In most American Indian tribes the frequency of diabetes mellitus is much > among the non-Indians, and surveillance of health records has shown that many types of illnesses occur more often in the diabetics than in the nondiabetics. Standards, or guidelines, have been developed for diabetes detection and treatment for purposes of limiting diabetes diagnoses to persons with high probabilities of having the disease and concentrating diabetes case finding among high-risk groups or individuals. The guidelines emphasize that early diagnosis and careful management of diabetic pregnancies can decrease rates of macrosomia, congenital malforamtions, spontaneous abortion, stillbirth, and neonatal death. Diabetes management is based on staging criteria and requires trained paramedical workers in many aspects of management of asymptomatic diabetics, while the physicians concentrate more extensively on diabetes with symptoms and remediable complications.
Skip Nav Destination
Brief Notes and Comments| June 01 1976
Diabetes Mellitus in American Indians—Standards for Diagnosis and Management
- Views Icon Views
- Share Icon Share
Maurice L Sievers; Diabetes Mellitus in American Indians—Standards for Diagnosis and Management. Diabetes 1 June 1976; 25 (6): 528–531. https://doi.org/10.2337/diab.25.6.528
Download citation file: