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Crossing the cultural barriers to diabetes

Crossing the cultural barriers to diabetes. Dr Lubna Kerr Pharmacist NHS Lothian. Current education for diabetics. Hospital Community Only in English What happens if you don’t speak English?. What are the barriers to social inclusion?. Language,culture,religion Lack of procedures

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Crossing the cultural barriers to diabetes

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  1. Crossing the cultural barriers to diabetes Dr Lubna Kerr Pharmacist NHS Lothian

  2. Current education for diabetics • Hospital • Community • Only in English • What happens if you don’t speak English?

  3. What are the barriers to social inclusion? • Language,culture,religion • Lack of procedures • Perceived discrimination/racism

  4. Prevalence of Type 2 Diabetes in Ethnic Minorities • 4-6 times in South Asians • 10 years earlier • Poor knowledge levels

  5. Risk Factors for minority ethnic patients • Migration • Disadvantaged socioeconomic status • Poor diet • Abnormal lipids • Lack of exercise • Threshold parameters too high

  6. Aim • To develop, deliver and evaluate the impact of a culturally sensitive education on the diabetic control and knowledge of type 2 diabetics of South Asian origin

  7. Objectives • To develop a questionnaire • To conduct a medication review • To provide opportunities/advice for healthier living lifestyle

  8. Breakingnew ground • Questionnaires/education delivered • Medication review • Cookery classes • Exercise classes

  9. Conclusions • Diabetic education programme essential • Lifestyle changes can improve diabetic control • Advice must be culturally sensitive

  10. Current diabetes service in Lothian • Culturally and linguistically sensitive education • Qualitative questionnaire and medication review • Exercise classes • Cookery classes

  11. The diabetes service • CVR clinic • 3 in 1 clinic • Referral form for all ethnic minorities

  12. Dawn Global Award • Spread to other ethnic minority communities • Spread to other parts of Scotland • Wider communities

  13. Indian lady (13/10/35) Moved from Singapore to live with daughter BMI 26.2; BP 140/80; HbA1c 8 chol 5 Gliclazide 80mg am Atenolol 50mg am, Enalapril 10 mg bd, Metformin 850mg bd

  14. Multi-professional team work Healthy mind healthy body Reaching out Know your patient behind the disease Patient focused Process Culturally sensitive Education and empowerment

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