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allied
academies
Nov 22-23, 2018 | Paris, France
Joint Event
Nutrition and Health
16
th
International Conference on
26
th
International Conference on
Diabetes and Endocrinology
&
Journal of Insights in Nutrition and Metabolism | Volume 2
Rekha Annie Prasad
Sir Charles Gardiner Hospital, Australia
Statistics, risk factors, barriers and intervention to the management of type 2 diabetes
mellitus in Australian aboriginal population
A
boriginal population in Australia are 4 times more prone
to develop diabetes as compared to the non-indigenous
population with a hospitalization rate of 4.2 aboriginal versus
1.7 in non-indigenous population. Diabetes deaths increases
with remoteness, social isolation, low socio-economic status
and low literacy level. The risk factors being difficulty of access
to health services, poor socio-economic status, smoking, poor
dietary choices. The population is also medically unaware of
the consequences of the disease, therefore impacting on the
management and its subsequent results. The aspect of daily
stress, emotional, environmental, mental aspects along with
spiritual outlook have a serious impact on an individual’s family
and community. I will be discussing about the challenges as a
clinician in educating the subset of the population about the
food choices, calorie intake, physical activity, importance of
checking blood sugars, preventive medicine and early detection
of the impact of the disease which play a major impact in the
management of this population. We will also be touch upon
the mode of empowering the patient in terms of taking charge
of their life and their diabetes. The pharmacological and non-
pharmacological intervention for this subset will also forma part
of my talk. Telemedicine with general physician and specialist
consultation plays a significant role in managing and reducing
a barrier towards access to medical care. Finally, a quick update
about new insights with regards to Aboriginal Genetics and
Disease Association. The genetic association of an absence of
APOL1 risk alleles in remote Australian aboriginal group with
high risk of diabetes and cardio vascular diseases. Secondly, high
base line levels of tumour necrosis factor receptor 1 leading to
worsening of kidney disease in Aboriginal Australians. Thirdly,
arylsulphatase A pseudeficiency, type 2 diabetes, hypertension,
chronic renal disease. This is associated with pleotropic effects
of sulfatides on metabolic function. This could be an avenue for
therapeutic intervention.
Speaker Biography
RekhaAnniePrasad isaconsultantphysicianatatertiaryhospitalandalsoworksatother
sites. She has been a clinician in Australia for the past 18 years with varied experience,
remoteandinurbanareas.Shehasherspecialityinterestsasacutemedicine,pre-andperi
operative medicine, obstetric medicine. She is passionate about diabetes management
and chronic disease management especially in aboriginal population. She is involved in
teaching under graduate students for Notre Dame University and University of Western
Australia. She is also a mentor for post graduate students taking their fellowship exams.
She is on the safety and medication committee of Sir Charles Gardiner Hospital. She
is also a panel member of undiagnosed disease panel in WA. She also practices tele-
medicine for remote communities dealing with chronic diseases especially diabetes.
e:
repaul05@yahoo.com