Screening for diabetes and its complications as part of the Alberta Diabetes Strategy
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2004 (Jan) 3rd National Conference on Diabetes and Aboriginal Peoples, National Aboriginal Diabetes Association (NADA), poster presentation by BRAID Research

2004 (Jan) 3rd National Conference on Diabetes and Aboriginal Peoples, National Aboriginal Diabetes Association (NADA), poster presentation by BRAID Research

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Screening for diabetes and its complications as part of the Alberta Diabetes Strategy Document Transcript

  • 1. Mobile Diabetes Screening Initiative SummaryAlberta Diabetes Strategy 2003: “…provide resources for screeningfor diabetes and it’s complications in aboriginal off reserve andremote Alberta communities”The MDSI team uses mobile clinics to visit Metis Settlements andother remote communities providing service to consentingindividuals wishing to be screened for diabetes, as well as thoseindividuals with known diabetes.MDSI operates in compliance with privacy legislation.In the first six weeks, 180 clients have been seen.Approximately 75% had no previous diagnosis of diabetes, 25%were previously known to have diabetes.Preliminary analysis shows >85% of clients screened for diabeteshad significant risk for the disease.ConclusionThe burden of diabetes is greater in aboriginals and thosewho are geographically and socio-economicallydisadvantaged.The Alberta Diabetes Strategy understands the concern andover the next 10 years will take the necessary steps toaddress this issue.With ongoing personal contact and support, the MDSI teamwill provide service to meet this need.The MDSI Team Community ParticipationClients wishing to be screened for diabetes are tested usingportable technology and a pre-specified protocol.Daily Quality Assurance testing is performed.• Registered Nurse – CDE• Dietitian / Nutritionist• RN / LPN• Retinal photographer• Cultural facilitator• Local community assistants- Cree interpretation available• Other essential team memberscoordinate in EdmontonALL clients’ results are discussed, questions answered and personal resultscounseling provided by the Certified Diabetes Educator, Nurse and/or Nutritionist.Follow-up is coordinated as necessaryClients with known diabetes have retinal photography and labtesting for A1c, lipids and microalbuminuria.Physician Involvement• Voluntary consent• Height, Weight, BMI,Blood Pressure• Blood tests• Urine testsScreening Procedure• Local physicians are informed throughcorrespondence• Clients are encouraged to have follow-upappointments with their physician and/orcommunity nurse• All retinal photographs are reviewed and gradedby an ophthalmologist. Follow-up is coordinatedas necessary.• Community participation with MDSI is high• The communities are working well with theteam to enroll clients and the team’s arrival ismet with anticipation.Screening for Diabetes and it’s complications as part of theAlberta Diabetes StrategyEllen Toth, Dawn Friesen, Phil Burke, Terri GammerUniversity of Alberta and Alberta Health and Wellness