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Diabetes and cardiovascular diseases In Australia



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National Diabetes Strategy

Press Release I

Diabetes and cardiovascular disease in Australia

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On June 3 1998 Minister 'or Health and Family Services, the Hon Dr Michael Wooldridge will launch Australia's National Diabetes Strategy and Implementation Plan.

Diabetes is a significant and growing global health problem. It affects over 4% of the Australian population, at lean: 10% of older people, up to 30% of some Aboriginal communities, and has a high prevalence in people from the Pacific Islands, the Middle East, Southern Europe and some Asian countries. Diabetes causes a substantial burden of illness and premature mortality and is among the major causes of death. In Australia it is;

• the second most common reason for commencing renal dialysis; • the most common form of blindness in people aged less than 60 years; • the most common cause of blindness in people aged less than 60 years; • the most common form of non-traumatic amputation;

• one of the most chronic disease in children.

Cardiovascular disease (CVD) is the most common cause of mortality in people with diabetes accounting for approximately 65% of deaths. In addition:

• 14.9% of people with diabetes have diagnosed heart disease compared to 2.5% of people without diabetes.

• 4.1% of people with diabetes have had a stroke compared with 0-5% of people without diabetes.

• The age-adjusted relative risk for CVD is 2 to 3 times higher for diabetic than for non-diabetic people.

• The relative risk for CVD is higher in women with diabetes than for men with diabetes.

• CVD develops at a younger age in people with diabetes.

• People with diabetes have a worse outcome Than non-diabetic people after a CVD event (myocardial infarction or stroke).

• Risk factors for CVD including smoking, hypertension, high lipids and obesity.

• Primary prevention of CVD should be a priority in all people with diabetes and should include annual assessment lor CVD risk factors and interventions to optimise diabetes control, stop smoking, treating hypertension, weight management, treating dyslipidaexma and education on risk factor reduction. •

• CVD accounts for ap proximately half of the total costs of diabetes.

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• Developing non-invaf ive blood glucose monitoring technology; • Improving monitoring to detect and prevent severe hypoglycaemla.

The National Diabetes Strategy and Implementation Plan presents a population focussed, evidence- based rationale and short and long-term plans for reducing the personal and public burden of diabetes in Australia to the year 2C10,

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