![]() 3 The rise in prevalence is worrisome because diabetes is associated with serious complications, poor quality of life, and reduced life span. 1, 2 In New Mexico, diabetes is a major concern for Native American communities: some tribes have a prevalence of 30% in persons 35 years and older. 1 Prevalence of type 2 diabetes mellitus is rising nationwide, largely due to environmental influences on genetic susceptibility. TYPE 2 diabetes mellitus is a major health problem among Native Americans, with some communities experiencing 50% prevalence among adults. To avoid increased morbidity and mortality in the future, young Native American adults with diabetes need vigorous therapy to maintain tight glucose control. Physical activity was not associated with HbA 1c level.Ĭonclusions We found an increasing severity of diabetes among younger people. Participants treated with insulin had the highest hemoglobin A 1c levels. According to a participant's dietary intake, HbA 1c levels were highest for those who consumed the most fat and sugar, and high consumption of fat and sugar affected HbA 1c levels most among those younger than 55 years. Participants younger than 55 years had the highest adjusted HbA 1c levels at 9.5% and those 65 years and older had the lowest levels at 7.8%. Results Age, dietary pattern, and treatment type were determinants of HbA 1c levels. We used linear regression to assess the relationship of HbA 1c level with age, body mass index (BMI), treatment type, duration of diabetes, physical activity, and diet. Methods We conducted a population-based, cross-sectional study of 206 participants with diabetes from 8 Native American communities in New Mexico. Objectives To investigate determinants of high HbA 1c levels in Native American people. Because glycemic levels are predictive of diabetes outcome, understanding determinants of high hemoglobin A 1c (HbA 1c) levels may provide targets for prevention efforts. Shared Decision Making and Communicationīackground Type 2 diabetes mellitus is a major public health issue for Native American people. ![]() Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |