Ebook Diabetes In Nunavut
This report provides an overview of Type 2 Diabetes in Nunavut for the period of 1997- 2002 as well as some supplementary information on diabetes that may be of assistance to the population health program staff.
In the past various approaches, including sample surveys have been used in order to obtain population-based estimates of the incidence and prevalence of diabetes. For this report, we have used comprehensive administrative health data to create a population-based database of cases of clinically diagnosed diabetes. There are limitations to this approach as these data rely on the diagnostic reporting of many physicians and community health nurses and clinical precision cannot be assured. It is possible that different diagnostic criteria are being used across the territory.
We are quite confident that the diabetes cases reflected in this database are Type 2 diabetes based on some validation exercises done on the data for years 1995 to 2000. Very few cases have been reported in those who are under 20 years old and although those were confirmed as Type 2, all under 20-year olds were excluded to conform to comparable reporting within the NDSS.
In Nunavut, 70% of primary care is provided by Community Health Nurses and they code differently for gestational and juvenile diabetes, however the practice may not have been consistent. Validation was possible because information on pregnancy is reported at the same time community health reporting. The validation process is described in Appendix D. No cases of juvenile diabetes were identified in this database. We have also taken into consideration the likelihood of our overestimation of incidence in the earlier years of the study and have excluded the first two years when reporting incidence rates.
CONTENTS
Acknowledgements
Foreword
Acronyms
Report Highlights
Introduction
Type 1 Diabetes
Type 2 Diabetes
Gestational Diabetes
Differences between Type 1 and Type 2 Diabetes
Diagnosis of Diabetes
Diabetes in Nunavut
Data Sources and processing
Analysis:
Case definition
Limitations of the Data:
Incidence of Diabetes in Nunavut
Prevalence of Diabetes in Nunavut
Prevalence by age and gender
Prevalence in Inuit and Non-Inuit
Prevalence by Community
Risks for Acquiring Diabetes
Overweight
Physical Inactivity
Risks for Complications of Diabetes
Smoking
Hypertension
Abnormal lipid metabolism
Future Considerations
Notes
References
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