Trial

2. This video gives a good photographic look at type 2 diabetes, it
also has some interesting facts midway through.
 http://www.youtube.com/watch?v=BzG4dAg
ZA8c&feature=player_detailpage
Diabetes in ethnic groups is a real concern throughout the world.
In NZ we have a diverse range of cultures and through
understanding that certain groups may be at higher risk this may
help us as professionals to target these groups and aim to improve
these worrying statistics.

3.  The prevalence of diabetes for Pacific Islanders
and Maori is 3x higher than other New Zealanders.
 South Asian populations are also showing to have
a higher prevalence. (MOH, 2011).
 In the 2006 census 67.6% of the population
comprised of Europeans.
 Maori and indigenous people made up 14.6%
 Pacific Islanders (Samoan, Tongan, Niuean, and
Cook Islands) made up 6.9%
 Asian 9.2% With the large proportion of these
being the Chinese and Indian groups.
(Agban, Elley, Kenealy & Robinson, 2011).

4. (Agban, Elley, Kenealy & Robinson, 2011) looked at how with close
monitoring ethnic groups with structured reviews of HbA1c showed a
general decrease to those with a % greater than 8mmol.
Blood pressure and cholesterol also improved. This was through the
introduction of statins and anti-hypertensives these were introduced
when BP or lipids were outside the target guidelines.
Ethnic groups overall showed to have the worst figures, but also showed the
most improvement with health professional input.
There was also a decreased risk in cardiovascular disease once annual
diabetes reviews had been implemented. All reviews were done at a
primary care level.
Compared to Europeans, Maori and Pacific people who had type 2 diabetes
are younger at diagnosis, are more likely to smoke, to be obese, and to
have poor glycaemic control.

5. EDUCATIONAL
 Understanding culture, and finding ways in which to
provide a service that will target this group.
 Contacting local
 Recognising that we all have different ways of learning.
PSYCOSOCIAL
 What are their hours of work, are they a shift worker, may
not want the whanau/Family to know that they have a
problem. Afraid of change, may not have the time or energy
to seek help, may not have the financial means or unsure of
who to contact. May be in denial, may not know how to
cook, or what types of foods are good/healthy. Living
conditions could impact. Could be stressed and not coping.

6.  Accessibility, affordability and if its acceptable
for their need.
 Culture, may not feel comfortable.
 Financial
 Stressed or embarrassed
 Language barrier
 They don’t care

7. Diabetes expo at a Marae or local church.
The expo can have many different areas show casing:
 What is diabetes and who to contact
 Some healthy food to try with simple recipes and a
cooking show.
 Exercise and local groups they could access or
ideas of how to increase physical output.
 Ideas on how to improve lifestyle.
 How to use insulin, pens, cartridge change
stations, BSL testing station, BP station.
 Or a pamphlet or brochure that could be circulated
to target groups.

8. Agban, H., Elley, C. R., Elley, Kenealy, T., &
Robinson. E. (2011). Trends in the management of
risk of diabetes complications. Retrieved October
21, 2011 from
http://www.diabetes.org.nz/news/nz_news/
trends_in_the_management_of_risk_of_diabete
s_complications
Ministry of Health. (2011). Diabetes in New
Zealand. Retrieved October 19, 2011, from
http://www.moh.govt.nz/diabetes