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Review Article

Type 2 diabetes in the First Nations population: a case example of clinical practice guidelines

Submitted: 21 April 2010
Revised: 3 August 2010
Published: 14 October 2010

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Author(s) : Shubair MM, Tobin PK.

Mamdouh ShubairPamela Tobin

Citation: Shubair MM, Tobin PK.  Type 2 diabetes in the First Nations population: a case example of clinical practice guidelines. Rural and Remote Health (Internet) 2010; 10: 1505. Available: (Accessed 19 October 2017)


Context:  Type 2 diabetes (T2D) is a major public health concern and has reached epidemic proportions in the Canadian First Nation population. Reasons for this epidemic are the consequences of low socioeconomic status, and challenges to screening, primary prevention, management and access to care.
Issue:  This article presents the authors’ opinions of the healthcare needs specific to the First Nation population in Canada with respect to management of T2D.
Lessons learned:  The authors argue that the current Canadian Diabetes Association Clinical Practice Guidelines are insufficient to provide a basis for health care and funding policies related to T2D management in the First Nation population. The authors present their own recommendations in relation to funding policies and the appropriateness of services for the First Nation population.

Key words:  Canada, community-based interventions, First Nation, health promotion, knowledge exchange, participatory research, Type 2 diabetes.

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