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
[31]   Socio-Economic Inequity: Diabetes in New Zealand [J].
Holder-Pearson, Lui ;
Chase, James Geoffrey .
FRONTIERS IN MEDICINE, 2022, 9
[32]   Cardiovascular and Kidney Outcomes Across the Glycemic Spectrum Insights From the UK Biobank [J].
Honigberg, Michael C. ;
Zekavat, Seyedeh M. ;
Pirruccello, James P. ;
Natarajan, Pradeep ;
Vaduganathan, Muthiah .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 78 (05) :453-464
[33]   'Going the distance': an independent cohort study of engagement and dropout among the first 100 000 referrals into a large-scale diabetes prevention program [J].
Howarth, Elizabeth ;
Bower, Peter J. ;
Kontopantelis, Evangelos ;
Soiland-Reyes, Claudia ;
Meacock, Rachel ;
Whittaker, William ;
Cotterill, Sarah .
BMJ OPEN DIABETES RESEARCH & CARE, 2020, 8 (02)
[34]   On the borderline of diabetes: understanding how individuals resist and reframe diabetes risk [J].
Howells, Kelly ;
Bower, Peter ;
Burch, Patrick ;
Cotterill, Sarah ;
Sanders, Caroline .
HEALTH RISK & SOCIETY, 2021, 23 (1-2) :34-51
[35]   High prevalence of undiagnosed comorbidities among adolescents with obesity [J].
Leong, Karen S. W. ;
Jayasinghe, Thilini N. ;
Wilson, Brooke C. ;
Derraik, Jose G. B. ;
Albert, Benjamin B. ;
Chiavaroli, Valentina ;
Svirskis, Darren M. ;
Beck, Kathryn L. ;
Conlon, Cathryn A. ;
Jiang, Yannan ;
Schierding, William ;
Vatanen, Tommi ;
Holland, David J. ;
O'Sullivan, Justin M. ;
Cutfield, Wayne S. .
SCIENTIFIC REPORTS, 2020, 10 (01)
[36]   'Finishing the race' - a cohort study of weight and blood glucose change among the first 36,000 patients in a large-scale diabetes prevention programme [J].
Marsden, Antonia M. ;
Bower, Peter ;
Howarth, Elizabeth ;
Soiland-Reyes, Claudia ;
Sutton, Matt ;
Cotterill, Sarah .
INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 2022, 19 (01)
[37]  
Masters-Awatere B, 2021, NEW ZEAL MED J, V134, P68
[38]  
Mazahery H, 2021, NEW ZEAL MED J, V134, P76
[39]   Uncertainty and certainty: perceptions and experiences of prediabetes in New Zealand primary care - a qualitative study [J].
McKinlay, Eileen ;
Hilder, Jo ;
Hood, Fiona ;
Morgan, Sonya ;
Barthow, Christine ;
Gray, Ben ;
Huthwaite, Mark ;
Weatherall, Mark ;
Crane, Julian ;
Krebs, Jeremy ;
Pullon, Sue .
JOURNAL OF PRIMARY HEALTH CARE, 2022, 14 (02) :138-145
[40]   Population level impact of the NHS Diabetes Prevention Programme on incidence of type 2 diabetes in England: An observational study [J].
McManus, Emma ;
Meacock, Rachel ;
Parkinson, Beth ;
Sutton, Matt .
LANCET REGIONAL HEALTH-EUROPE, 2022, 19