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spacing1Review of diabetes among Indigenous peoples

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Work is currently underway to update this section with a plain language review for the Review of Diabetes among Aboriginal and Torres Strait Islander people (2016).

The following information is based on the Review of diabetes among Indigenous peoples (2008).

Early studies of Indigenous people before the adoption of Western lifestyles showed no evidence of diabetes, but the condition, particularly type 2 diabetes is now recognised as a very important health problem for Indigenous peoples across Australia. It has become very common – over three times more likely to occur than in the non-Indigenous Australian population – and the consequences can be bad, as will be shown below [1] [2] [3].
(For general information about diabetes, see Background information.)

The effect that diabetes has on Indigenous people can be measured in three main ways:

How common is diabetes among Indigenous people?

A recent major national survey, called the 2004-05 National Aboriginal and Torres Strait Islander Health Survey [4], found:

Table 1: Diabetes - percentages of people reporting diabetes/high sugar levels as a 'long-term health condition', by Indigenous status, and Indigenous:non-Indigenous ratios, Australia, 2004-2005 [4]
Age group (years)Indigenous peopleNon-Indigenous peopleRatio
15-24 1.0 0.5 2.0
25-34 4.3 0.6 7.2
35-44 10.0 2.0 5.0
45-54 20.7 4.0 5.2
55+ 32.1 11.6 2.8

How common are diabetes in pregnancy (gestational diabetes) and type 1 diabetes among Indigenous people?

Diabetes in pregnancy

There have not been many studies of diabetes in pregnancy, but one study from the Northern Territory found:

After taking account of the fact that Indigenous women tend to have babies at younger ages than non-Indigenous women, the level of gestational diabetes for Indigenous women was more than twice that of non-Indigenous women [5].

Type 1 diabetes

A study in New South Wales found that Indigenous and non-Indigenous children had similar levels of type 1 diabetes [6] [7].

How many Indigenous people go to hospital because of diabetes?

When a person goes to hospital, the main reason for doing so is written down (recorded) -- for example, it may be because of a heart attack. Often diabetes is not recorded as the main reason because it is linked to other illnesses, such as heart disease, kidney troubles, stroke, and feet problems. So the number of people who go to hospital because of their diabetes is not really known. For example, diabetes was recorded as the reason an Indigenous person had to go to hospital in only 1 in 100 admissions in 2003-04, but we know it is linked with quite a lot of illnesses that require admission [8].

Despite this, the rate of Indigenous people going to hospital for diabetes was higher than the rate for non-Indigenous people - 8 times higher for Indigenous males than non-Indigenous males, and 10 times higher for Indigenous females than for non-Indigenous females [8].

How many Indigenous people die because of diabetes?

Diabetes is the cause of many Indigenous deaths. For Indigenous people living in Qld, WA, SA and the NT in 1999-2003, diabetes caused around 1 in 12 deaths. Deaths caused by diabetes were 7.5 times more common for Indigenous males than for non-Indigenous males and deaths caused by diabetes were 10.5 times more common for Indigenous females than for non-Indigenous females. For people aged 35-54 years, Indigenous males died at a rate 21 times that of non-Indigenous males, and Indigenous females died at a rate 37 times that of non-Indigenous females. These alarming statistics show the seriousness of diabetes for Indigenous people [8].

What causes so many Indigenous people to get diabetes?

There are many reasons why Indigenous people have higher rates of type 2 and gestational diabetes than non-Indigenous people:

What are the main problems faced by Indigenous people who live with diabetes?

For Indigenous people living in the Northern Territory:

How can diabetes be looked after?

There is no way of curing diabetes, so it is important to keep it under control.

You can improve your diabetes by:

You should also visit your health clinic often, so that:

For many Indigenous people, controlling their diabetes can be hard since access to health services is far away, or they speak a different language, or do not understand the nurses/doctors (different culture). This can increase the harmful effects of diabetes on Indigenous people [34] [35].

What is being done about diabetes in Indigenous communities?

Governments have made plans and put forward ideas of how to lessen the harmful effects of diabetes among Indigenous people. Some of these include:

In view of its seriousness for Indigenous people, it appears that much more could be done to reduce and deal with diabetes.


