#489: Inequalities in Diabetes Outcomes for African & Caribbean Communities – Prof. Louise Goff

Sigma Nutrition Radio

Danny Lennon

Nutrition, Health & Fitness

4.8 • 633 Ratings

🗓️ 18 July 2023

⏱️ 51 minutes

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In the UK, there is a threefold higher incidence of type 2 diabetes in UK African and Caribbean (AfC) communities, compared to the general population. And ethnic inequalities in type 2 diabetes treatment and outcomes have been documented. And so addressing these inequalities is an urgent healthcare priority in the UK.

Differences in outcomes relate to physiological differences as well as pragmatic issues and structural barriers. Professor Louise Goff has done pioneering work in relation to both aspects.

Prof. Goff's research has highlighted ethnic differences in type 2 diabetes pathophysiology between those in UK African and Caribbean groups and white Europeans. This means that typical screening for diabetes may not be as useful for AfC communities, in addition to treatments not being as appropriate.

In addition, there are noted differences in engagement with diabetes education services and self-management advice. This may be due to the fact that the delivery of information is not culturally relevant to those in AfC communities. And so diabetes structured education programs have been found to be less successful in people from minority ethnic groups.

Prof. Goff has attempted to address this by developing a culturally tailored self-management education and support program for type 2 diabetes in black-British adults. This program, called the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) program, has initially been trialed with local Black African and Caribbean communities and healthcare providers in South London.

In this episode, Prof. Goff discusses the ethnic differences in diabetes pathophysiology and the other factors underlying the inequalities in diabetes outcomes in black African and Caribbean communities.

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0:00.0	Hello and welcome to Sigma Nutrition Radio. This is the podcast where we bring you discussions all about nutrition science and health
0:21.5	science. You are very welcome. My name is Danny Lennon. And today we're going to be talking
0:28.5	all about type 2 diabetes and some fascinating elements related to ethnic differences in its
0:34.2	pathophysiology, as well as inequalities in type 2 diabetes-related care that
0:39.8	relate to a variety of issues that we're going to get into. And it really is some fascinating
0:45.1	work. And some of the research that I've really most enjoyed reading recently. And we're in
0:52.1	the particular context we're going to discuss today is in the context of the UK and some of the ethnic populations there.
1:00.0	So UK African and Caribbean communities based in the UK.
1:05.0	And there we see in this particular context a threefold higher incidence of type 2 diabetes in these communities
1:13.1	compared to the general population. And there's also this known ethnic inequality in type 2 diabetes
1:19.5	that needs to be tackled from a number of areas. So this can relate to both potentially pathophysiology
1:25.7	that is un or not understood fully that we're going to get
1:29.3	into but also in terms of how we put out educational material and how care is rolled out in
1:36.5	these different systems what ways can this be tackled better and that has been the focus of much
1:41.8	of the work of professor louise goff who is our guest on today's podcast.
1:47.0	Professor Goff is an academic dietitian, specializing in the role of diet and lifestyle in the prevention and management of type 2 diabetes,
1:54.1	and has a particular interest in tackling health inequalities among minority ethnic groups.
2:01.3	Right now, she's currently based at the NIHR Leicester Biomedical Research Center in the UK,
2:07.4	and she has worked extensively with UK, African and Caribbean communities across a broad range
2:14.4	of research that goes all the way from understanding ethnic differences in the
2:19.3	biological mechanisms by which diabetes develops in these groups, all the way through to
2:24.8	improving cultural competency of healthcare professionals in engaging with these groups and
	...

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