PDF(Pubmed)
Abstract：
BACKGROUND: Early detection and prevention of type 2 diabetes and its complications are global health priorities. Optimal outcomes depend on individual awareness and proactive self-management of health risks. This study evaluates the effectiveness of a community-based diabetes detection and intervention program in a high-risk area in western Sydney, Australia.
METHODS: We collaborated with the Workers Lifestyle Group, Tamil Association Arts and Culture Association, and the National Aboriginal and Islanders Day Observance Committee to implement our program. Participants underwent HbA1C testing via point-of-care blood spot testing. They received personalized feedback, education on diabetes management, and were offered opportunities to enrol in lifestyle modification programs. Participants identified with pre-diabetes (HbA1C 5.7-6.4%) or diabetes (HbA1C > 6.4%) were advised to consult their General Practitioners (GPs). A follow-up questionnaire was distributed 3-8 months post-intervention to evaluate the programs usefulness and relevance and lifestyle changes implemented by the participants.
RESULTS: Over eight months, 510 individuals participated. Of these, 19% had an HbA1C > 6.4%, and 38% had levels between 5.7 and 6.4%. Among those with diabetes, HbA1C levels ranged as follows: 56% <7%; 20% 7-7.9%; 18% 8-8.9%; and 5% >9%. Post intervention survey indicated that the program was well-received, with 62.5% of responses reporting lifestyle changes and 36.3% seeking further advice from their local healthcare providers.
CONCLUSIONS: The study demonstrates a significant prevalence of pre-diabetes and diabetes in the community, similar to findings from larger-scale hospital and general practice studies. Point-of-care testing combined with personalized education effectively motivated participants toward healthier lifestyle choices and medical consultations. The paper discusses the scalability of this approach for broader population.
METHODS: We collaborated with the Workers Lifestyle Group, Tamil Association Arts and Culture Association, and the National Aboriginal and Islanders Day Observance Committee to implement our program. Participants underwent HbA1C testing via point-of-care blood spot testing. They received personalized feedback, education on diabetes management, and were offered opportunities to enrol in lifestyle modification programs. Participants identified with pre-diabetes (HbA1C 5.7-6.4%) or diabetes (HbA1C > 6.4%) were advised to consult their General Practitioners (GPs). A follow-up questionnaire was distributed 3-8 months post-intervention to evaluate the programs usefulness and relevance and lifestyle changes implemented by the participants.
RESULTS: Over eight months, 510 individuals participated. Of these, 19% had an HbA1C > 6.4%, and 38% had levels between 5.7 and 6.4%. Among those with diabetes, HbA1C levels ranged as follows: 56% <7%; 20% 7-7.9%; 18% 8-8.9%; and 5% >9%. Post intervention survey indicated that the program was well-received, with 62.5% of responses reporting lifestyle changes and 36.3% seeking further advice from their local healthcare providers.
CONCLUSIONS: The study demonstrates a significant prevalence of pre-diabetes and diabetes in the community, similar to findings from larger-scale hospital and general practice studies. Point-of-care testing combined with personalized education effectively motivated participants toward healthier lifestyle choices and medical consultations. The paper discusses the scalability of this approach for broader population.
摘要：
背景：早期发现和预防2型糖尿病及其并发症是全球卫生重点。最佳结果取决于个人对健康风险的认识和积极的自我管理。这项研究评估了悉尼西部高风险地区基于社区的糖尿病检测和干预计划的有效性，澳大利亚。
方法：我们与工人生活方式小组合作，泰米尔艺术与文化协会，和全国土著和岛民日纪念委员会来执行我们的计划。参与者通过即时血斑检测进行HbA1C检测。他们收到了个性化的反馈,糖尿病管理教育，并提供了参加生活方式改变计划的机会。建议患有糖尿病前期（HbA1C5.7-6.4%）或糖尿病（HbA1C>6.4%）的参与者咨询他们的全科医生（GP）。干预后3-8个月分发了随访问卷，以评估参与者实施的计划有用性和相关性以及生活方式的改变。
结果：超过八个月，510人参与。其中,19%的人HbA1C>6.4%，38%的水平在5.7%至6.4%之间。在糖尿病患者中，HbA1C水平范围如下:56%<7%;20%7-7.9%;18%8-8.9%;和5%>9%。干预后调查表明，该计划很受欢迎，62.5%的回复报告生活方式改变，36.3%的回复寻求当地医疗保健提供者的进一步建议。
结论：该研究表明，社区中糖尿病前期和糖尿病的患病率很高，与大规模医院和全科医学研究的结果相似。即时测试与个性化教育相结合，有效地激励参与者选择更健康的生活方式和医疗咨询。本文讨论了这种方法对更广泛人群的可扩展性。
方法：我们与工人生活方式小组合作，泰米尔艺术与文化协会，和全国土著和岛民日纪念委员会来执行我们的计划。参与者通过即时血斑检测进行HbA1C检测。他们收到了个性化的反馈,糖尿病管理教育，并提供了参加生活方式改变计划的机会。建议患有糖尿病前期（HbA1C5.7-6.4%）或糖尿病（HbA1C>6.4%）的参与者咨询他们的全科医生（GP）。干预后3-8个月分发了随访问卷，以评估参与者实施的计划有用性和相关性以及生活方式的改变。
结果：超过八个月，510人参与。其中,19%的人HbA1C>6.4%，38%的水平在5.7%至6.4%之间。在糖尿病患者中，HbA1C水平范围如下:56%<7%;20%7-7.9%;18%8-8.9%;和5%>9%。干预后调查表明，该计划很受欢迎，62.5%的回复报告生活方式改变，36.3%的回复寻求当地医疗保健提供者的进一步建议。
结论：该研究表明，社区中糖尿病前期和糖尿病的患病率很高，与大规模医院和全科医学研究的结果相似。即时测试与个性化教育相结合，有效地激励参与者选择更健康的生活方式和医疗咨询。本文讨论了这种方法对更广泛人群的可扩展性。
