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Postgrad Med J 2005;81:734-740 doi:10.1136/pgmj.2004.028274
  • Review

Diabetes in African Americans

  1. M C Marshall, Jr
  1. Correspondence to:
 Dr M C Marshall
 The Endocrine Institute, 21 Seymour Place, White Plains, New York 10605, USA; mmarshall{at}endocrineinstitute.com
  • Received 31 August 2004
  • Accepted 10 March 2005

Abstract

African Americans have a high risk for type 2 diabetes. Genetic traits, the prevalence of obesity, and insulin resistance all contribute to the risk of diabetes in the African American community. African Americans have a high rate of diabetic complications, because of poor glycaemic control and racial disparities in health care in the USA. African Americans with diabetes may have an atypical presentation that simulates type 1 diabetes, but then their subsequent clinical course is typical of type 2 diabetes. Culturally sensitive strategies, structured disease management protocols, and the assistance of nurses, diabetic educators, and other health care professionals are effective in improving the outcome of diabetes in the African American community.

Footnotes

  • Funding: none.

  • Conflicts of interest: none declared.

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