Diabetes in African Americans

被引:97
作者
Marshall, MC [1 ]
机构
[1] Endocrine Inst, White Plains, NY 10605 USA
关键词
D O I
10.1136/pgmj.2004.028274
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
African Americans have a high risk for type 2 diabetes. Genetic traits, the prevalence of obesity, and insulin resistance all contribute to the risk of diabetes in the African American community. African Americans have a high rate of diabetic complications, because of poor glycaemic control and racial disparities in health care in the USA. African Americans with diabetes may have an atypical presentation that simulates type 1 diabetes, but then their subsequent clinical course is typical of type 2 diabetes. Culturally sensitive strategies, structured disease management protocols, and the assistance of nurses, diabetic educators, and other health care professionals are effective in improving the outcome of diabetes in the African American community.
引用
收藏
页码:734 / 740
页数:7
相关论文
共 108 条
[11]  
Apedo MT, 2002, J PEDIATR ENDOCR MET, V15, P519
[12]   Development of proliferative diabetic retinopathy in African-Americans and whites with type 1 diabetes [J].
Arfken, CL ;
Reno, PL ;
Santiago, JV ;
Klein, R .
DIABETES CARE, 1998, 21 (05) :792-795
[13]   Long-term normoglycemic remission in black newly diagnosed NIDDM subjects [J].
Banerji, MA ;
Chaiken, RL ;
Lebovitz, HE .
DIABETES, 1996, 45 (03) :337-341
[14]  
Banerji MA, 2002, J PEDIATR ENDOCR MET, V15, P493
[15]   GAD ANTIBODY NEGATIVE NIDDM IN ADULT BLACK SUBJECTS WITH DIABETIC-KETOACIDOSIS AND INCREASED FREQUENCY OF HUMAN-LEUKOCYTE ANTIGEN DR3 AND DR4 - FLATBUSH DIABETES [J].
BANERJI, MA ;
CHAIKEN, RL ;
HUEY, H ;
TUOMI, T ;
NORIN, AJ ;
MACKAY, IR ;
ROWLEY, MJ ;
ZIMMET, PZ ;
LEBOVITZ, HE .
DIABETES, 1994, 43 (06) :741-745
[16]   INSULIN ACTION IN BLACK-AMERICANS WITH NIDDM [J].
BANERJI, MA ;
LEBOVITZ, HE .
DIABETES CARE, 1992, 15 (10) :1295-1302
[17]   Diabetes in African Americans: Unique pathophysiologic features [J].
Banerji M.A. .
Current Diabetes Reports, 2004, 4 (3) :219-223
[18]   Diabetes epidemic in newly westernized populations: is it due to thrifty genes or to genetically unknown foods? [J].
Baschetti, R .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1998, 91 (12) :622-625
[19]   Diabetes and atherosclerosis - Epidemiology, pathophysiology, and management [J].
Beckman, JA ;
Creager, MA ;
Libby, P .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 287 (19) :2570-2581
[20]   Type 2 diabetes in the young - The evolving epidemic [J].
Bloomgarden, ZT .
DIABETES CARE, 2004, 27 (04) :998-1010