Delivering grassroots diabetes education in the South Asian Community

People of South Asian ethnic origin are three to four times more likely to develop type 2 diabetes compared to the Caucasian population, and the prevalence of the disease is increasing. South Asian people with type 2 diabetes have a more rapid rate of progression through pre-diabetes to diabetes, develop type 2 diabetes at a younger age and are more likely to develop complications. They also tend to have poorer knowledge and awareness of type 2 diabetes compared with their Caucasian counterparts. Culturally tailored education has been shown to be effective in promoting empowerment.

Diabetes UK and South Asian Health

Diabetes UK and the South Asian Health Foundation have worked together on this review, whose principal purpose is to highlight the gaps in our understanding ofdiabetes in the UK-based South Asian population as well as to identify recommendations and priorities for future research areas. It is the intention that this review should be used by funding agencies that support research and also as a point of reference and information for the research community.


The South Asian community health education and empowerment (SACHE) in diabetes programme

The prevalence of diabetes continues to increase dramatically, with an estimated 4 million people living with the condition in the UK. South Asians are 3–6 times more likely to develop type 2 diabetes than the general population. In early 2014, the South Asian Health Foundation extended its South Asian Community Health Education and Empowerment (SACHE) programme to include South Asian people diagnosed with diabetes. The programme had already been delivered successfully in 2012–14 for cardiovascular disease.

Report from the Musculoskeletal Working Group

A Samanta, S Shaffu, S Panchal, A Moorthy, W Hassan, K Chakravarthy, M R D Johnson, K Kumar, I Bandhi, A Rashid & A Adebajo. Tinkering at the edges of collaborative symbiosis? Ethnicity and rheumatology: a consensual review discussion.  Diversity & Equality in Health & Care (2012) 9: 209-218

A Samanta & S Shaffu.  Ethnicity in musculoskeletal health: census and consensus. Diversity & Equality in Health & Care (2012) 9: 219-222

Professor Raj Bhopal on CVD/diabetes and health promotion

Bhopal RS. Migration, Ethnicity, Race and Health in Multicultural Societies. 2 ed. Oxford: Oxford University Press; 2014.

Relevant papers

Bansal N, Fischbacher CM, Bhopal RS, Brown H, Steiner MF, Capewell S et al. Myocardial infarction incidence and survival by ethnic group: Scottish Health and Ethnicity Linkage retrospective cohort study. BMJ Open 2013 September 1;3(9).

Dr Gill Non-Executive Director of Sandwell and West Birmingham Hospitals NHS Trust

1.Ahmad N, Thomas GN,  Chan C, Gill P.  (2014) Ethnic differences in Lower Limb Revascularisation and Amputation Rates.  Implications for the aetiopathology of atherosclerosis?  Atherosclerosis; 233:503-507.

2.The Echocardiographic Normal Ranges Meta-Analysis of the Left heart(EchoNoRMAL) Collaboration A meta-analysis of echocardiographic measurements of the left heart for the development of normative reference ranges in a large international cohort: the EchoNoRMAL study European Heart Journal  Cardiovascular Imaging (2014); 15: 341-348.

Type 2 diabetes in the UK South Asian Population - An update from the South Asian Health Foundation

The South Asian population of the UK is an important target group for type 2 diabetes prevention and screening programmes, as these individuals are at a higher risk of developing the condition than white European people.

This document has been developed to offer advice to all healthcare professionals involved in the management of South Asian people with type 2 diabetes in the UK. It aims to provide a brief overview of what is known about type 2 diabetes in the South Asian population of the UK and, where appropriate, to recommend how treatment decisions might be optimised.

SACHE Diabetes Report

Attitudes to diabetes are changing in the South Asian Community. SAHF has presented a report to Health Secretary Jeremy Hunt that shows we are at a tipping point in South Asian diabetes education.

The report highlights the successes of the new campaign. Download the SAHF report below.