Diabetes in American Indians: An overview

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Abstract
Objective— To review the growth of diabetes as a major health problem for American Indians and Alaska Natives. Research Design and Methods— Pertinent studies of diabetes in Indians previously published are reviewed and compared with current data. Results— Although diabetes rates may vary among different Indian tribes, diabetes has become a widespread health problem. Conclusions— Our understanding of the natural history of diabetes among Indians has improved, but better strategies to prevent complications and ultimately to prevent diabetes are urgently needed in Indian communities.

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