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. 1990 Jun;40(335):243–247.

Asian diabetics attending a British hospital clinic: a pilot study to evaluate their care.

K Hawthorne 1
PMCID: PMC1371111  PMID: 2117948

Abstract

A questionnaire survey of 40 Asian and 31 British non-insulin dependent diabetics attending a hospital clinic showed that both groups remembered receiving education about diabetes (90%) but Asian diabetics knew less about glucose monitoring and diabetic complications. Asians also had a more negative attitude towards the clinic, feeling they were made to wait longer than the British. They were frustrated by a lack of communication with the staff. Forty per cent of both Asian and British diabetics felt that diabetes prevented them from leading a normal lifestyle. Twenty seven per cent of both Asian and British diabetics used herbal or alternative medicines, but Asians differed in that they used these medicines specifically for diabetes. A further sample of 50 Asians had poorer glycaemic control than a sample of British diabetics matched for age, sex and type of diabetes. It is concluded that despite receiving the same education as British diabetics, Asians did not understand it as well. The education was often not relevant to their diets or customs. This may contribute to their poorer glycaemic control. Diabetic clinic facilities need to be improved for Asian diabetics, to improve their understanding of diabetes.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allawi J., Rao P. V., Gilbert R., Scott G., Jarrett R. J., Keen H., Viberti G. C., Mather H. M. Microalbuminuria in non-insulin-dependent diabetes: its prevalence in Indian compared with Europid patients. Br Med J (Clin Res Ed) 1988 Feb 13;296(6620):462–464. doi: 10.1136/bmj.296.6620.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Aslam M., Davis S. S., Healy M. A. Heavy metals in some Asian medicines and cosmetics. Public Health. 1979 Sep;93(5):274–284. doi: 10.1016/s0033-3506(79)80078-5. [DOI] [PubMed] [Google Scholar]
  3. Aslam M., Stockley I. H. Interaction between curry ingredient (karela) and drug (chlorpropamide) Lancet. 1979 Mar 17;1(8116):607–607. doi: 10.1016/s0140-6736(79)91028-6. [DOI] [PubMed] [Google Scholar]
  4. Bhopal R. S. The inter-relationship of folk, traditional and Western medicine within an Asian community in Britain. Soc Sci Med. 1986;22(1):99–105. doi: 10.1016/0277-9536(86)90313-8. [DOI] [PubMed] [Google Scholar]
  5. Goodwin A. M., Keen H., Mather H. M. Ethnic minorities in British diabetic clinics: a questionnaire survey. Diabet Med. 1987 May-Jun;4(3):266–269. doi: 10.1111/j.1464-5491.1987.tb00878.x. [DOI] [PubMed] [Google Scholar]
  6. Jones R. B., Hedley A. J., Peacock I., Allison S. P., Tattersall R. B. A computer-assisted register and information system for diabetes. Methods Inf Med. 1983 Jan;22(1):4–14. [PubMed] [Google Scholar]
  7. Kronsbein P., Jörgens V., Mühlhauser I., Scholz V., Venhaus A., Berger M. Evaluation of a structured treatment and teaching programme on non-insulin-dependent diabetes. Lancet. 1988 Dec 17;2(8625):1407–1411. doi: 10.1016/s0140-6736(88)90595-8. [DOI] [PubMed] [Google Scholar]
  8. Mather H. M., Keen H. The Southall Diabetes Survey: prevalence of known diabetes in Asians and Europeans. Br Med J (Clin Res Ed) 1985 Oct 19;291(6502):1081–1084. doi: 10.1136/bmj.291.6502.1081. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. McCulloch D. K., Mitchell R. D., Ambler J., Tattersall R. B. Influence of imaginative teaching of diet on compliance and metabolic control in insulin dependent diabetes. Br Med J (Clin Res Ed) 1983 Dec 17;287(6408):1858–1861. doi: 10.1136/bmj.287.6408.1858. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Nicholl C. G., Levy J. C., Mohan V., Rao P. V., Mather H. M. Asian diabetes in Britain: a clinical profile. Diabet Med. 1986 May;3(3):257–260. doi: 10.1111/j.1464-5491.1986.tb00757.x. [DOI] [PubMed] [Google Scholar]
  11. Odugbesan O., Barnett A. H. Asian patients attending a diabetic clinic. Br Med J (Clin Res Ed) 1985 Apr 6;290(6474):1051–1052. doi: 10.1136/bmj.290.6474.1051. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Ramachandran A., Jali M. V., Mohan V., Snehalatha C., Viswanathan M. High prevalence of diabetes in an urban population in south India. BMJ. 1988 Sep 3;297(6648):587–590. doi: 10.1136/bmj.297.6648.587. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Samanta A., Campbell J. E., Spaulding D. L., Neogi S. K., Panja K. K., Burden A. C. Eating habits in Asian diabetics. Diabet Med. 1986 May;3(3):283–284. [PubMed] [Google Scholar]
  14. Simmons D., Williams D. R., Powell M. J. Prevalence of diabetes in a predominantly Asian community: preliminary findings of the Coventry diabetes study. BMJ. 1989 Jan 7;298(6665):18–21. doi: 10.1136/bmj.298.6665.18. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Singh B. M., Holland M. R., Thorn P. A. Metabolic control of diabetes in general practice clinics: comparison with a hospital clinic. Br Med J (Clin Res Ed) 1984 Sep 22;289(6447):726–728. doi: 10.1136/bmj.289.6447.726. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Sulimani R. A., Famuyiwa F. O., Laajam M. A. Diabetes mellitus and Ramadan fasting: the need for a critical appraisal. Diabet Med. 1988 Sep;5(6):589–591. doi: 10.1111/j.1464-5491.1988.tb01057.x. [DOI] [PubMed] [Google Scholar]
  17. Verma N. P., Mehta S. P., Madhu S., Mather H. M., Keen H. Prevalence of known diabetes in an urban Indian environment: the Darya Ganj diabetes survey. Br Med J (Clin Res Ed) 1986 Aug 16;293(6544):423–424. doi: 10.1136/bmj.293.6544.423. [DOI] [PMC free article] [PubMed] [Google Scholar]

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