Advancing Diabetes Prevention and Control in American Indians and Alaska Natives.

The most notable outcome over the past 20 years has been the 54% decrease in new cases of diabetes-related kidney failure in AI/AN adults, which is faster than the rate of decrease among other racial and ethnic groups ( 20 ) ( Figure 3 ).The IHS recently reported that the prevalence of diabetes in AI/AN adults is now decreasing after decades of an increasing trend, and this decrease began during the time of the SDPI ( 1 ).

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