Was the goal of increased accessibility to diabetes care achieved for First Nations peoples?
At total of 1,151 clients were enrolled in the SLICK Project and were screened from all forty-four Alberta First Nations communities in mobile clinics between December 5th, 2001 and July 22nd, 2003. An additional 357 clients came to the SLICK van to find out whether they had diabetes. While this was not an a priori goal of the project, a protocol had been devised to anticipate this eventuality. This was for two reasons. Firstly, it was known that the accuracy of the clients’ assurances of whether they had diabetes or not might be questionable, given a high rate of “self-screening” that was known to be happening amongst this population (self blood glucose monitoring performed by family members). Capillary glucose monitoring was also being performed on clients by well meaning health professionals. While sometimes the results of these screening efforts revealed frank diabetes that was then confirmed by a physician, many times there was resulting ambiguity as to the meaning of the testing
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