabetes attending this regional Aboriginal health service have comparable glycaemic management to specialist diabetes services in Australia, managed largely by primary care physicians with limited access to specialist care for the past 5 years.
DOI: 10.1111/imj.15856
ORCID: 0000-0003-4255-8160
Journal: Internal Medicine Journal
Start page: 787
End page: 797
PubMed URL: 35717668
ISSN: 1445-5994
Type: Journal Article
Subjects: Aboriginal
diabetes complications
diabetes mellitus
Diabetes Mellitus, Type 2/metabolism
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