Authors' recommendations: Findings from systematic reviews and meta-analyses showed that targeted interventions that focused on culturally tailored diabetes education lead to more diabetes knowledge and better glycemic control than usual care in short and medium term. The intervention is most beneficial at 6 months follow up, when it is given at clinic- or hospital-based education centers or to patients with lower HbA1c levels. The majority of trials included in the systematic reviews are on African Americans, Hispanic Americans and Asians. Findings on different ethnic minorities such as First Nations are lacking. There were no studies or guidelines found on the optimal blood glucose monitoring frequency for indigenous populations with type 2 diabetes. The Canadian Diabetes Association recommended the use of culturally appropriate prevention and management programs for children and adults in Aboriginal communities, with respect to specific risk factors, particular language and cultural beliefs, and geographic issues.

Project Status: Completed

Year Published: 2014

URL for published report: http://www.cadth.ca/media/pdf/htis/apr-2014/RC0523%20Diabetes%20care%20for%20disadvantaged%20populations%20Final.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Canada

Organisation Name: Canadian Agency for Drugs and Technologies in Health

Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;

Contact Name: requests@cadth.ca

Contact Email: requests@cadth.ca

Copyright: Canadian Agency for Drugs and Technologies in Health (CADTH)