There is no doubt that diabetes is a big health problem for many Indigenous people, especially type 2 diabetes, which is four times more likely to affect Indigenous than non-Indigenous people. Many Indigenous people die from its effects.

Diabetes is caused by the way people live their lives, so there is a lot that people can do to stop themselves from getting it, and a lot that can be done to lessen its impact if they do get it. But, as with most other areas of Indigenous health, there is not enough being done to lessen the harmful effects of this sickness among Indigenous people [33].


  1. Basedow H (1932) Diseases of the Australian Aborigines. Journal of Tropical Medicine and Hygiene; 35(12 & 13):
  2. Plomley NJB (1989) Disease among the Tasmanian Aborigines. Medical Journal of Australia; 151(December 4/18): 665-669
  3. Bastian P (1979) Coronary heart disease in tribal Aborigines: the West Kimberley Survey. Australian and New Zealand Journal of Medicine; 9(3): 284-92
  4. Australian Bureau of Statistics (2006) National Aboriginal and Torres Strait Islander Health Survey: Australia, 2004-05. Canberra: Australian Bureau of Statistics
  5. Markey P, Weeramanthri T, Guthridge S (1996) Diabetes in the Northern Territory. Darwin: Diabetes Australia, Northern Territory
  6. Verge C, Silink M, Howard N (1994) The incidence of childhood IDDM in New South Wales, Australia. Diabetes Care; 17(1): 693-696
  7. Glatthaar C, Whittall DE, Welborn TA, Gibson MJ, Brooks BH, Ryan PMM, Byrne GC (1988) Diabetes in Western Australian children: descriptive epidemiology. Medical Journal of Australia; 148(February 1): 117-123
  8. Australian Bureau of Statistics, Australian Institute of Health and Welfare (2005) The health and welfare of Australia's Aboriginal and Torres Strait Islander peoples 2005. Canberra: Australian Institute of Health and Welfare and the Australian Bureau of Statistics
  9. Braun B, Zimmerman M, Kretchmer N, Spargo R, Smith R, Gracey M (1996) Risk factors for diabetes and cardiovascular disease in young Australian Aborigines: a 5-year follow-up study. Diabetes Care; 19(5): 472-479
  10. Daniel M, O'Dea K, Rowley KG, McDermott R, Kelly S (1999) Glycated hemoglobin as an indicator of social environmental stress among indigenous versus westernized populations. Preventive Medicine; 25(5): 405-413
  11. Gracey M, Spargo R, Smith P, Smith RM, Burke V, Beilin LJ, Beilby J, Chin C (1996) Risk factors for ill health in a remote desert-dwelling Aboriginal community in Western Australia. Australian and New Zealand Journal of Medicine; 26: 171-179
  12. Guest CS, O' Dea K, Hopper JL, Nankervis AJ, Larkins RG (1992) The prevalence of glucose intolerance in Aborigines and Europids of south-eastern Australia. Diabetes Research and Clinical Practice; 15: 227-235
  13. O'Dea K (1984) Marked improvement in carbohydrate and lipid metabolism in diabetic Australian Aborigines after temporary reversion to traditional lifestyle. Diabetes; 33: 596-603
  14. O'Dea K, Patel M, Kubisch D, Hopper J, Traianedes K (1993) Obesity, diabetes and hyperlipidemia in central Australian Aboriginal community with a long history of acculturation. Diabetes Care; 16(7): 1004-1010
  15. O'Dea K (1982) The relationship between urbanisation and diabetes in Australian Aborigines. Proceedings of the Nutrition Society of Australia; 7: 30-6
  16. O'Dea K, Spargo RM, Akerman K (1980) The effect of transition from traditional to urban life-style on the insulin secretory response in Australian Aborigines. Diabetes Care; 3(1): 31-7
  17. McCarty DJ, Zimmet P, Dalton A, Segal L, Welborn TA (1996) The rise and rise of diabetes in Australia, 1996: a review of statistics, trends and costs. Canberra: Diabetes Australia
  18. Commonwealth Department of Health and Aged Care, Australian Institute of Health and Welfare (1999) National health priority areas report: diabetes mellitus. Canberra: Australian Institute of Health and Welfare
