Oct. 3, 2019 | 3:00 p.m. – 4:30 p.m.
Seeking to Improve Outcomes for Adolescents of Diverse Ethnicities Living with Undiagnosed Prediabetes and Type 2 Diabetes in Saskatchewan
Shelley Spurr, Jill Bally, Carol Bullin, and Erick McNair
Background: In Canada, the incidence of type 2 diabetes (T2D) in children and adolescents is increasing, and furthermore, certain ethnic groups are disproportionately affected by T2D1,2. In this presentation, the risk factors will be reported along with the prevalence of undiagnosed prediabetes and T2D in adolescents from diverse ethnicities including Indigenous, Filipino, and European.
Methods: A total of 396 adolescents, aged 14-19, were screened for risk factors of prediabetes and T2D.
Results: The Filipino group had a significantly higher prevalence of elevated blood glucose (46.2%, n=42), followed by the Indigenous (21.5%, n=35), and European (10.3%, n=8) groups. A significantly high number of adolescents from the European group (59%) were classified with prehypertension/hypertension, followed by the Filipino (50.5%), and the Indigenous (25.8%) groups. Based on body mass index, Indigenous adolescents (39.9%) were more likely to be overweight/obese, followed by the Filipino (37.4%), and European (34.6%) groups.
Practice Implications: The findings reported herein provide a deeper understanding of the prevalence and risk of type 2 diabetes in adolescents. The rates of elevated blood glucose is relevant to a multitude of healthcare providers, particularly nurses who are most often the first point of entry into the health system. As such, nurses are in an optimal position to consider establishing health promoting strategies and screening programs that are adapted to the realities and culture of these adolescents. This plan should be personalized taking into account financial resources, and emphasize the importance of all healthcare providers being receptive and respectful of the cultural practices of the family.
Given the finding that adolescents living in Saskatchewan have significant risk factors for type 2 diabetes, cultural practices that may contribute to childhood obesity need to be considered. Pediatric, community, and diabetes nurses, nurse educators, certified diabetes educators, and clinical nurse specialists work closely with families and adolescents and are well-positioned to better understand the cultural context associated with the experience of diabetes. These nurses have the opportunity to play a key role in the promotion of healthy lifestyles with the goal of improving health outcomes in adolescents. Due to the increased risk of developing prediabetes and type 2 diabetes, it is important that healthcare providers engage and collaborate with families to develop culturally appropriate screening and health promoting strategies.
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- Panagiotopoulos, C., Hadjiyannakis, S., Henderson, M. Type 2 Diabetes in Children and Adolescents. Canadian Journal of Diabetes 2018;42 Suppl 1:S247-S54.