It is time for a more targeted approach to prediabetes in primary care in Aotearoa New Zealand

被引:1
作者
Barthow, Christine [1 ]
Pullon, Sue [2 ]
McKinlay, Eileen [3 ]
Krebs, Jeremy [1 ]
机构
[1] Univ Otago, Dept Med, POB 7343, Wellington 6242, Wellington Sout, New Zealand
[2] Univ Otago, Dept Primary Hlth Care & Gen Practice, POB 7343, Wellington 6242, Wellington Sout, New Zealand
[3] Univ Otago, Ctr Interprofess Educ, POB 56, Dunedin, New Zealand
关键词
cardiovascular disease; clinical guidelines; epidemiology; New Zealand; prediabetes; prevention; primary health care; progression; renal disease; type; 2; diabetes; DIABETES PREVENTION; PROGRAM; MAORI; PREVALENCE; NUTRITION; OBESITY;
D O I
10.1071/HC22089
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Type 2 diabetes (T2DM), its related morbidities and entrenched diabetes-related inequities pose significant challenges for health care delivery systems in Aotearoa New Zealand (NZ). Primary care services undertake the majority of diabetes prevention work by initially detecting and managing those with prediabetes. In this viewpoint, we present available NZ data to highlight NZ trends in prediabetes and consider the current NZ clinical guidelines and the prediabetes care pathway. Multiple areas for improvement are identified to optimise diabetes prevention, potentially reduce T2DM inequities, and sustain more effective prediabetes management in primary care in NZ.
引用
收藏
页码:372 / 377
页数:6
相关论文
共 56 条
[1]   Making dietary changes following a diagnosis of prediabetes: a qualitative exploration of barriers and facilitators [J].
Abel, S. ;
Whitehead, L. C. ;
Coppell, K. J. .
DIABETIC MEDICINE, 2018, 35 (12) :1693-1699
[2]   Proximal and distal influences on dietary change among a diverse group with prediabetes participating in a pragmatic, primary care nurse-led intervention: a qualitative study [J].
Abel, Sally L. ;
Whitehead, Lisa C. ;
Tipene-Leach, David C. ;
Coppell, Kirsten J. .
PUBLIC HEALTH NUTRITION, 2021, 24 (18) :6015-6026
[4]   Participants' and caregivers' experiences of a multidisciplinary programme for healthy lifestyle change in Aotearoa/New Zealand: a qualitative, focus group study [J].
Anderson, Yvonne C. ;
Wild, Cervantee E. K. ;
Hofman, Paul L. ;
Cave, Tami L. ;
Taiapa, Ken J. ;
Domett, Tania ;
Derraik, Jose G. B. ;
Cutfield, Wayne S. ;
Grant, Cameron C. ;
Willing, Esther J. .
BMJ OPEN, 2021, 11 (05)
[5]  
[Anonymous], 2011, TYP 2 DIAB PREV POP
[6]  
Baker IDI Heart and Diabetes Institute, 2010, AUSTR TYP 2 DIAB RIS
[7]   How are health-related behaviours influenced by a diagnosis of pre-diabetes? A meta-narrative review [J].
Barry, Eleanor ;
Greenhalgh, Trisha ;
Fahy, Nicholas .
BMC MEDICINE, 2018, 16
[8]   Efficacy and effectiveness of screen and treat policies in prevention of type 2 diabetes: systematic review and meta-analysis of screening tests and interventions [J].
Barry, Eleanor ;
Roberts, Samantha ;
Oke, Jason ;
Vijayaraghavan, Shanti ;
Normansell, Rebecca ;
Greenhalgh, Trisha .
BMJ-BRITISH MEDICAL JOURNAL, 2017, 356
[9]  
Barthow C, 2022, NZ SOC STUDY DIABETE
[10]  
Barthow CA, 2022, THESIS U OTAGO NZ