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Perspective

Managing diabetes in CALD communities

Shailja Tewari, Shanshan Shannon Lin

Figures

© BURGER/PHANIE/SPL MODELS USED FOR ILLUSTRATIVE PURPOSES ONLY
© BURGER/PHANIE/SPL MODELS USED FOR ILLUSTRATIVE PURPOSES ONLY

Abstract

Culturally and linguistically diverse communities have a greater prevalence of diabetes and poorer outcomes than the Australian-born population. Managing diabetes in this  group of patients can be challenging due to multiple barriers involving both the patient and the healthcare professional.

Key Points

  • In culturally and linguistically diverse (CALD) communities there is a greater prevalence of type 2 diabetes, occurring at a younger age and with poorer outcomes.
  • GPs should familiarise themselves with the risk factors and prevalence of diabetes and particular challenges in various ethnic groups to guide screening and management.
  • Allocation of adequate time with the aim to address two to three key issues at each appointment is optimal in the CALD patient consultation.
  • Cultural humility and diversity awareness is a goal for all healthcare professionals in assisting CALD patients.
  • Involving bilingual and multicultural staff and the effective use of medical interpreters aids patient compliance.
  • Culturally tailored programs and strategies, with acceptability to the target group, is an important step in health equity in CALD populations.
  • The use of community leaders in diabetes education programs help enforce positive exercise and dietary behaviours and assist with de-stigmatisation.

Figures

© BURGER/PHANIE/SPL MODELS USED FOR ILLUSTRATIVE PURPOSES ONLY
© BURGER/PHANIE/SPL MODELS USED FOR ILLUSTRATIVE PURPOSES ONLY