Prevention and Management of Heart Failure Associated with Type 2 Diabetics in Rural Australia

Allen G Ross1, Utpal K Mondal2, Shakeel Mahmood2

  • 1College of Medicine, Ajman University, Ajman 346, United Arab Emirates.

PubMed

Insights

Sodium-glucose cotransporter 2 (SGLT2) inhibitors significantly reduce heart failure (HF) hospitalizations in HF with preserved ejection fraction (HFpEF) patients. Improving rural healthcare access and workforce is crucial for reducing preventable hospitalizations from HF and type 2 diabetes in Australia.

Area of Science:

  • Cardiology
  • Endocrinology
  • Rural Health

Background:

  • Heart failure with preserved ejection fraction (HFpEF) has limited treatment options.
  • Recent trials show sodium-glucose cotransporter 2 (SGLT2) inhibitors significantly reduce HF hospitalizations in HFpEF.
  • SGLT2 inhibitors are now supported by Australian and international guidelines for HFpEF.

Purpose of the Study:

  • To review the effectiveness of SGLT2 inhibitors for HFpEF.
  • To examine heart failure (HF) and diabetes hospitalization rates in Australia, particularly in rural areas.
  • To identify strategies for reducing preventable hospitalizations and mortality in rural Australia.

Main Methods:

  • Narrative review utilizing a structured multi-database search (MEDLINE, Embase, CINAHL, Scopus).
  • Inclusion of key Australian health data sources (AIHW, ABS, Department of Health and Aged Care).
  • No restrictions on geographic location or publication year.

Main Results:

  • Approximately 179,000 HF hospitalizations in Australia (2020-2021), with higher rates in remote areas.
  • Diabetes prevalence has nearly tripled since 2000, with significantly higher hospitalization rates in remote areas.
  • Rural residents are 2.5 times more likely to be hospitalized for diabetes compared to major city residents.

Conclusions:

  • Reducing preventable hospitalizations and premature mortality from heart failure and type 2 diabetes in rural Australia requires a stronger rural healthcare workforce.
  • Improved access to essential medicines and telehealth is vital.
  • Equity-focused evaluation is necessary to address disparities in rural healthcare outcomes.

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