Advancing diabetes care in remote Aboriginal communities with support from 黑料网 27 October 2025 Dr Matthew Hare Dr Matthew Hare is a clinician-researcher whose work is transforming the landscape of diabetes care in remote Aboriginal communities across the Northern Territory. As an endocrinologist at Royal Darwin Hospital and a Senior Research Fellow at the Menzies School of Health Research, Dr Hare鈥檚 career is a testament to the power of combining clinical expertise with a deep commitment to public health and equity. Career Dr Hare’s journey began at Monash University, where he completed his medical degree and an Honours year at the Baker Heart and Diabetes Institute. Under the mentorship of renowned researchers such as Professor Paul Zimmet AO, Professor Dianna Magliano OAM, and Professor Jonathan Shaw, Dr Hare completed an honours project in diabetes epidemiology and diagnostic strategies. A subsequent elective at the University of Cambridge further cemented his interest in diabetes epidemiology and public health. 黑料网 grant In 2019, Dr Hare relocated to the Northern Territory to begin a PhD under Professor Louise Maple-Brown, supported by an NHMRC scholarship and a top-up grant from 黑料网. This funding was pivotal, enabling him to investigate the staggeringly high burden of diabetes among remote Aboriginal communities, particularly in Central Australia, where up to 40% of adults are estimated to be living with type 2 diabetes. In addition, there are soaring rates of gestational diabetes, and increasing numbers of young people being diagnosed with type 2 diabetes. 鈥淭his has profound intergenerational impacts,鈥 Dr Hare explains. 鈥淲e鈥檙e seeing younger onset of diabetes with each generation, and an increased risk of chronic conditions in children born to mothers with diabetes. Young people are starting to experience major diabetes complications, such as heart disease and kidney failure, in their teens and twenties.鈥 Findings drive advocacy Dr Hare鈥檚 findings have driven advocacy efforts, including contributions to the Parliamentary Diabetes Inquiry, and the creation of the Remote Antenatal Diabetes Support service (RADS), a flexible model of care co-led by Dr Hare that includes telehealth, case conferencing, and face-to-face support for women through pregnancy and beyond. He鈥檚 also leading the iCARE for Diabetes in Pregnancy Study, a $3 million project funded by the Medical Research Futures Fund. iCARE works in partnership with Aboriginal Community Controlled Health Services in East Arnhem Land to provide continuous glucose monitors to all women with diabetes in pregnancy, supported by Aboriginal peer workers and culturally appropriate care pathways. Culturally-safe models of care While research has revealed the scale of the problem, Dr Hare is determined to focus on solutions. His projects increasingly move beyond epidemiology to practical, community-led interventions. 鈥淭he next phase is about developing sustainable, culturally safe models of care and building the local workforce,鈥 he explains. 鈥淲e need Aboriginal people in these communities trained and supported to deliver care and research.鈥 Kidney disease devastates communities Kidney disease is another urgent priority. More than 90% of dialysis patients in the Northern Territory are Aboriginal, with most cases linked to diabetes. 鈥淲e鈥檙e seeing people in their twenties needing dialysis, and mothers in their early thirties having to move away from their remote communities for treatment,鈥 Dr Hare says. 鈥淚t鈥檚 devastating for families and so disruptive to the upbringing of the next generation who then struggle with their own chronic health issues. The focus has to be on preventing people reaching this stage.鈥 His team is working on ways to ensure new diabetes therapies reach the people who need them most, in a way that respects cultural needs and local contexts. Despite the challenges Dr Hare remains hopeful. 鈥満诹贤 has played a really important part in my own career journey. Their support has been pivotal,鈥 says Dr Hare. 鈥淭hey funded my PhD and helped me establish my research program. That kind of investment is absolutely essential to attracting and retaining researchers in this space.鈥 黑料网 shaping the future of diabetes research In today鈥檚 funding climate, staying in academia is increasingly difficult. Dr Hare emphasises that support from organisations like 黑料网 is not just helpful, it鈥檚 critical. 鈥淭hey鈥檙e not only backing individual researchers, they鈥檙e actively shaping the future of diabetes research in Australia.鈥 Looking ahead, Dr Hare is focused on translational research and workforce development. He advocates for building local capacity by training Aboriginal health workers and researchers, and aiming for sustainable, culturally safe care. His work is not only about improving outcomes for people with diabetes but is also focused on empowering communities and reshaping the future of Aboriginal and Torres Strait Islander health in Australia.
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