Characteristics and outcome of type 2 diabetes in urban Aboriginal people: the Fremantle Diabetes Study
We analysed data from Aboriginal patients with type 2 diabetes recruited to the community‐based Fremantle Diabetes Study and compared them with those from the Anglo‐Celt participants. Diabetes prevalence among Aboriginal people in the Fremantle area was more than double that of Anglo‐Celts and the average age at diagnosis was 14 years or younger. Glycaemic control, urinary albumin :creatinine and the proportion of smokers were all higher in the Aboriginal group and there was evidence of lower diabetes‐related quality of life and high rates of disability at a young age. The Aboriginal patients died 18 years or younger than their Anglo‐Celt counterparts. Specialized, culturally‐sensitive and sustainable programmes are urgently needed to improve the management of diabetes in urban Aboriginal communities.
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