Health

Diabetes at crisis levels in Australia

Diabetes, a preventable disease, affects up to 30% of Aboriginal people. It is caused by economic and social factors.

Experts talk of Generation Y becoming a “Generation D”.

Selected statistics

3m
Number of Australians expected to be affected by Type 2 diabetes in 2025 [10].
3%
Increase of Type 1 diabetes in Australia per year [10].
275
Number of Australians diagnosed with diabetes every day [10].
7
Age-standardised death rate for diabetes for Aboriginal Australians compared with non-Aboriginal Australians [12].
20
Years Aboriginal people develop diabetes earlier than non-Aboriginal people [12].

Diabetes is “out of control” in Aboriginal communities

A preventable and manageable disease, diabetes is “out of control” in Aboriginal communities [1] with some experts fearing the disease could “wipe out” the Aboriginal population across the world by the end of the century.

In the 1980s less than 0.5% of the Aboriginal population had diabetes [2]. 30 years later almost 30% of adults in Aboriginal communities have type-2 diabetes [1, 3]. Diabetes is twice as common among Aboriginal people living in remote areas [12].

A survey by the Australian Bureau of Statistics in 2012/13 found that the older Aboriginal Australians get the more likely they are to have diabetes [12]. Only around 3% of 25 to 34-year-olds have the disease, but three times as many in the 35-44 years age bracket, almost 18% of the 45 to 54-year-olds and more than 34% of those 55 years and over.

There are no exact figures on how many Aboriginal people are affected by diabetes so that estimates vary widely from 2 to 10 times higher numbers than among other Australians [4, 5]. The largest dialysis unit in the southern hemisphere is not in an Australian capital city, but in Alice Springs, nearly a fifth of whose 27,000 inhabitants are Aboriginal.

Diabetes complicates 20% of all pregnancies in Alice Springs [3]. Aboriginal leaders and health experts fear that the town will soon have the highest rate of diabetes anywhere in the world.

The death rate from diabetes for Aboriginal people is 17 times higher than for non-Aboriginal people [6, 7], and diabetes begins at an earlier age [1, 7].  In 2012, diabetes was the second leading cause of death for Aboriginal and Torres Strait Islander people [12].

Diabetic retinopathy (non-inflammatory damage to the retina of the eye) is one of the leading preventable causes of blindness in Aboriginal Australians [2].

Diabetes can lead to cardiovascular disease, end-stage kidney disease, loss of vision, limb amputation and death.

While diabetes is increasing across Australia’s entire population, Aboriginal people are more likely to contract the disease because of economic and social factors such as dispossession, lack of access to fresh food, insufficient primary health care services and lower education.

In some communities many Aboriginal people have lost limbs to the disease.

Worldwide it is expected to affect close to 500 million people in 2030 and be the world’s fourth leading cause of death behind cancer, heart disease and infectious diseases [5].

For every person that is diagnosed with Type 2 diabetes, there is a person that remains undiagnosed.—Cathy Freeman, retired Aboriginal athlete and type 2 diabetes sufferer during pregnancy [9]

Aunty Mary’s story

Aunty Mary, 54, a Bundjalong woman from Taree was diagnosed with diabetes in 1986. In 2012, she was declared legally blind.

The grateful patients

Don Palmer is CEO of the Malpa Project which aims to close the gap in Aboriginal health. He remembers a story in the dialysis unit in Alice Springs [11].

“Late one night at the Flynn Drive Dialysis Unit I was talking with some Indian renal nurses.They mentioned that the patients had given them, ‘pet’ names, which they thought was sweet.

In fact the patients, so profoundly grateful to the nurses for their care had given them ‘skin’ names – Nampitjinpa, Napaltjarri, Nangala – names which reach out and embrace the stranger into the family of the Warlpiri and the Pintupi.

What more wonderful gift can be offered.

And no-one in the health service had given any cultural training for the staff so they could feel the generosity of this sweet gift of inclusiveness.”

How to prevent diabetes?

A few simple things can reduce the risk of developing Type 2 diabetes.

  • Lose weight if you are overweight. As little as 3 to 5% of your weight can make a difference.
  • Monitor blood pressure and blood glucose level.
  • Monitor cholesterol levels.
  • Exercise.
  • Eat fruits and vegetables.

My problem now is sugar diabetes and blood pressure. I don't have sugar in my tea. I've had this problem for a long time, since I've been in Onslow [town in WA]. When I was out in the bush I didn't have it. There are a lot of women here with this sort of problem, like me, and they get it when they come to live in town.—Judy July, Aboriginal woman [8]

Read more about diabetes on the site of the Australian Institute of Health and Welfare (AIHW).

Footnotes

View article sources (12)

[1] 'Diabetes threatens Aborigine extinction', SMH 14/11/2006
[2] 'Saving gentle eyes', Koori Mail 487 p.53
[3] 'Diabetes crisis is forum target', Koori Mail 473 p.14
[4] 'Sugar Mob targets diabetes', Koori Mail 476 p.48
[5] '500 million to develop the disease', Koori Mail 489 p.17
[6] 'Program helps people take control of diabetes', Koori Mail 415 p.57
[7] 'Diabetes campaign on the airwaves', Koori Mail 505 p.71
[8] 'Karijini Mirlimirli', Noel Olive, Fremantle Arts Centre Press 1997 p.34
[9] 'She's out to beat diabetes', Koori Mail 515 p.3
[10] 'Fresh fears on diabetes', Koori Mail 522 p.50
[11] 'Not bleeding hearts, just the bleeding obvious', Don Palmer, inaugural Sydney University Red Cross Society Lecture, 16/8/2011
[12] '4727.0.55.003 - Australian Aboriginal and Torres Strait Islander Health Survey: Biomedical Results, 2012-13', Australian Bureau of Statistics 26/09/2014

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www.CreativeSpirits.info,
Aboriginal culture - Health - Diabetes at crisis levels in Australia, retrieved 25 September 2017