Brassard P, Robinson E, Dumont C
Department of Community Health, Montreal General Hospital.
Arctic Med Res. 1993 Apr;52(2):47-54.
In July 1989, 230 non-insulin-dependent subjects were identified in the James Bay Cree population through medical chart review of physician diagnosed diabetes mellitus cases. Data extracted from the medical files included type and rate of complications, life-style, anthropomorphic and metabolic descriptors as well as clinical care practices. Mean age at diagnosis was 48.3 years and mean duration of illness at time of study was 60.4 months. Furthermore, 77.3% were overweight and 65.4% obese. Microvascular disease (diabetic nephropathy or retinopathy) was the most frequent group of complications (19.6%). Moreover, 76.4% of the Cree diabetics showed poor glycemic control. Diet combined with oral hypoglycemic medication was the current treatment of choice. A medical practice profile was produced in order to provide a comparison basis with recommended baseline care. Diabetes is becoming a major illness in the native population of Canada. Health promotion strategies are of some urgency in order to contribute to the control of diabetes.
1989年7月，通过对医生诊断的糖尿病病例进行病历审查，在詹姆斯湾克里族人群中确定了230名非胰岛素依赖型受试者。从医疗档案中提取的数据包括并发症的类型和发生率、生活方式、人体测量和代谢指标以及临床护理实践。诊断时的平均年龄为48.3岁，研究时的平均病程为60.4个月。此外，77.3%的人超重，65.4%的人肥胖。微血管疾病（糖尿病肾病或视网膜病变）是最常见的并发症类型（19.6%）。此外，76.4%的克里族糖尿病患者血糖控制不佳。饮食结合口服降糖药是目前的首选治疗方法。生成了一份医疗实践概况，以便与推荐的基线护理进行比较。糖尿病正成为加拿大原住民中的一种主要疾病。为了有助于控制糖尿病，健康促进策略已刻不容缓。
