The Australian National Diabetes Strategy 2016–2020 (the Strategy), which was released on 13 November 2015, aims to prioritise Australia’s response to diabetes and identify approaches to reducing the impact of diabetes in the community (Department of Health 2015).
The Strategy outlines seven high-level goals with potential areas for actions and measures of progress.
Diabetes in Australia: focus on the future is an implementation plan (the Plan) developed for the Strategy to operationalise each of the Strategy’s goals (AHMAC 2017).
The Plan was agreed by all governments as activities that, at that time, could be developed, expanded, or modified to produce targeted, tangible improvements in the prevention, early detection, management and care of all forms of diabetes.
The Plan identified 55 indicators to measure progress against the goals of the Strategy.
A number of these indicators are currently reported in existing national frameworks (such as Report on Government Services, National Health Performance Framework, Aboriginal and Torres Strait Islander Health Performance Framework, and Indigenous Primary Health Care National Key Performance Indicators).
This web-based report provides baseline data for the 55 indicators identified in the implementation plan.
Additional Read over 150 NACCHO Aboriginal Health and Diabetes articles published over 6 years
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Goal
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Goal 5 focusses on reducing the impact of diabetes among Aboriginal and Torres Strait Islander people.
A number of indicators were identified to measure the progress of Goal 5, some of which were included in Goals 1-4 and, where possible, have been included under the relevant goal above:
- Incidence of type 2 diabetes
- Prevalence of type 2 diabetes
- Overweight and obesity, by age group
- Insufficient physical activity, by age group
- Inadequate fruit and/or vegetable consumption, by age group
- Waist circumference
- Exclusive breastfeeding
- Incidence of type 1 diabetes
- Prevalence of type 1 diabetes
- Prevalence of treated end-stage kidney disease among people with diabetes
- Prevalence of vision loss caused by diabetes
- Prevalence of cardiovascular disease among people with diabetes
- Diabetes hospitalisations by type of diabetes
- Hospitalisation for end-stage renal disease as the principal diagnosis with diabetes as an additional diagnosis
- Hospitalisation for coronary heart disease or stroke as the principal diagnosis with diabetes as an additional diagnosis
- Hospitalisations for ophthalmic conditions with type 2 diabetes as a principal diagnosis
- Hospitalisations for lower limb amputation with type 2 diabetes as a principal or additional diagnosis
- Hospitalisations for other complications with type 2 diabetes as a principal diagnosis
- Deaths from diabetes
- Death rates for coronary heart disease and stroke among people with diabetes
- Incidence of gestational diabetes
- People with diabetes who achieve target levels for cholesterol
- People with diabetes who achieve the target level for blood pressure
- People with diabetes who achieve the target level for HbA1c/effective management of diabetes
- People with diabetes who had an HbA1c test in the last 12 months
The indicators reported specifically for Goal 5 are:
- 5.1 Hospitalisation for diabetes by type of diabetes
- 5.2 Ratio of separations for Aboriginal and Torres Strait Islander people, to all Australians, diabetes
- 5.3 Hospitalisation for principal diagnosis of diabetes by additional diagnosis of hospitalisation
- 5.4 Age-standardised death rate for diabetes by Indigenous status
- 5.5 Avoidable and preventable deaths from diabetes
- 5.6 Indigenous regular clients with type 2 diabetes who had a blood pressure test
- 5.7 Indigenous regular clients with type 2 diabetes who had a kidney function test
- 5.8 Indigenous regular clients with type 2 diabetes who had a kidney function test with results within specified levels
- 5.9 Women who smoked during pregnancy
- 5.10 Indigenous children attending preschool
- 5.11 Risk factor status of women who attended an antenatal visit before 13 weeks of pregnancy
- 5.12 Risk factor status of women who attended an antenatal visit in the third trimester of pregnancy
- 5.13 Indigenous regular clients with type 2 diabetes receiving recommended care from Indigenous primary health care services
- 5.14 Indigenous regular clients of Indigenous primary health care services who had type 2 diabetes and a general practitioner management plan or team care arrangements
- 5.15 Indigenous regular clients with type 2 diabetes who are immunised against influenza
- 5.16 Types of lifestyle issues discussed with health professional
- 5.17 Health actions taken by people with diabetes
- 5.18 People without diabetes tested for high sugar levels/risk of diabetes
- 5.19 Selected health issues of Indigenous mothers
- 5.20 Use of antenatal care by selected health issues
- 5.21 Diabetes problems managed by general practitioner