  19. Zimmet P (1992) Kelly West lecture 1991: challenges in diabetes epidemiology - from West to the rest. Diabetes Care; 15(2): 232-252
  20. Australian Institute of Health and Welfare (2002) Australia's health 2002: the eighth biennial report of the Australian Institute of Health and Welfare. Canberra: Australian Institute of Health and Welfare
  21. National Health and Medical Research Council (2000) Nutrition in Aboriginal and Torres Strait Islander peoples: an information paper. Canberra: National Health and Medical Research Council
  22. National Centre for Culture and Recreation Statistics, Australian Bureau of Statistics (2004) Aboriginal and Torres Strait Islander peoples: aspects of sport and recreation. Canberra: Australian Bureau of Statistics
  23. Knuiman MW, Welborn TA, McCann VJ, Stanton KG, Constable IJ (1986) Prevalence of diabetic complications in relation to risk factors. Diabetes; 35: 1332-1339
  24. McCann V, Knuiman M, Stanton K, Winter M (1994) Mortality and coronary heart disease in diabetes mellitus. Australian Journal of Public Health; 18: 92-95
  25. Phillips CB, Patel MS, Weeramanthri TS (1995) High mortality from renal disease and infection in Aboriginal central Australians with diabetes. Australian Journal of Public Health; 19(5): 482-486
  26. Stanton KG, McCann V, Kniuman M, Constable IJ, Welborn T (1985) Diabetes in part-Aborigines of Western Australia. Diabetologia; 28(1): 16-21
  27. Welborn T, Knuiman M, Bartholomew H, Whittall D (1995) 1989-90 National Health Survey: prevalence of self-reported diabetes in Australia. Medical Journal of Australia; 163: 129
  28. Phillips C, Patel M, Weeramanthri T, Powers J (1993) Infections and the new epidemic of diabetes: mortality among Aboriginal central Australians [abstract]. In: Tropical Medicine at the Top End. : Australasian College of Tropical Medicine:
  29. Ewald D, Hall G (2000) Trends in hospital separations of people with diabetes and those with foot complications in Central Australia, 1992 to 1997. Alice Springs: Diabetes Australia Northern Territory and Territory Health Services
  30. Ewald D, Patel M, Hall G (2001) Hospital separations indicate increasing need for prevention of diabetic foot complications in Central Australia. Australian Journal of Rural Health; 9(6): 275-279
  31. Couzos S, O'Rourke S, Metcalf S, Murray R (2003) Diabetes. In: Couzos S, Murray R, eds. Aboriginal primary health care: an evidence-based approach. 2nd ed. South Melbourne: Oxford University Press: 348-410
  32. Nutbeam D, Thomas M, Wise M (1993) National action plan: diabetes to the Year 2000 and beyond. Canberra: The Australian Diabetes Society
  33. Lee P, Rose V, Harris E, Bonney M (1999) National divisions diabetes program. Optional module 1. Part A: Aboriginal and Torres Strait Islander populations. Sydney: Centre for General Practice Integration Studies UNSW and Centre for Health Equity Training Research and Evaluation
  34. Colagiuri S, Colagiuri R, Ward J (1998) National diabetes strategy and implementation plan. Canberra: Commonwealth Department of Health and Family Services
  35. Commonwealth Department of Health and Aged Care (1999) National diabetes strategy 2000-2004. Canberra: Commonwealth of Australia
  36. Department of Health Western Australia (2002) Western Australian diabetes strategy 1999. Perth: Western Australian Government
  37. Department of Health Western Australia (2002) Western Australian diabetes strategy. Perth: Western Australian Government

© Australian Indigenous HealthInfoNet 2013 
This product, excluding the Australian Indigenous HealthInfoNet logo, artwork, and any material owned by a third party or protected by a trademark, has been released under a Creative Commons BY-NC-ND 3.0 (CC BY-NC-ND 3.0) licence. Excluded material owned by third parties may include, for example, design and layout, images obtained under licence from third parties and signatures.


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