Gohdes D, Schraer C, Rith-Najarian S
IHS Diabetes Program, Albuquerque, NM 87110, USA.
Diabetes Res Clin Pract. 1996 Oct;34 Suppl:S95-100.
American Indians and Alaska Natives have experienced rapidly increasing rates of non-insulin-dependent diabetes (NIDDM). To address this epidemic Indian Health Service (IHS) and tribal communities have developed primary, second and tertiary intervention strategies. The scientific basis for secondary and tertiary prevention supports well-defined care practices, and the surveillance of the implementation of these practices and their impact on metabolic and hypertension control is now standard. Community interventions for the primary prevention of diabetes are underway and reflect the priorities of individual communities.
美国印第安人和阿拉斯加原住民的非胰岛素依赖型糖尿病（NIDDM）发病率迅速上升。为应对这一流行病，印第安卫生服务局（IHS）和部落社区制定了一级、二级和三级干预策略。二级和三级预防的科学依据支持明确的护理实践，对这些实践的实施及其对代谢和高血压控制的影响进行监测现已成为标准做法。针对糖尿病一级预防的社区干预正在进行，并反映了各个社区的优先事项。
