Māori Health Services at Tauranga and Whakatāne hospitals delivers health initiatives under the philosophy of Tangata Whenua Realities, Ngā Pou Mana o Io. The health model of Mana Atua, Mana Tūpuna, Mana Whenua, Mana Tangata, operates alongside clinical and rehabilitation services, Mental Health & Addiction Services and Regional Community Services.
Overall, all five potential app features were considered useful, with more than 60% of responders selecting that these features were useful, very useful, or extremely useful on the scale of scale 1 (not at all useful) to 5 (extremely useful). Equally, the mean usefulness score was higher than 3 for all 5 features. Blood glucose and carbohydrate intake diaries were rated as being the most useful app feature (Figure 1), with the highest mean score of 3.64 (SD 0.948) for usefulness (Table 7).
New Zealand Europeans had a significantly higher incidence rate than Non-Europeans, which is consistent with other studies , . There was a marked decrease in the proportion of Europeans in Auckland over the study period, so that the increase in type 1 diabetes incidence was not due to a shift in ethnic distribution. Furthermore, the incidence has been increasing in both Europeans and non-Europeans. A number of studies have shown that immigrant groups display higher rates of type 1 diabetes than in their countries of origin, particularly those that move into societies with a westernised lifestyle , . For example, although type 1 diabetes in Polynesia is extremely rare, an abrupt increase in incidence occurs in Pacific Island peoples who migrate to New Zealand . Our study provides evidence that the factors leading to an increase in incidence are operating across all ethnicities. Indeed, the incidence of type 1 diabetes has been remarkably similar over time for the indigenous Maori and the largely newly immigrant Pacific Island and Other ethnic groups.
Cost effectiveness as well as healthcare use was assessed during the study period compared with the nine months before randomisation (presented separately). We measured patient engagement and satisfaction with the intervention using semistructured interviews and data from the content management system. The secondary outcomes health related quality of life and perceived social support were not included in the initial trial registration but added before commencing the trial.
-Keep your cholesterol levels in normal range. The liver makes cholesterol and it is also found in the foods we eat such as eggs, meats and dairy products. High cholesterol levels can clog your arteries and put you at risk of developing heart disease and stroke. If you have high cholesterol, you can help lower it by losing weight, exercising and eating a healthful diet.
Understanding how food affects blood sugar level and constantly monitoring it is a way of life for those with diabetes. This largely involves the balance between the amount of insulin currently in the body at any given time and how the foods we eat change that it. At center stage for this daily drama are carbohydrates. Knowing the difference between how the various types of carbohydrates are processed by the body is key to maintaining blood sugar levels. (more…)
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