Diabetes Care and Management in Indigenous Populations in Canada

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November 1, 2017 DRAFT - NOT FOR CIRCULATION Background Report Diabetes care and management in Indigenous populations in Canada A pan-Canadian policy roundtable November 1, 2017 This background report was prepared for the roundtable hosted by the IHE, to provide a snapshot of the burden of disease and an overview of the costs of diabetes in Indigenous populations in Canada. [...] Although we aim to describe the burden and economic costs of diabetes in all Indigenous populations in Canada, there is a notable absence of published research on diabetes in Métis and Inuit populations. [...] Disease burden In Canada, diabetes effects approximately 6.9% (95% confidence interval [CI]: 6.5-7.2%) of the population,6 and has been projected to effect 11.4% of Canadians by 2025.7 However, in Diabetes care and management in Indigenous populations in Canada A pan-Canadian policy roundtable | November 1, 2017 1 DRAFT - NOT FOR CIRCULATION comparison to the non-Indigenous Canadian population, In [...] Furthermore, health data for non-Status Indigenous peoples and Métis are not commonly available, and Aboriginal identifiers are rarely included in administrative databases.1 In studies of individual communities, recent estimates of the prevalence of diabetes in First Nations range from 13.5%11 to 29%,12 or 2.2511 to 3.513 times higher than in the non- Indigenous population, with variation between [...] In two recent studies of First Nations people in Alberta, the risk of Diabetes care and management in Indigenous populations in Canada A pan-Canadian policy roundtable | November 1, 2017 3 DRAFT - NOT FOR CIRCULATION developing diabetes was estimated to be between 60%19 and 72%11 higher in First Nations people than in non-Indigenous patients.