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Research ArticleResearch

Diabetes prevalence and complication rates

In individual First Nations communities in the Sioux Lookout region of Ontario

Benjamin T.B. Chan, Sumeet K. Sodhi, Graham C. Mecredy, Terri Farrell and Janet Gordon
Canadian Family Physician August 2021; 67 (8) 601-607; DOI: https://doi.org/10.46747/cfp.6708601
Benjamin T.B. Chan
Primary care physician and Assistant Professor of global health and quality management at the Institute for Health Policy, Management and Evaluation at the University of Toronto in Ontario.
MD MPH MPA
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  • For correspondence: drben.chan@utoronto.ca
Sumeet K. Sodhi
Family physician with the University Health Network’s Toronto Western Hospital Family Health Team and Associate Professor and Academic Lead for the Indigenous Health Partners Program at the University of Toronto.
MD MPH
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Graham C. Mecredy
Staff scientist for the ICES Indigenous Portfolio in Toronto.
MSc
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Terri Farrell
Family physician and Medical Director with the Sioux Lookout First Nations Health Authority.
MB ChB DCH CCFP
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Janet Gordon
Chief Operating Officer with the Sioux Lookout First Nations Health Authority and a current member of Lac Seul First Nation.
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    Figure 1.

    Prevalence and incidence of diabetes and incidence of diabetes complications among First Nations communities in the Sioux Lookout region of Ontario

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    Figure 2.

    Diabetes prevalence in Sioux Lookout First Nations communities, 2015-2016

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    Figure 3.

    Incidence of diabetes complications by community

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    Table 1.

    List of rural communities in Ontario’s Sioux Lookout region

    COMMUNITYPOPULATION IN 2015-2016
    Bearskin407
    Cat Lake591
    Deer Lake924
    Eabametoong1126
    Eagle Lake241
    Fort Severn390
    Kasabonika1018
    Keewaywin402
    Kingfisher Lake489
    Kitchenuhmaykoosib Inninuwug1086
    Lac Seul1054
    McDowell LakeNR
    Mishkeegogamang803
    Muskrat Dam279
    Neskatanga249
    Nibinamik356
    North Spirit Lake333
    Pikangikum2626
    Poplar Hill574
    Sachigo513
    Sandy Lake/Koocheching2403
    Saugeen39
    Slate Falls234
    WabauskangNR
    Wabigoon Lake35
    Wapekeka270
    WawakapewinNR
    Weagamow850
    Webequie671
    Wunnumin570
    Total18 542*
    • NR—not reported, as population was < 6.

    • ↵* Includes the 3 communities for which data are not reported.

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    Table 2.

    Incidence and prevalence of diabetes and complications, 2015-2016

    INDICATORVALUE (95% CI), %
    Prevalence of diabetes12.9 (12.4-13.4)
    Incidence of diabetes1.0 (0.9-1.1)
    Prevalence of dialysis among patients with diabetes0.7 (0.4-1.0)
    Death rate among patients with diabetes1.3 (0.8-1.8)
    Incidence of complications among patients with diabetes
    • Surgery for leg circulation problem (eg, amputation)0.8 (0.4-1.2)
    • Heart attack1.4 (0.9-1.9)
    • Stroke1.6 (1.1-2.1)
    • Diabetic retinopathy requiring surgery1.5 (1.0-2.0)
    • Hospital admission for diabetes0.6 (0.3-0.9)
    • Any incident complication5.4 (4.5-6.3)
    • View popup
    Table 3.

    Minimum size of community needed to detect a statistically significant difference from the Sioux Lookout average for incidence of complications

    TIME PERIODDIFFERENCE FROM AVERAGE, %MINIMUM NO. OF PATIENTS WITH DIABETES IN COMMUNITYESTIMATED MINIMUM SIZE OF COMMUNITY*
    1 y20400031 000
    309707500
    404703700
    5 y207205600
    302802200
    401501200
    • ↵* Based on assumption that diabetes prevalence is 12.9%, as measured in 2015-2016.

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Canadian Family Physician: 67 (8)
Canadian Family Physician
Vol. 67, Issue 8
1 Aug 2021
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Diabetes prevalence and complication rates
Benjamin T.B. Chan, Sumeet K. Sodhi, Graham C. Mecredy, Terri Farrell, Janet Gordon
Canadian Family Physician Aug 2021, 67 (8) 601-607; DOI: 10.46747/cfp.6708601

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Diabetes prevalence and complication rates
Benjamin T.B. Chan, Sumeet K. Sodhi, Graham C. Mecredy, Terri Farrell, Janet Gordon
Canadian Family Physician Aug 2021, 67 (8) 601-607; DOI: 10.46747/cfp.6708601
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